| LCA CASE NUMBER | I-200-19276-069397 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-03 |
| DECISION DATE | 2019-10-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Software Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-13 |
| END DATE | 2023-03-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | WEST BEND MUTUAL INSURANCE COMPANY |
| EMPLOYER ADDRESS1 | 1900 S. 18th Avenue |
| EMPLOYER CITY | WEST BEND |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53095 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +12623346584 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | Thom |
| EMPLOYER POC FIRST NAME | Tracy |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 1900 S. 18TH AVENUE |
| EMPLOYER POC CITY | WEST BEND |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53095 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +12623346584 |
| EMPLOYER POC EMAIL | tthom@wbmi.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Fortier |
| AGENT ATTORNEY FIRST NAME | Kelly |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 100 East Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14142716560.0 |
| AGENT ATTORNEY EMAIL ADDRESS | npgarcia@michaelbest.com |
| LAWFIRM NAME BUSINESS NAME | Michael Best & Friedrich LLP |
| STATE OF HIGHEST COURT | WI |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1900 S. 18th Avenue |
| LCA CASE WORKLOC1 CITY | West Bend |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53095 |
| LCA CASE WAGE RATE FROM | 110000.0 |
| LCA CASE WAGE RATE TO | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107619.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Garcia |
| PREPARER FIRST NAME | Norma |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Michael Best & Friedrich LLP |
| PREPARER EMAIL | npgarcia@michaelbest.com |
