| LCA CASE NUMBER | I-200-19297-107610 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-24 |
| DECISION DATE | 2019-10-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Product Owner |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-29 |
| END DATE | 2022-10-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Blue Shield of California |
| EMPLOYER ADDRESS1 | 601 12th Street |
| EMPLOYER CITY | Oakland |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +19163507669 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Mullikin |
| EMPLOYER POC FIRST NAME | Jamie |
| EMPLOYER POC JOB TITLE | Business Analyst, Human Resources |
| EMPLOYER POC ADDRESS1 | 601 12th Street |
| EMPLOYER POC CITY | Oakland |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +19163507669 |
| EMPLOYER POC EMAIL | jamie.mullikin@blueshieldca.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Porter |
| AGENT ATTORNEY FIRST NAME | Linnea |
| AGENT ATTORNEY ADDRESS1 | 3333 Piedmont Rd NE |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30305 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16785532363.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ramberga@gtlaw.com |
| LAWFIRM NAME BUSINESS NAME | Greenberg Traurig LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4301 Town Center Blvd. |
| LCA CASE WORKLOC1 CITY | El Dorado Hills |
| WORKSITE COUNTY | EL DORADO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 65762 |
| LCA CASE WAGE RATE FROM | 128419.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128419.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Ramberg |
| PREPARER FIRST NAME | Acacia |
| PREPARER BUSINESS NAME | Greenberg Traurig LLP |
| PREPARER EMAIL | ramberga@gtlaw.com |
