| LCA CASE NUMBER | I-200-19309-126420 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-05 |
| DECISION DATE | 2019-11-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Lead Test Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-01 |
| END DATE | 2023-04-30 |
| 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 | Physicians Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 2600 Dodge Street |
| EMPLOYER CITY | Omaha |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68131 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14026331150 |
| NAICS CODE | 52411 |
| EMPLOYER POC LAST NAME | Kiefer |
| EMPLOYER POC FIRST NAME | Lori |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 2600 Dodge Street |
| EMPLOYER POC CITY | Omaha |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68131 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14026331150 |
| EMPLOYER POC EMAIL | lori.kiefer@physiciansmutual.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Morales McFarland |
| AGENT ATTORNEY FIRST NAME | Diana |
| AGENT ATTORNEY ADDRESS1 | 1601 Dodge Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3700 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023413037.0 |
| AGENT ATTORNEY PHONE EXT | 563.0 |
| AGENT ATTORNEY EMAIL ADDRESS | dmoralesmcfarland@mcgrathnorth.com |
| LAWFIRM NAME BUSINESS NAME | McGrath North Mullin Kratz |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2600 Dodge Street |
| LCA CASE WORKLOC1 CITY | Omaha |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68131 |
| LCA CASE WAGE RATE FROM | 107577.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99757.0 |
| 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 | Morales McFarland |
| PREPARER FIRST NAME | Diana |
| PREPARER BUSINESS NAME | McGrath North Mullin Kratz |
| PREPARER EMAIL | dmoralesmcfarland@mcgrathnorth.com |
