| LCA CASE NUMBER | I-200-20216-747670 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-03 |
| DECISION DATE | 2020-08-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Manager |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-03 |
| END DATE | 2023-05-31 |
| 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 | Central Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 800 S Washington St |
| EMPLOYER CITY | Van Wert |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45891 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14192385551 |
| NAICS CODE | 52421 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Carly |
| EMPLOYER POC JOB TITLE | Employment Manager |
| EMPLOYER POC ADDRESS1 | 800 S Washington St |
| EMPLOYER POC CITY | Van Wert |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45891 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14192385551 |
| EMPLOYER POC EMAIL | carlysmith@central-insurance.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Shihab |
| AGENT ATTORNEY FIRST NAME | Gus |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 65 East State Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1550 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | OH |
| AGENT ATTORNEY PHONE | 16142554872.0 |
| AGENT ATTORNEY EMAIL ADDRESS | gus@shihab.law |
| LAWFIRM NAME BUSINESS NAME | The Law Firm of Shihab & Associates Co LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OH |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 800 S. Washington St |
| LCA CASE WORKLOC1 CITY | Van Wert |
| WORKSITE COUNTY | VAN WERT |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45891 |
| LCA CASE WAGE RATE FROM | 115020.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 97406.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
