| LCA CASE NUMBER | I-200-20260-827980 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-16 |
| DECISION DATE | 2020-09-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Project Manager |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-03-03 |
| END DATE | 2024-03-02 |
| 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 | Blue Cross Blue Shield of North Dakota |
| EMPLOYER ADDRESS1 | 4510 13th Ave South |
| EMPLOYER CITY | Fargo |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58121 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17012821864 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Gully |
| EMPLOYER POC FIRST NAME | Carissa |
| EMPLOYER POC JOB TITLE | Human Resources Specialist |
| EMPLOYER POC ADDRESS1 | 4510 13th Ave South |
| EMPLOYER POC CITY | Fargo |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58121 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17012821390 |
| EMPLOYER POC EMAIL | Carissa.Gully@bcbsnd.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Evans |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023911991.0 |
| AGENT ATTORNEY EMAIL ADDRESS | elizabeth.evans@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4510 13th Ave S |
| LCA CASE WORKLOC1 CITY | Fargo |
| WORKSITE COUNTY | CASS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58121 |
| LCA CASE WAGE RATE FROM | 78728.0 |
| LCA CASE WAGE RATE TO | 118925.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78728.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Smith |
| PREPARER FIRST NAME | Maria |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | maria.smith@jacksonlewis.com |
