| LCA CASE NUMBER | I-200-21007-999867 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-07 |
| DECISION DATE | 2021-01-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Development Senior Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | American Family Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 6000 American Pkwy |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53783 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16082424100 |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Close |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | Talent Acquisition Manager |
| EMPLOYER POC ADDRESS 1 | 6000 American Pkwy |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53783 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16082424100 |
| EMPLOYER POC EMAIL | jclose@amfam.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Coulange |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | Stephanie |
| AGENT ATTORNEY ADDRESS1 | 17 N. Clark St. |
| AGENT ATTORNEY ADDRESS2 | Suite 1690 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127969540 |
| AGENT ATTORNEY EMAIL ADDRESS | gov@meltzerhellrung.com |
| LAWFIRM NAME BUSINESS NAME | Meltzer Hellrung LLC |
|
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Fulton County Superior Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6000 American Pkwy |
| LCA CASE WORKLOC1 CITY | Madison |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53783 |
| LCA CASE WAGE RATE FROM | 108000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 94619 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Moore |
| PREPARER FIRST NAME | Amelia |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Meltzer Hellrung LLC |
| PREPARER EMAIL | amoore@meltzerhellrung.com |
