| LCA CASE NUMBER | I-200-21014-014139 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-14 |
| DECISION DATE | 2021-01-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-20 |
| END DATE | 2024-01-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Preferred Risk Insurance Services, Inc. |
| EMPLOYER ADDRESS1 | 6640 S. Cicero |
| EMPLOYER CITY | Bedford Park |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60638 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17085522424 |
| NAICS CODE | 561110 |
| EMPLOYER POC LAST NAME | Hincks |
| EMPLOYER POC FIRST NAME | Patrick |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS 1 | 6640 S. Cicero |
| EMPLOYER POC CITY | Bedford Park |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60638 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17085522421 |
| EMPLOYER POC EMAIL | phincks@priscorp.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Krug |
| AGENT ATTORNEY FIRST NAME | Robert |
| AGENT ATTORNEY MIDDLE NAME | William |
| AGENT ATTORNEY ADDRESS1 | 70 W. Madison Street |
| AGENT ATTORNEY ADDRESS2 | Suite 4000 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13126042652 |
| AGENT ATTORNEY PHONE EXT | 2652 |
| AGENT ATTORNEY EMAIL ADDRESS | rkrug@hsplegal.com |
| LAWFIRM NAME BUSINESS NAME | Hughes Socol Piers Resnick & Dym, Ltd. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6640 S. Cicero |
| LCA CASE WORKLOC1 CITY | Bedford Park |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60638 |
| LCA CASE WAGE RATE FROM | 87838 |
| LCA CASE WAGE RATE TO | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 87838 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
