| LCA CASE NUMBER | I-200-21015-017733 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-15 |
| DECISION DATE | 2021-01-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DATABASE DEVELOPER |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-30 |
| END DATE | 2024-05-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FLORIDA HEALTH CARE PLAN, INC. |
| EMPLOYER ADDRESS1 | 1340 RIDGEWOOD AVENUE |
| EMPLOYER CITY | HOLLY HILL |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32117 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13866155088 |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | Osland |
| EMPLOYER POC FIRST NAME | Shannon |
| EMPLOYER POC JOB TITLE | Administrator - Human Resources |
| EMPLOYER POC ADDRESS 1 | 1340 Ridgewood Avenue |
| EMPLOYER POC CITY | Holly Hill |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32117 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13866155088 |
| EMPLOYER POC EMAIL | sosland@fhcp.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DEARING |
| AGENT ATTORNEY FIRST NAME | MELISSA |
| AGENT ATTORNEY MIDDLE NAME | ANN |
| AGENT ATTORNEY ADDRESS1 | 50 NORTH LAURA STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 2600 |
| AGENT ATTORNEY CITY | JACKSONVILLE |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32256 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19045986131 |
| AGENT ATTORNEY EMAIL ADDRESS | MDEARING@SGRLAW.COM |
| LAWFIRM NAME BUSINESS NAME | SMITH, GAMBRELL & RUSSELL, LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | FLORIDA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1340 Ridgewood Avenue |
| LCA CASE WORKLOC1 CITY | Holly Hill |
| WORKSITE COUNTY | VOLUSIA |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32117 |
| LCA CASE WAGE RATE FROM | 85467 |
| LCA CASE WAGE RATE TO | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85467 |
| 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 |
