| LCA CASE NUMBER | I-200-21049-084615 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-18 |
| DECISION DATE | 2021-02-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer IV |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-04 |
| END DATE | 2024-03-03 |
| 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 | Medical Mutual of Ohio |
| EMPLOYER ADDRESS1 | 2060 East 9th Street |
| EMPLOYER CITY | Cleveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44115 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12166877000 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Shinn |
| EMPLOYER POC FIRST NAME | Lydia |
| EMPLOYER POC JOB TITLE | Director, Talent Acquisition |
| EMPLOYER POC ADDRESS 1 | 2060 East 9th Street |
| EMPLOYER POC CITY | Cleveland |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44115 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12166877802 |
| EMPLOYER POC EMAIL | lydia.shinn@medmutal.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Oza |
| AGENT ATTORNEY FIRST NAME | Rishi |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 1468 West 9th Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 705 |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44115 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12168614414 |
| AGENT ATTORNEY EMAIL ADDRESS | roza@brown-immigration.com |
| LAWFIRM NAME BUSINESS NAME | Robert Brown LLC |
| STATE OF HIGHEST COURT | OH |
|
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 American Road |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | CUYAHOGA |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44144 |
| LCA CASE WAGE RATE FROM | 105060 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103355 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
