| LCA CASE NUMBER | I-200-21053-091491 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-22 |
| DECISION DATE | 2021-03-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Lead Database Administrator |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-21 |
| END DATE | 2024-08-20 |
| 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 | Donegal Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 1195 River Road |
| EMPLOYER CITY | Marietta |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17547 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17174261931 |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | Smith II |
| EMPLOYER POC FIRST NAME | Charles |
| EMPLOYER POC MIDDLE NAME | E. |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS 1 | 1195 River Road |
| EMPLOYER POC CITY | Marietta |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17547 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17174261931 |
| EMPLOYER POC EMAIL | chucksmith@donegalgroup.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Madera |
| AGENT ATTORNEY FIRST NAME | Michele |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600 |
| AGENT ATTORNEY EMAIL ADDRESS | acortese@klaskolaw.com |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners LLP |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1195 River Road |
| LCA CASE WORKLOC1 CITY | Marietta |
| WORKSITE COUNTY | LANCASTER |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17547 |
| LCA CASE WAGE RATE FROM | 113900 |
| LCA CASE WAGE RATE TO | 142500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 93912 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 BUSINESS NAME | Not Applicable |
