| LCA CASE NUMBER | I-200-21068-132310 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-09 |
| DECISION DATE | 2022-10-17 |
| ORIGINAL CERT DATE | 2021-03-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-08 |
| END DATE | 2024-08-07 |
| 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 | Aetna Resources LLC |
| EMPLOYER ADDRESS1 | c/o CVS Health 695 George Washington Avenue |
| EMPLOYER CITY | Lincoln |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 02865 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14017701621 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Messenger |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Immigration Program Lead |
| EMPLOYER POC ADDRESS1 | Aetna Resources c/o CVS Health |
| EMPLOYER POC ADDRESS2 | 695 George Washington Hwy, Mail Code HR695 |
| EMPLOYER POC CITY | Lincoln |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02865 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14017701621 |
| EMPLOYER POC EMAIL | immigrationsupport@cvshealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Adams |
| AGENT ATTORNEY FIRST NAME | Kenneth |
| AGENT ATTORNEY MIDDLE NAME | Mitchell |
| AGENT ATTORNEY ADDRESS1 | 301 Congress Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1150 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78701 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | TX |
| AGENT ATTORNEY PHONE | 15126407082 |
| AGENT ATTORNEY EMAIL ADDRESS | mitch.adams@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Supreme Court of Colorado |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3200 Highland Ave. |
| LCA CASE WORKLOC1 CITY | Downers Grove |
| WORKSITE COUNTY | DUPAGE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60515 |
| LCA CASE WAGE RATE FROM | 84934 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 71074 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Nishioka |
| PREPARER FIRST NAME | Rose |
| PREPARER BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| PREPARER EMAIL | rose.nishioka@ogletreedeakins.com |
