| LCA CASE NUMBER | I-200-21068-132786 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-09 |
| DECISION DATE | 2021-03-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Development Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-09 |
| END DATE | 2024-08-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | American Family Mutual Insurance Company, S.I. |
| EMPLOYER ADDRESS1 | 6000 American Parkway |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53783 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16082424100 |
| EMPLOYER PHONE EXT | 3258 |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Close |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC JOB TITLE | Talent Acquisition Manager |
| EMPLOYER POC ADDRESS 1 | 6000 American Parkway |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53783 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16082424100 |
| EMPLOYER POC EMAIL | jclose@amfam.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Coulange |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | Stephanie |
| AGENT ATTORNEY ADDRESS1 | 211 S. Clark Street |
| AGENT ATTORNEY ADDRESS2 | #735 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60690 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13126201001 |
| AGENT ATTORNEY EMAIL ADDRESS | gov@meltzerhellrung.com |
| LAWFIRM NAME BUSINESS NAME | Meltzer Hellrung LLC |
|
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6000 American Parkway |
| LCA CASE WORKLOC1 CITY | Madison |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53783 |
| LCA CASE WAGE RATE FROM | 83000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67475 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 LAST NAME | Zavate |
| PREPARER FIRST NAME | Laura |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Meltzer Hellrung LLC |
| PREPARER EMAIL | lzavate@meltzerhellrung.com |
