| LCA CASE NUMBER | I-200-21074-145723 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-15 |
| DECISION DATE | 2021-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-16 |
| END DATE | 2024-05-15 |
| 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 | Capital District Physicians' Health Plan, Inc. |
| EMPLOYER ADDRESS1 | 500 Patroon Creek Blvd. |
| EMPLOYER CITY | Albany |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12206 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15186413000 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Harrington |
| EMPLOYER POC FIRST NAME | Nicole |
| EMPLOYER POC JOB TITLE | Director, Human Resources, Human Capital Mgmt |
| EMPLOYER POC ADDRESS 1 | 500 Patroon Creek Blvd. |
| EMPLOYER POC CITY | Albany |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12206 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15186413000 |
| EMPLOYER POC EMAIL | nicole.harrington@cdphp.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Venter |
| AGENT ATTORNEY FIRST NAME | Brendan |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 677 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 1101 |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15187012773 |
| AGENT ATTORNEY EMAIL ADDRESS | immigrationhb@harrisbeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 500 Patroon Creek Boulevard |
| LCA CASE WORKLOC1 CITY | Albany |
| WORKSITE COUNTY | ALBANY |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12206 |
| LCA CASE WAGE RATE FROM | 103200.24 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 98093 |
| 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 |
| PREPARER LAST NAME | Hofstetter |
| PREPARER FIRST NAME | Joshua |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | immigrationHB@harrisbeach.com |
