| LCA CASE NUMBER | I-200-21084-172716 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-24 |
| DECISION DATE | 2021-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Software Development Engineer in TEST |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-19 |
| END DATE | 2024-04-18 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Delta Dental of Michigan, Inc. |
| EMPLOYER ADDRESS1 | 4100 Okemos Road |
| EMPLOYER CITY | Okemos |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48864 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MI |
| EMPLOYER PHONE | 15173475872 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Wesorick |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC JOB TITLE | Staff Attorney |
| EMPLOYER POC ADDRESS 1 | 4100 Okemos Road |
| EMPLOYER POC CITY | Okemos |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48864 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15173475872 |
| EMPLOYER POC EMAIL | mwesorick@deltadentalmi.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4100 Okemos Road |
| LCA CASE WORKLOC1 CITY | Okemos |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48864 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90667 |
| 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 |
