| LCA CASE NUMBER | I-200-21102-215862 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-12 |
| DECISION DATE | 2021-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | JAVA Developer Designer II |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | CGS Administrators, LLC |
| EMPLOYER ADDRESS1 | 2 Vantage Way |
| EMPLOYER CITY | Nashville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37228 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18552472761 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Gerards |
| EMPLOYER POC FIRST NAME | Brennen |
| EMPLOYER POC JOB TITLE | Talent Assessment Manager |
| EMPLOYER POC ADDRESS 1 | I-20 @ Alpine Road |
| EMPLOYER POC CITY | Columbia |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18032644149 |
| EMPLOYER POC EMAIL | brennen.gerards@bcbssc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Steck |
| AGENT ATTORNEY FIRST NAME | Garrett |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | 1 North Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642403200 |
| AGENT ATTORNEY EMAIL ADDRESS | gsteck@hsblawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Haynsworth Sinkler Boyd, P.A. |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2 Vantage Way |
| LCA CASE WORKLOC1 CITY | Nashville |
| WORKSITE COUNTY | DAVIDSON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37228 |
| LCA CASE WAGE RATE FROM | 88000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80163 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
