| LCA CASE NUMBER | I-200-21117-260739 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-27 |
| DECISION DATE | 2021-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Systems Analyst |
| SOC CODE | 15-1121.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-03 |
| END DATE | 2024-05-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Mican Technologies, Inc. |
| EMPLOYER ADDRESS1 | 2500 Wrangle Hill Road |
| EMPLOYER ADDRESS2 | Suite 224 |
| EMPLOYER CITY | Bear |
| EMPLOYER STATE | DE |
| EMPLOYER POSTAL CODE | 19701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13027030708 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Beljour |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 2500 Wrangle Hill Road |
| EMPLOYER POC ADDRESS 2 | Suite 224 |
| EMPLOYER POC CITY | Bear |
| EMPLOYER POC STATE | DE |
| EMPLOYER POC POSTAL CODE | 19701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13027030708 |
| EMPLOYER POC EMAIL | kbeljour@micantech.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Arroyo |
| AGENT ATTORNEY FIRST NAME | L. Mabel |
| AGENT ATTORNEY ADDRESS1 | 211 Commerce Street |
| AGENT ATTORNEY ADDRESS2 | Suite 800 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16157267387 |
| AGENT ATTORNEY EMAIL ADDRESS | marroyo@bakerdonelson.com |
| LAWFIRM NAME BUSINESS NAME | Baker, Donelson, Bearman, Caldwell, Berkowitz, PC |
|
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Blue Cross Blue Shield of Michigan |
| WORKSITE ADDRESS1 | 8451 Gate Pkwy W |
| WORKSITE ADDRESS2 | Apt 229 |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32216 |
| LCA CASE WAGE RATE FROM | 103397 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 96158 |
| 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 | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Davis |
| PREPARER FIRST NAME | Shannon |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Baker, Donelson, Bearman, Caldwell & Berkowitz, PC |
| PREPARER EMAIL | smdavis@bakerdonelson.com |
