| LCA CASE NUMBER | I-200-21130-298915 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-10 |
| DECISION DATE | 2021-05-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer |
| 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 | Bloom Insurance Agency, LLC |
| EMPLOYER ADDRESS1 | 1331 S Curry Pike |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18126505807 |
| NAICS CODE | 52429 |
| EMPLOYER POC LAST NAME | Cieply |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS 1 | 1331 S. Curry Pike |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18126505807 |
| EMPLOYER POC EMAIL | scieply@bloominsurance.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Durham |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 201 S. Main Street |
| AGENT ATTORNEY CITY | South Bend |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15742371145 |
| AGENT ATTORNEY EMAIL ADDRESS | mdurham@btlaw.com |
| LAWFIRM NAME BUSINESS NAME | Barnes & Thornburg LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 301 N Morton St. |
| LCA CASE WORKLOC1 CITY | Bloomington |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47404 |
| LCA CASE WAGE RATE FROM | 85000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 83158 |
| 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 Business |
