| LCA CASE NUMBER | I-200-21139-327372 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-19 |
| DECISION DATE | 2021-05-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Engineer II |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-07 |
| END DATE | 2023-09-30 |
| 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 | Jewelers Mutual Insurance Group |
| EMPLOYER ADDRESS1 | 24 Jewelers Park Drive |
| EMPLOYER CITY | Neenah |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54957 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19205210468 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Masanz |
| EMPLOYER POC FIRST NAME | Stacie |
| EMPLOYER POC JOB TITLE | Talent Acquisition Manager |
| EMPLOYER POC ADDRESS 1 | 24 Jewelers Park Drive |
| EMPLOYER POC CITY | Neenah |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54957-0468 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19205212340 |
| EMPLOYER POC EMAIL | smasanz@jminsure.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Grzeca |
| AGENT ATTORNEY FIRST NAME | Jerome |
| AGENT ATTORNEY MIDDLE NAME | Gerard |
| AGENT ATTORNEY ADDRESS1 | 1434 West State Street |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53233 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14143423000 |
| AGENT ATTORNEY EMAIL ADDRESS | clients@grzecalaw.com |
| LAWFIRM NAME BUSINESS NAME | Grzeca Law Group, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 24 Jewelers Park Drive |
| LCA CASE WORKLOC1 CITY | Neenah |
| WORKSITE COUNTY | WINNEBAGO |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54957 |
| LCA CASE WAGE RATE FROM | 100000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95222 |
| 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 |
| PREPARER LAST NAME | Grzeca |
| PREPARER FIRST NAME | Jerome |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Grzeca Law Group, S.C. |
| PREPARER EMAIL | clients@grzecalaw.com |
