| LCA CASE NUMBER | I-200-21140-329403 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-20 |
| DECISION DATE | 2021-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Quality Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-23 |
| END DATE | 2024-09-22 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Blue Shield of California |
| EMPLOYER ADDRESS1 | 601 12th Street |
| EMPLOYER CITY | Oakland |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19163507669 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Subido |
| EMPLOYER POC FIRST NAME | Linda |
| EMPLOYER POC JOB TITLE | HR Employee Records Management |
| EMPLOYER POC ADDRESS 1 | 4203 Town Center Blvd |
| EMPLOYER POC CITY | El Dorado Hills |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95762 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19163507561 |
| EMPLOYER POC EMAIL | Linda.Subido@blueshieldca.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Noce |
| AGENT ATTORNEY FIRST NAME | Courtney |
| AGENT ATTORNEY ADDRESS1 | 3333 Piedmont Road NE |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30305 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16785532457 |
| AGENT ATTORNEY EMAIL ADDRESS | caldwellj@gtlaw.com |
| LAWFIRM NAME BUSINESS NAME | Greenberg Traurig LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6300 Canoga Ave. |
| LCA CASE WORKLOC1 CITY | Woodland Hills |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91367 |
| LCA CASE WAGE RATE FROM | 104749 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104749 |
| 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 | Caldwell |
| PREPARER FIRST NAME | Jesse |
| PREPARER BUSINESS NAME | Greenberg Traurig, LLP |
| PREPARER EMAIL | caldwellj@gtlaw.com |
