| LCA CASE NUMBER | I-200-21221-510796 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-09 |
| DECISION DATE | 2021-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Specialist, Software Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-20 |
| END DATE | 2024-09-19 |
| 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 | Nationwide Insurance |
| EMPLOYER ADDRESS1 | One Nationwide Plaza |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16142491128 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Repka |
| EMPLOYER POC FIRST NAME | Kathi |
| EMPLOYER POC JOB TITLE | Specialist, HR Immigration |
| EMPLOYER POC ADDRESS1 | One Nationwide Plaza |
| EMPLOYER POC ADDRESS2 | 1-1-702 |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43215 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16142491128 |
| EMPLOYER POC EMAIL | REPKAK@nationwide.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cohen |
| AGENT ATTORNEY FIRST NAME | Robert |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 41 South High Street |
| AGENT ATTORNEY ADDRESS2 | Floor 31 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16142272066 |
| AGENT ATTORNEY EMAIL ADDRESS | rcohen@porterwright.com |
| LAWFIRM NAME BUSINESS NAME | PORTER WRIGHT MORRIS & ARTHUR LLP |
|
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3183 Juniper Lane |
| WORKSITE ADDRESS2 | Apt. C |
| LCA CASE WORKLOC1 CITY | Saint Paul |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55125 |
| LCA CASE WAGE RATE FROM | 125798 |
| LCA CASE WAGE RATE TO | 145000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 125798 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cribbs |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Porter Wright Morris & Arthur LLP |
| PREPARER EMAIL | mcribbs@porterwright.com |
