| LCA CASE NUMBER | I-200-21231-532377 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-19 |
| DECISION DATE | 2021-08-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Enterprise Application Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-02 |
| END DATE | 2024-09-01 |
| 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 | Farm Bureau Life Insurance Company of Michigan |
| EMPLOYER ADDRESS1 | 7373 W Saginaw Hwy |
| EMPLOYER CITY | Lansing |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48917 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15176795330 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | Vering |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | Employment Services Manager |
| EMPLOYER POC ADDRESS1 | 7373 W Saginaw Hwy |
| EMPLOYER POC CITY | Lansing |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48917 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15176795330 |
| EMPLOYER POC EMAIL | dvering@michfb.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CLARKE |
| AGENT ATTORNEY FIRST NAME | KIMBERLY |
| AGENT ATTORNEY MIDDLE NAME | ANN |
| AGENT ATTORNEY ADDRESS1 | 333 BRIDGE STREET NW |
| AGENT ATTORNEY CITY | GRAND RAPIDS |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49504 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16163366441 |
| AGENT ATTORNEY EMAIL ADDRESS | kaclarke@varnumlaw.com |
| LAWFIRM NAME BUSINESS NAME | VARNUM LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Michigan |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7373 W. Saginaw Hwy. |
| LCA CASE WORKLOC1 CITY | Lansing |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48917 |
| LCA CASE WAGE RATE FROM | 101379 |
| LCA CASE WAGE RATE TO | 115000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 91458 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Clarke |
| PREPARER FIRST NAME | Kimberly |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Varnum LLP |
| PREPARER EMAIL | kaclarke@varnumlaw.com |
