| LCA CASE NUMBER | I-200-21251-572023 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-08 |
| DECISION DATE | 2021-09-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Application Specialist |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-11 |
| END DATE | 2024-10-10 |
| 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 | Selective Insurance Company of America |
| EMPLOYER ADDRESS1 | 40 Wantage Avenue |
| EMPLOYER CITY | Branchville |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7890 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | NEW JERSEY |
| EMPLOYER PHONE | 19739481947 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | McDyer |
| EMPLOYER POC FIRST NAME | Marian |
| EMPLOYER POC JOB TITLE | Director of H.R., IT & Immigration |
| EMPLOYER POC ADDRESS1 | 40 Wantage Avenue |
| EMPLOYER POC CITY | Branchville |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7890 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19739486826 |
| EMPLOYER POC EMAIL | marian.mcdyer@selective.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hirsch |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | I. |
| AGENT ATTORNEY ADDRESS1 | 150 Strafford Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 110 |
| AGENT ATTORNEY CITY | Wayne |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19087 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16109646100 |
| AGENT ATTORNEY EMAIL ADDRESS | matt@hirschlaw1.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Matthew I. Hirsch |
|
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 40 Wantage Avenue |
| LCA CASE WORKLOC1 CITY | Branchville |
| WORKSITE COUNTY | SUSSEX |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7826 |
| LCA CASE WAGE RATE FROM | 145000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123614 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 and Employment |
