| LCA CASE NUMBER | I-200-21253-577487 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-10 |
| DECISION DATE | 2021-09-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager, Application Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-13 |
| END DATE | 2025-01-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | SCOR Global Life Americas Reinsurance Company |
| EMPLOYER ADDRESS1 | 101 South Tryon Street |
| EMPLOYER CITY | Charlotte |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28280 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17043442700 |
| EMPLOYER PHONE EXT | 0 |
| NAICS CODE | 524130 |
| EMPLOYER POC LAST NAME | KLESTINSKE |
| EMPLOYER POC FIRST NAME | Nettie |
| EMPLOYER POC JOB TITLE | AVP, Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 101 South Tryon Street |
| EMPLOYER POC ADDRESS2 | Suite 3200 |
| EMPLOYER POC CITY | Charlotte |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28280 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17043442700 |
| EMPLOYER POC EMAIL | NKlestinske@scor.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BEARDSLEY |
| AGENT ATTORNEY FIRST NAME | RACHEL |
| AGENT ATTORNEY MIDDLE NAME | JANE |
| AGENT ATTORNEY ADDRESS1 | 1400 BROADWAY |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | MMasuda@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5109 Wesst 157th Street |
| LCA CASE WORKLOC1 CITY | Overland Park |
| WORKSITE COUNTY | JOHNSON |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66224 |
| LCA CASE WAGE RATE FROM | 113485 |
| LCA CASE WAGE RATE TO | 125479 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113485 |
| 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 | MASUDA |
| PREPARER FIRST NAME | Miyuki |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | MMasuda@Fragomen.com |
