| LCA CASE NUMBER | I-200-21265-599281 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-22 |
| DECISION DATE | 2021-09-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Data Integration Engineer 2 |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-04 |
| END DATE | 2024-10-03 |
| 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 | CLOVER HEALTH LABS, LLC. |
| EMPLOYER ADDRESS1 | 30 MONTGOMERY STREET |
| EMPLOYER ADDRESS2 | 15TH FLOOR |
| EMPLOYER CITY | JERSEY CITY |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7302 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18887781478 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Zorio |
| EMPLOYER POC FIRST NAME | Tim |
| EMPLOYER POC JOB TITLE | Senior Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 30 Montgomery St. |
| EMPLOYER POC ADDRESS2 | 15th Floor |
| EMPLOYER POC CITY | Jersey City |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7302 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18887781478 |
| EMPLOYER POC EMAIL | tim.zorio@cloverhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BAHNAN |
| AGENT ATTORNEY FIRST NAME | NADINE |
| AGENT ATTORNEY MIDDLE NAME | KHAMIS |
| AGENT ATTORNEY ADDRESS1 | 555 MONTGOMERY STREET |
| AGENT ATTORNEY ADDRESS2 | 4TH FLOOR |
| AGENT ATTORNEY CITY | SAN FRANCISCO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159861446 |
| AGENT ATTORNEY EMAIL ADDRESS | NBAHNAN@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 16 Westgate Drive |
| WORKSITE ADDRESS2 | Apt T5 |
| LCA CASE WORKLOC1 CITY | Woburn |
| WORKSITE COUNTY | CAMBRIDGE CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1801 |
| LCA CASE WAGE RATE FROM | 128000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 119933 |
| 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 |
| PREPARER LAST NAME | BAHNAN C#5955935 |
| PREPARER FIRST NAME | NADINE |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| PREPARER EMAIL | NBAHNAN@FRAGOMEN.COM |
