| LCA CASE NUMBER | I-200-21266-602120 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-23 |
| DECISION DATE | 2021-09-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Assistant Actuary |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-29 |
| END DATE | 2024-09-28 |
| 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 | American General Life Insurance Company |
| EMPLOYER ADDRESS1 | 175 Water Street |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10038 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12124589146 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | Goldner |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 175 Water Street |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10038 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12124589146 |
| EMPLOYER POC EMAIL | lisa.goldner@aig.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Thistlethwaite III |
| AGENT ATTORNEY FIRST NAME | Hugh |
| AGENT ATTORNEY MIDDLE NAME | W. |
| 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 EMAIL ADDRESS | HThistlethwaite@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen and Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 138 PAXTON WAY |
| LCA CASE WORKLOC1 CITY | Glastonbury |
| WORKSITE COUNTY | GLASTONBURY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6033 |
| LCA CASE WAGE RATE FROM | 122000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114858 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Mead |
| PREPARER FIRST NAME | Tiara |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | tmead@fragomen.com |
