| LCA CASE NUMBER | I-200-21273-615683 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-30 |
| DECISION DATE | 2021-10-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Solutions Developer |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Wellmark, Inc. |
| EMPLOYER ADDRESS1 | 1331 Grand Avenue |
| EMPLOYER CITY | Des Moines |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50309 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15152455064 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Metcalf |
| EMPLOYER POC FIRST NAME | Becky |
| EMPLOYER POC JOB TITLE | Team Leader, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 1331 Grand Avenue |
| EMPLOYER POC CITY | Des Moines |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50309 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15153764108 |
| EMPLOYER POC EMAIL | metcalfb@wellmark.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Westin |
| AGENT ATTORNEY FIRST NAME | Neal |
| AGENT ATTORNEY MIDDLE NAME | K |
| AGENT ATTORNEY ADDRESS1 | 700 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1600 |
| AGENT ATTORNEY CITY | Des Moines |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15152833100 |
| AGENT ATTORNEY EMAIL ADDRESS | nwestin@nyemaster.com |
| LAWFIRM NAME BUSINESS NAME | Nyemaster Goode, P.C. |
| STATE OF HIGHEST COURT | IA |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6631 W. 140th St. |
| WORKSITE ADDRESS2 | Apt. 1508 |
| LCA CASE WORKLOC1 CITY | Overland Park |
| WORKSITE COUNTY | JOHNSON |
| LCA CASE WORKLOC1 STATE | KS |
| WORKSITE POSTAL CODE | 66223 |
| LCA CASE WAGE RATE FROM | 71843 |
| LCA CASE WAGE RATE TO | 90000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63440 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Westin |
| PREPARER FIRST NAME | Neal |
| PREPARER MIDDLE INITIAL | K. |
| PREPARER BUSINESS NAME | Nyemaster Goode, P.C. |
| PREPARER EMAIL | nwestin@nyemaster.com |
