| LCA CASE NUMBER | I-200-21278-624359 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-05 |
| DECISION DATE | 2021-10-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Product Owner |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-25 |
| END DATE | 2024-10-24 |
| 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 | Evolent Health LLC |
| EMPLOYER ADDRESS1 | 800 N. GLEBE ROAD |
| EMPLOYER ADDRESS2 | SUITE 500 |
| EMPLOYER CITY | ARLINGTON |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15713896000 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Sun |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC JOB TITLE | Associate, Talent Operations |
| EMPLOYER POC ADDRESS1 | 675 Placentia Avenue |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Brea |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92821 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17149888618 |
| EMPLOYER POC EMAIL | asun@evolenthealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duckham |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | M. M. |
| AGENT ATTORNEY ADDRESS1 | 3 Bethesda Metro Center |
| AGENT ATTORNEY ADDRESS2 | Suite 610 |
| AGENT ATTORNEY CITY | Bethesda |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12025374830 |
| AGENT ATTORNEY EMAIL ADDRESS | Sarah@trowrahal.com |
|
| LAWFIRM NAME BUSINESS NAME | Trow & Rahal, P.C. |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | D.C. Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6118 Edward Street |
| LCA CASE WORKLOC1 CITY | Norfolk |
| WORKSITE COUNTY | NORFOLK CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23513 |
| LCA CASE WAGE RATE FROM | 90000 |
| LCA CASE WAGE RATE TO | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 84552 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
