| LCA CASE NUMBER | I-200-21279-629571 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-06 |
| DECISION DATE | 2021-10-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Software Engineer |
| SOC CODE | 15-1133.00 |
| SOC TITLE | Software Developers, Systems Software |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-12 |
| END DATE | 2024-10-11 |
| 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 | COLLECTIVEHEALTH, INC. |
| EMPLOYER ADDRESS1 | 1557 W. INNOVATION WAY |
| EMPLOYER ADDRESS2 | SUITE 125 |
| EMPLOYER CITY | LEHI |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18442653288 |
| NAICS CODE | 524292 |
| EMPLOYER POC LAST NAME | Fotheringham |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | People Ops Coordinator |
| EMPLOYER POC ADDRESS1 | 1557 W. INNOVATION WAY |
| EMPLOYER POC ADDRESS2 | SUITE 125 |
| EMPLOYER POC CITY | LEHI |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18442653288 |
| EMPLOYER POC EMAIL | michael.fotheringham@collectivehealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | NAGAHORI |
| AGENT ATTORNEY FIRST NAME | RANDI |
| AGENT ATTORNEY ADDRESS1 | 235 MONTGOMERY STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 730 |
| AGENT ATTORNEY CITY | SAN FRANCISCO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14158053900 |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@GOLAWCORP.COM |
| LAWFIRM NAME BUSINESS NAME | GOESCHL LAW CORPORATION |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 821 S. Williams Street |
| WORKSITE ADDRESS2 | Apt # C505 |
| LCA CASE WORKLOC1 CITY | Westmont |
| WORKSITE COUNTY | DUPAGE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60559 |
| LCA CASE WAGE RATE FROM | 132000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 125445 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
