| LCA CASE NUMBER | I-200-21280-631663 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-07 |
| DECISION DATE | 2021-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-07 |
| END DATE | 2024-10-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | State Farm Mutual Automobile Insurance Company |
| EMPLOYER ADDRESS1 | One State Farm Plaza |
| EMPLOYER ADDRESS2 | Floor B-3 |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61710 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13097632422 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Kim |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | Counsel |
| EMPLOYER POC ADDRESS1 | One State Farm Plaza |
| EMPLOYER POC ADDRESS2 | Floor B-3 |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61710 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13097632422 |
| EMPLOYER POC EMAIL | john.k.kim.ttbg@statefarm.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leja |
| AGENT ATTORNEY FIRST NAME | Beata |
| AGENT ATTORNEY MIDDLE NAME | Anna |
| AGENT ATTORNEY ADDRESS1 | 210 S Clark Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2025 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13124276163 |
|
| AGENT ATTORNEY EMAIL ADDRESS | bleja@mmhpc.com |
| LAWFIRM NAME BUSINESS NAME | Minsky, McCormick & Hallagan, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 237 Perimeter Center Parkway NE |
| LCA CASE WORKLOC1 CITY | Dunwoody |
| WORKSITE COUNTY | DEKALB |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30346 |
| LCA CASE WAGE RATE FROM | 87485 |
| LCA CASE WAGE RATE TO | 132100 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 87485 |
| 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 |
| PREPARER LAST NAME | Leja |
| PREPARER FIRST NAME | Beata |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Minsky, McCormick & Hallagan, P.C. |
| PREPARER EMAIL | bleja@mmhpc.com |
