| LCA CASE NUMBER | I-200-21285-639261 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-12 |
| DECISION DATE | 2021-10-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Systems Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-21 |
| END DATE | 2025-03-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Washington Health Benefit Exchange |
| EMPLOYER ADDRESS1 | 810 Jefferson Street SE |
| EMPLOYER CITY | Olympia |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13606887726 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Buan |
| EMPLOYER POC FIRST NAME | Gerard |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 810 Jefferson Street SE |
| EMPLOYER POC ADDRESS2 | PO Box 7688 |
| EMPLOYER POC CITY | Olympia |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98507 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13606887726 |
| EMPLOYER POC EMAIL | gerard.buan@wahbexchange.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tilger |
| AGENT ATTORNEY FIRST NAME | Amee |
| AGENT ATTORNEY ADDRESS1 | 7141 Cleanwater Dr. SW |
| AGENT ATTORNEY CITY | Olympia |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98504 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13606644167 |
| AGENT ATTORNEY EMAIL ADDRESS | lpdimmigration@atg.wa.gov |
| LAWFIRM NAME BUSINESS NAME | Washington State Attorney General's Office |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 810 Jefferson Street SE |
| WORKSITE ADDRESS2 | P.O. Box 7688 |
| LCA CASE WORKLOC1 CITY | Olympia |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98507 |
| LCA CASE WAGE RATE FROM | 113055.12 |
| LCA CASE WAGE RATE TO | 118055.12 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103293 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Dahlgren |
| PREPARER FIRST NAME | Clory |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Washington State Attorney General's Office |
| PREPARER EMAIL | lpdimmigration@atg.wa.gov |
