| LCA CASE NUMBER | I-200-21298-665556 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-10-25 |
| DECISION DATE | 2021-11-03 |
| ORIGINAL CERT DATE | 2021-11-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SENIOR SOFTWARE DEVELOPER |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-28 |
| END DATE | 2025-03-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | RX BENEFITS, INC |
| EMPLOYER ADDRESS1 | 3700 COLONNADE PARKWAY |
| EMPLOYER ADDRESS2 | SUITE 600 |
| EMPLOYER CITY | BIRMINGHAM |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 35243 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12054840699 |
| NAICS CODE | 5251 |
| EMPLOYER POC LAST NAME | JOHNSON |
| EMPLOYER POC FIRST NAME | MARK |
| EMPLOYER POC JOB TITLE | Senior Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 3700 COLONNADE PARKWAY |
| EMPLOYER POC ADDRESS2 | SUITE 600 |
| EMPLOYER POC CITY | BIRMINGHAM |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 35243 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12054840699 |
| EMPLOYER POC EMAIL | MJOHNSON@RXBENEFITS.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tedrow |
| AGENT ATTORNEY FIRST NAME | Klari |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 2907 Central Avenue Suite 109 |
| AGENT ATTORNEY ADDRESS2 | Suite 109 |
| AGENT ATTORNEY CITY | Homewood |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12058718084 |
| AGENT ATTORNEY EMAIL ADDRESS | Daizy@usimmigrant.net |
| LAWFIRM NAME BUSINESS NAME | Klari B. Tedrow, LLC |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ALABAMA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3700 COLONNADE PARKWAY |
| WORKSITE ADDRESS2 | SUITE 600 |
| LCA CASE WORKLOC1 CITY | BIRMINGHAM |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 35243 |
| LCA CASE WAGE RATE FROM | 135837 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112341 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Tedrow |
| PREPARER FIRST NAME | Klari |
| PREPARER MIDDLE INITIAL | B. |
| PREPARER BUSINESS NAME | Klari B. Tedrow, LLC |
| PREPARER EMAIL | ktedrow@usimmigrant.net |
