| LCA CASE NUMBER | I-200-21334-732149 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-30 |
| DECISION DATE | 2021-12-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Control Specialist III |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-10 |
| END DATE | 2023-09-24 |
| 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 | CMFG Life Insurance Company |
| TRADE NAME DBA | CUNA Mutual Group |
| EMPLOYER ADDRESS1 | 5910 Mineral Point Road |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53705 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16086658016 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | Essex |
| EMPLOYER POC FIRST NAME | Katharine |
| EMPLOYER POC MIDDLE NAME | Louise |
| EMPLOYER POC JOB TITLE | Law Specialist III |
| EMPLOYER POC ADDRESS1 | 5910 Mineral Point Road |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53705 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16086658016 |
| EMPLOYER POC EMAIL | kate.essex@cunamutual.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schaeffer, Jr. |
| AGENT ATTORNEY FIRST NAME | Gene |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 1 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Madison |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16082573911 |
| AGENT ATTORNEY EMAIL ADDRESS | gschaeffer@gklaw.com |
|
| LAWFIRM NAME BUSINESS NAME | Godfrey & Kahn, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1575 Arboretum Drive SE |
| WORKSITE ADDRESS2 | Suite 406 |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49546 |
| LCA CASE WAGE RATE FROM | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85238 |
| 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 |
