| LCA CASE NUMBER | I-200-22326-600958 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-11-22 |
| DECISION DATE | 2022-11-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Product & Operations Specialist |
| SOC CODE | 15-2011.00 |
| SOC TITLE | Actuaries |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-12-01 |
| END DATE | 2025-11-30 |
| 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 | Authentic Insurance Services, Inc. |
| EMPLOYER ADDRESS1 | 51 Irving Place |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19737382112 |
| NAICS CODE | 524298 |
| EMPLOYER POC LAST NAME | Riccardi |
| EMPLOYER POC FIRST NAME | Cole |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 51 Irving Place |
| EMPLOYER POC ADDRESS2 | Apt 3C |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19737382112 |
| EMPLOYER POC EMAIL | cole@authenticins.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Moss |
| AGENT ATTORNEY FIRST NAME | Karen Gabriel |
| AGENT ATTORNEY ADDRESS1 | 25 W Prospect Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1400 |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44115 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12166217227 |
| AGENT ATTORNEY EMAIL ADDRESS | moss@nicola.com |
| LAWFIRM NAME BUSINESS NAME | Nicola, Gudbranson & Cooper, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF OHIO |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 400 E 5th St |
| LCA CASE WORKLOC1 CITY | Dayton |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45402 |
| LCA CASE WAGE RATE FROM | 106226 |
| LCA CASE WAGE RATE TO | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 106226 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Crain |
| PREPARER FIRST NAME | Alison |
| PREPARER BUSINESS NAME | Nicola, Gudbranson & Cooper, LLC |
| PREPARER EMAIL | crain@nicola.com |
