| LCA CASE NUMBER | I-200-16202-141492 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/1/16 |
| DECISION DATE | 8/5/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/13/17 |
| EMPLOYMENT END DATE | 1/12/20 |
| LCA CASE EMPLOYER NAME | FALLON COMMUNITY HEALTH PLAN, INC. |
| EMPLOYER ADDRESS | 10 CHESTNUT STREET |
| EMPLOYER CITY | WORCESTER |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5083689559 |
| AGENT ATTORNEY NAME | GROBAN, JR., ROBERT |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | ETL DEVELOPER III |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAIC CODE | 524114 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 100,776.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 100,776.00 |
| LCA CASE WAGE RATE TO | 124,100.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | WORCESTER |
| WORKSITE COUNTY | WORCESTER |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01608 |
