| LCA CASE NUMBER | I-200-16288-038921 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/9/2016 |
| DECISION DATE | 11/16/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/18/2016 |
| EMPLOYMENT END DATE | 11/18/2019 |
| LCA CASE EMPLOYER NAME | GEORGIA STATE BOARD OF WORKERS' COMPENSATION |
| EMPLOYER ADDRESS | 270 PEACHTREE STREET NW |
| EMPLOYER CITY | ATLANTA |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4046563703 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | DAVIDS, MIKIEL |
| AGENT ATTORNEY CITY | DECATUR |
| AGENT ATTORNEY STATE | GA |
| LCA CASE JOB TITLE | DEVELOPER 3 |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 923130 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 82,200.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | WILLIS TOWERS WATSON: PROFESSIONAL (TECHNICAL & OPERATIONS) COMPENSATION SURVE |
| LCA CASE WAGE RATE FROM | 82,200.00 |
| LCA CASE WAGE RATE TO | 85,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | ATLANTA |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30303 |
