| LCA CASE NUMBER | I-200-17107-858601 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/18/2017 |
| DECISION DATE | 4/24/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/24/2017 |
| EMPLOYMENT END DATE | 4/23/2020 |
| LCA CASE EMPLOYER NAME | MEDISUN INC. |
| EMPLOYER BUSINESS DBA | BLUE CROSS BLUE SHIELD OF ARIZONA ADVANTAGE |
| EMPLOYER ADDRESS | 8220 N. 23RD AVENUE |
| EMPLOYER CITY | PHOENIX |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4806847869 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | PEMBERTON, PHILLIP |
| AGENT ATTORNEY CITY | DENVER |
| AGENT ATTORNEY STATE | CO |
| LCA CASE JOB TITLE | SENIOR MANAGER- HEAD OF PMO |
| SOC CODE | 11-3021 |
| SOC NAME | COMPUTER AND INFORMATION SYSTEMS MANAGERS |
| NAICS CODE | 524114 |
| 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 | 113,589.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 115,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | PHOENIX |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85029 |
