| LCA CASE NUMBER | I-200-20076-411190 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-16 |
| DECISION DATE | 2020-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Business Analyst 4 |
| SOC CODE | 15-1121.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-09-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Georgia State Board of Workers' Compensation |
| EMPLOYER ADDRESS1 | 270 Peachtree Street, NW |
| EMPLOYER CITY | Atlanta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14046563703 |
| NAICS CODE | 923130 |
| EMPLOYER POC LAST NAME | Stallworth |
| EMPLOYER POC FIRST NAME | Sharon |
| EMPLOYER POC MIDDLE NAME | Jones |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 270 Peachtree Street, NW |
| EMPLOYER POC CITY | Atlanta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14046563703 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Davids |
| AGENT ATTORNEY FIRST NAME | Mikiel |
| AGENT ATTORNEY MIDDLE NAME | Jennifer |
| AGENT ATTORNEY ADDRESS1 | 315 W. Ponce de Leon Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 930 |
| AGENT ATTORNEY CITY | Decatur |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30030 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14043711835.0 |
| AGENT ATTORNEY PHONE EXT | 3.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
|
| LAWFIRM NAME BUSINESS NAME | Kramer Partners, LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Georgia |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Georgia State Board of Workers' Compensation |
| WORKSITE ADDRESS2 | 270 Peachtree Street, NW |
| LCA CASE WORKLOC1 CITY | Atlanta |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30303 |
| LCA CASE WAGE RATE FROM | 71716.84 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 68470.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019.0 |
| PW SURVEY PUBLISHER | Willis Towers Watson Data Services, Inc. |
| PW SURVEY NAME | Willis Towers Watson: Middle Mgmt, Prof, & Support Comp Srvy |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
