| LCA CASE NUMBER | I-200-20078-417788 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-18 |
| DECISION DATE | 2020-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Application Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-27 |
| END DATE | 2023-03-26 |
| 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 | Aetna Resources LLC |
| EMPLOYER ADDRESS1 | C/O CVS Health, 695 George Washington Highway |
| EMPLOYER CITY | Lincoln |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2865 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14017701621 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Messenger |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | Reifler |
| EMPLOYER POC JOB TITLE | Immigration Program Lead, HR Shared Services |
| EMPLOYER POC ADDRESS1 | Aetna Resources LLC c/o CVS Health |
| EMPLOYER POC ADDRESS2 | 695 George Washington Highway, Mail Code HR695 |
| EMPLOYER POC CITY | Lincoln |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 2865 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14017701621 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Weintraub |
| AGENT ATTORNEY FIRST NAME | Freddi |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| AGENT ATTORNEY ADDRESS2 | 1400 Broadway, Floor 9 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | WORK AT HOME |
| WORKSITE ADDRESS2 | 9023 N Washington Drive, 2G |
| LCA CASE WORKLOC1 CITY | Des Plaines |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60016 |
| LCA CASE WAGE RATE FROM | 115000.0 |
| LCA CASE WAGE RATE TO | 125000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113630.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
