| LCA CASE NUMBER | I-200-20156-628522 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-04 |
| DECISION DATE | 2020-06-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Developer, Web |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-12-03 |
| END DATE | 2023-12-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Great-West Life & Annuity Insurance Company |
| TRADE NAME DBA | Empower Retirement |
| EMPLOYER ADDRESS1 | 8515 E ORCHARD ROAD |
| EMPLOYER ADDRESS2 | 3T2 |
| EMPLOYER CITY | Greenwood Village |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13037373000 |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Medaris |
| EMPLOYER POC FIRST NAME | Tony |
| EMPLOYER POC JOB TITLE | Senior Specialist, HR Operations Support Team |
| EMPLOYER POC ADDRESS1 | 8515 E Orchard Road |
| EMPLOYER POC ADDRESS2 | 3T2 |
| EMPLOYER POC CITY | Greenwood Village |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13037372449 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Behm |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY ADDRESS1 | 2300 Wehrle Drive |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166341010.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Berardi Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals 4th Dept |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 176 Ash Street |
| LCA CASE WORKLOC1 CITY | Hopkinton |
| WORKSITE COUNTY | HOPKINTON |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1748 |
| LCA CASE WAGE RATE FROM | 114291.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 110240.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Edlich |
| PREPARER FIRST NAME | Samantha |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Berardi Immigration Law |
| PREPARER EMAIL | [email protected] |
