| LCA CASE NUMBER | I-200-20237-784603 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-24 |
| DECISION DATE | 2020-08-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ETL Developer - Intermediate |
| SOC CODE | 15-1034.00 |
| SOC TITLE | Software Developers, Applications, Non R&D |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-08 |
| END DATE | 2023-09-07 |
| 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 | GEISINGER HEALTH PLAN |
| EMPLOYER ADDRESS1 | 100 N. ACADEMY AVENUE |
| EMPLOYER CITY | DANVILLE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17822 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15702717003 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MCKINNEY |
| EMPLOYER POC FIRST NAME | MATTHEW |
| EMPLOYER POC JOB TITLE | DIRECTOR, TALENT MANAGEMENT |
| EMPLOYER POC ADDRESS1 | 100 N. ACADEMY AVENUE |
| EMPLOYER POC CITY | DANVILLE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17822 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15702717003 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | STOCK |
| AGENT ATTORNEY FIRST NAME | WILLIAM |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1601 MARKET STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 2600 |
| AGENT ATTORNEY CITY | PHILADELPHIA |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | KLASKO IMMIGRATION LAW PARTNERS, LLP |
| STATE OF HIGHEST COURT | PA |
|
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 6635 Cow Hollow Drive |
| WORKSITE ADDRESS2 | Apt. 2131 |
| LCA CASE WORKLOC1 CITY | Charlotte |
| WORKSITE COUNTY | MECKLENBURG |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28226 |
| LCA CASE WAGE RATE FROM | 85000.0 |
| LCA CASE WAGE RATE TO | 105000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78499.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
