| LCA CASE NUMBER | I-200-21037-060525 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-02-05 |
| DECISION DATE | 2021-03-01 |
| ORIGINAL CERT DATE | 2021-02-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ETL Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-15 |
| END DATE | 2023-02-14 |
| 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 | Cloud BC Labs, Inc |
| EMPLOYER ADDRESS1 | 1920 Association Dr |
| EMPLOYER ADDRESS2 | Suite 501 |
| EMPLOYER CITY | Reston |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 20191 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12407847502 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Khan |
| EMPLOYER POC FIRST NAME | Taimour |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 1920 Association Drive |
| EMPLOYER POC ADDRESS 2 | Suite 501 |
| EMPLOYER POC CITY | Reston |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 20191 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12407847502 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Anthem |
| WORKSITE ADDRESS1 | 2221 Edward Holland Dr |
| LCA CASE WORKLOC1 CITY | Richmond |
| WORKSITE COUNTY | HENRICO |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23230 |
| LCA CASE WAGE RATE FROM | 87984 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 87984 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
