| LCA CASE NUMBER | I-200-21043-073863 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-02-12 |
| DECISION DATE | 2022-04-18 |
| ORIGINAL CERT DATE | 2021-02-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Application Development Manager |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-22 |
| END DATE | 2024-02-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Church Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 3000 Schuster Lane |
| EMPLOYER CITY | Merrill |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54452 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18005542642 |
| EMPLOYER PHONE EXT | 4547 |
| NAICS CODE | 5241 |
| EMPLOYER POC LAST NAME | Tushoski |
| EMPLOYER POC FIRST NAME | Barbara |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 3000 Schuster Lane |
| EMPLOYER POC CITY | Merrill |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54452 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18005542642 |
| EMPLOYER POC PHONE EXT | 4547 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medeiros |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 250 Marquette Avenue South, Suite 800 |
| AGENT ATTORNEY ADDRESS2 | (30700-0005) |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123057500 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nilan Johnson Lewis PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3000 Schuster Lane |
| LCA CASE WORKLOC1 CITY | Merrill |
| WORKSITE COUNTY | LINCOLN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54452 |
| LCA CASE WAGE RATE FROM | 86133 |
| LCA CASE WAGE RATE TO | 120045.12 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 82597 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
