| LCA CASE NUMBER | I-200-21222-513892 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-08-10 |
| DECISION DATE | 2022-11-03 |
| ORIGINAL CERT DATE | 2021-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-23 |
| END DATE | 2023-09-30 |
| 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 | Mican Technologies, Inc. |
| EMPLOYER ADDRESS1 | 2500 Wrangle Hill Road |
| EMPLOYER ADDRESS2 | Suite 224 |
| EMPLOYER CITY | Bear |
| EMPLOYER STATE | DE |
| EMPLOYER POSTAL CODE | 19701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13027030708 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Beljour |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 2500 Wrangle Hill Road |
| EMPLOYER POC ADDRESS2 | Suite 224 |
| EMPLOYER POC CITY | Bear |
| EMPLOYER POC STATE | DE |
| EMPLOYER POC POSTAL CODE | 19701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13027030708 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Arroyo |
| AGENT ATTORNEY FIRST NAME | L. Mabel |
| AGENT ATTORNEY ADDRESS1 | 1600 West End Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 2000 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37203 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16157267387 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Baker, Donelson, Bearman, Caldwell, Berkowitz, PC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Blue Cross Blue Shield of Florida |
| WORKSITE ADDRESS1 | 4800 Deerwood Campus Pkwy |
| LCA CASE WORKLOC1 CITY | Jacksonville |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32246 |
| LCA CASE WAGE RATE FROM | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 75858 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Davis |
| PREPARER FIRST NAME | Shannon |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Baker, Donelson, Bearman, Caldwell & Berkowitz, PC |
| PREPARER EMAIL | [email protected] |
