| LCA CASE NUMBER | I-200-22129-150961 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-09 |
| DECISION DATE | 2022-05-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer in Test |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-09 |
| END DATE | 2023-10-04 |
| 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 | Central Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 800 South Washington Street |
| EMPLOYER CITY | Van Wert |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45891 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14192385551 |
| NAICS CODE | 52421 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Carly |
| EMPLOYER POC JOB TITLE | Employment Manager |
| EMPLOYER POC ADDRESS1 | 800 South Washington Street |
| EMPLOYER POC CITY | Van Wert |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45891 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14192385551 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Shihab |
| AGENT ATTORNEY FIRST NAME | Ghassan |
| AGENT ATTORNEY MIDDLE NAME | Marwan |
| AGENT ATTORNEY ADDRESS1 | 65 East State Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1550 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | OH |
| AGENT ATTORNEY PHONE | 16142554872 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | The Law Firm of Shihab & Associates Co LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 425 Metro Place N. |
| WORKSITE ADDRESS2 | Suite 420 |
| LCA CASE WORKLOC1 CITY | Dublin |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43017 |
| LCA CASE WAGE RATE FROM | 101379 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101379 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Shihab |
| PREPARER FIRST NAME | Ghassan |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | The Law Firm of Shihab & Associates Co., LPA |
| PREPARER EMAIL | [email protected] |
