| LCA CASE NUMBER | I-200-22238-440946 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-26 |
| DECISION DATE | 2022-09-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Developer |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-05 |
| END DATE | 2025-09-04 |
| 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 | Amica Mutual Insurance Company |
| EMPLOYER ADDRESS1 | 50 Amica Way |
| EMPLOYER CITY | Lincoln |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2865 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18006526422 |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Merrill |
| EMPLOYER POC FIRST NAME | Linnea |
| EMPLOYER POC JOB TITLE | Talent Acquisition Manager |
| EMPLOYER POC ADDRESS1 | 50 Amica Way |
| EMPLOYER POC CITY | Lincoln |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 2865 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18006526422 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hul |
| AGENT ATTORNEY FIRST NAME | Dennis |
| AGENT ATTORNEY MIDDLE NAME | Savann |
| AGENT ATTORNEY ADDRESS1 | 548 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 36741 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14154801625 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | ImmiPartner, PC |
| STATE OF HIGHEST COURT | RI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Rhode Island |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2800 Golden Horseshoe |
| WORKSITE ADDRESS2 | Apartment J |
| LCA CASE WORKLOC1 CITY | Morrisville |
| WORKSITE COUNTY | WAKE |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27560 |
| LCA CASE WAGE RATE FROM | 89731 |
| LCA CASE WAGE RATE TO | 101640 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89731 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | DeMetz |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Bridge |
| PREPARER EMAIL | [email protected] |
