| LCA CASE NUMBER | I-200-23186-168204 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-05 |
| DECISION DATE | 2023-07-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Development Engineering Specialist |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-12-08 |
| END DATE | 2026-12-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | American Family Mutual Insurance Company, S.I. |
| EMPLOYER ADDRESS1 | 6000 American Parkway |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53783 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16082424100 |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Pagnis |
| EMPLOYER POC FIRST NAME | Mugdha |
| EMPLOYER POC JOB TITLE | Planning/Project/Program Manager |
| EMPLOYER POC ADDRESS1 | 6000 American Parkway |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53783 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16082424100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Akinmeji |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | Coulange |
| AGENT ATTORNEY ADDRESS1 | 211 S Clark St |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60690 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13127969540 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Meltzer Hellrung LLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6000 American Parkway |
| LCA CASE WORKLOC1 CITY | Madison |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53783 |
| LCA CASE WAGE RATE FROM | 122210.72 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102190 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gomez Zubieta |
| PREPARER FIRST NAME | Gabriela |
| PREPARER BUSINESS NAME | Meltzer Hellrung, LLC |
| PREPARER EMAIL | [email protected] |
