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Case Number
I-200-18109-848495
1. Indicate the type of visa classification supported by this application (Write classification symbol):
H-1B
1. Job Title
Bi Developer Advisor
2. SOC (ONET/OES) code
15-1121
3. SOC (ONET/OES) occupation title
Computer Systems Analysts
4. Is this a full-time position?
Yes
Period of Intended Employment
5. Begin Date (mm/dd/yyyy)
10/26/2018 12:00:00 AM
6. End Date (mm/dd/yyyy)
10/25/2021 12:00:00 AM
7. Worker positions needed/basis for the visa classification supported by this application
Total Worker Positions Being Requested for Certification
1
1. Legal business name
Anthem Inc.
2. Trade name/Doing Business As (DBA), if applicable
3. Address 1
120 Monument Circle
10. Telephone number
212-476-1343
12. Federal Employer Identification Number (FEIN from IRS)
13. NAICS code (must be at least 4-digits)
524114
Important Note: The information contained in this Section must be that of an employee of the employer who is authorized to act on behalf of
the employer in labor certification matters. The information in this Section must be different from the agent or attorney information listed in
Section E, unless the attorney is an employee of the employer.
1. Contact's last (family) name
Hanson
2. First (given) name
Dawn
4. Contact's job title
Process Improvement Manager, Sr.
5. Address 1
123 Justison Street - Suite 200
12. Telephone number
212-476-1343
14. E-Mail address
Dawn.hanson@anthem.com
1. Is the employer represented by an attorney or agent in the filing of this application? If "Yes", complete the remainder of Section E below.
2. Attorney or Agent's last (family) name
Love
3. First (given) name
IAN
5. Address 1
230 W. Monroe Street Suite 2800
12. Telephone number
3127226300
14. E-Mail address
Gov@giafirm.com
15. Law firm/Business name
Global Immigration Associates, Pc
16. Law firm/Business FEIN
17. State Bar number (only if attorney)
6313377
18. State of highest court where attorney is in good standing (only if attorney)
Illinois
19. Name of the highest court where attorney is in good standing (only if attorney)
Supreme Court
1. Wage Rate (Required)
From: $
87,500.00
To: $
116,424.45
2. Per: (Choose only one)
Year
1. Address 1
2505 N Highway 360 Suite 300
5. State/District/Territory
Texas
7. Agency which issued prevailing wage
7a. Prevailing wage tracking number (if applicable)
8. Wage level
9. Prevailing wage
$ 87,500.00
10. Per: (Choose only one)
11. Prevailing wage source (Choose only one)
Other
11a. Year source published
2017
11b. If "OES", and SWA/NPC did not issue prevailing wage OR "Other" in question 11, specify source
1. Is the employer H-1B dependent?
No
2. Is the employer a willful violator?No
3. If "Yes" is marked in questions I.1 and/or I.2, you must answer "Yes" or "No" regarding whether the
employer will use this application ONLY to support H-1B petitions or extensions of status for exempt H-1B
nonimmigrants?
If you marked "Yes" to questions I.1 and/or I.2 and "No" to question I.3, you MUST read Section I - Subsection 2 of the Labor
Condition Application - General Instructions Form ETA 9035CP under the heading "Additional Employer Labor Condition
Statements" and indicate your agreement to all three (3) additional statements summarized below.
- Displacement: Non-displacement of the U.S. workers in the employer's workforce
- Secondary Displacement: Non-displacement of U.S. workers in another employer's workforce; and
- Recruitment and Hiring: Recruitment of U.S. workers and hiring of U.S. workers applicant(s) who are equally or better qualified than the H-1B nonimmigrant(s).
4. I have read and agree to Additional Employer Labor Condition Statements A, B, and C above and as fully explained in Section I - Subsections 1 and 2 of the Labor Condition Application - General Instructions Form ETA 9035CP.
- Yes
- No
1. Last (family) name of hiring or designated official
Hanson
2. First (given) name of hiring or designated official
Dawn
4. Hiring or designated official title
Process Improvement Manager, Sr.
By virtue of the signature below, the Department of Labor hereby acknowledges the following:
This certification is valid
From 10/26/2018 12:00:00 AM
To 10/25/2021 12:00:00 AM
Department of Labor, Office of Foreign Labor Certification
Determination Date (date signed)
4/19/2018 12:00:00 AM
Case Number
I-200-18109-848495
The Department of Labor is not the guarantor of the accuracy, truthfulness, or adequacy of a certified LCA.
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