| CASE NUMBER | I-200-25066-753792 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/6/2025 |
| DECISION DATE | 3/13/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Principal Data Platform Tech Lead |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/1/2025 |
| END DATE | 3/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | National Life Insurance Company |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | One National Life Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Montpelier |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 5602 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18022293209 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Funk |
| EMPLOYER POC FIRST NAME | Heather |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. People Center Generalist |
| EMPLOYER POC ADDRESS1 | One National Life Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Montpelier |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 5604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18022293209 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | hfunk@nationallife.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wong |
| AGENT ATTORNEY FIRST NAME | Margaret |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 3150 Chester Avenue |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12165669908 |
| AGENT ATTORNEY PHONE EXT | 1037 |
| AGENT ATTORNEY EMAIL ADDRESS | francisf@imwong.com |
| LAWFIRM NAME BUSINESS NAME | Margaret W. Wong & Associates LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 15455 Dallas Pkwy. |
| WORKSITE ADDRESS2 | #1100 |
| WORKSITE CITY | Addison |
| WORKSITE COUNTY | DALLAS |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 75001 |
| WAGE RATE OF PAY FROM | $155,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $149,781.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-04-01 |
