| CASE NUMBER | I-200-24176-143135 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/24/2024 |
| DECISION DATE | 7/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Manager I Engineering |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/22/2024 |
| END DATE | 12/21/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Elevance Health, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 220 Virginia Ave |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46204 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17274048672 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Cavataio |
| EMPLOYER POC FIRST NAME | Johanna |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources - Global Mobility Sr. Mgr |
| EMPLOYER POC ADDRESS1 | 220 Virginia Ave |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46204 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17274048672 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Johanna.Cavataio@elevancehealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Williams |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Charles |
| AGENT ATTORNEY ADDRESS1 | 100 North Tampa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3600 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18132891247 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | andrew.williams@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 22001 Loudoun County Parkway |
| WORKSITE ADDRESS2 | Suite E1-2 |
| WORKSITE CITY | Ashburn |
| WORKSITE COUNTY | LOUDOUN |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 20147 |
| WAGE RATE OF PAY FROM | 160,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $139,589.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Williams |
| PREPARER FIRST NAME | Andrew |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | Ogletree, Deakins, Nash, Smoak & Stewart, P.C. |
| PREPARER EMAIL | olivia.noles@ogletreedeakins.com |
| BEGIN DATE CONVERTED | 2024-12-22 |
