| CASE NUMBER | I-200-23307-477946 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/3/2023 |
| DECISION DATE | 11/13/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Lead Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/6/2024 |
| END DATE | 4/5/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | State Farm Mutual Automobile Insurance Company |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | One State Farm Plaza |
| EMPLOYER ADDRESS2 | Floor B-3 |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61710 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13097661983 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Eisner |
| EMPLOYER POC FIRST NAME | Charles |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Counsel |
| EMPLOYER POC ADDRESS1 | One State Farm Plaza |
| EMPLOYER POC ADDRESS2 | Floor B-3 |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61710 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13099946649 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | charles.eisner.vabyqg@statefarm.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Leja |
| AGENT ATTORNEY FIRST NAME | Beata |
| AGENT ATTORNEY MIDDLE NAME | Anna |
| AGENT ATTORNEY ADDRESS1 | 210 S Clark Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2025 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13124276163 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | bleja@mmhpc.com |
| LAWFIRM NAME BUSINESS NAME | Minsky, McCormick & Hallagan, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3 State Farm Plaza South |
| WORKSITE ADDRESS2 | Flr. K-4 |
| WORKSITE CITY | Bloomington |
| WORKSITE COUNTY | MCLEAN |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 61791 |
| WAGE RATE OF PAY FROM | 112944 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $159,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $112,944.00 |
| 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 | Leja |
| PREPARER FIRST NAME | Beata |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Minsky, McCormick & Hallagan, PC |
| PREPARER EMAIL | bleja@mmhpc.com |
| BEGIN DATE CONVERTED | 2024-06-04 |
