| CASE NUMBER | I-200-24274-373446 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/30/2024 |
| DECISION DATE | 10/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Lead Engineer |
| 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 | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | American Family Mutual Insurance Company, S.I. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6000 American Parkway |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53783 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16082424100 |
| EMPLOYER PHONE EXT | 3258 |
| NAICS CODE | 524113 |
| EMPLOYER POC LAST NAME | Pagnis |
| EMPLOYER POC FIRST NAME | Mugdha |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Project Manager HR Operations |
| EMPLOYER POC ADDRESS1 | 6000 American Parkway |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53783 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16082424100 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mpagnis@amfam.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wedel |
| AGENT ATTORNEY FIRST NAME | Stephanie |
| AGENT ATTORNEY MIDDLE NAME | LeeAnn |
| AGENT ATTORNEY ADDRESS1 | 211 S. Clark St |
| AGENT ATTORNEY ADDRESS2 | Suite 735 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60690 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13128002889 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | gov@meltzerhellrung.com |
| 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 | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 6000 American Parkway |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Madison |
| WORKSITE COUNTY | DANE |
| WORKSITE STATE | WI |
| WORKSITE POSTAL CODE | 53783 |
| WAGE RATE OF PAY FROM | $142,500.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $130,312.00 |
| 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 | 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 | Elias |
| PREPARER FIRST NAME | Victoria |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Meltzer Hellrung LLC |
| PREPARER EMAIL | velias@meltzerhellrung.com |
| BEGIN DATE CONVERTED | 2025-04-01 |
