| LCA CASE NUMBER | I-200-16109-223840 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/20/16 |
| DECISION DATE | 4/26/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 5/1/16 |
| EMPLOYMENT END DATE | 5/1/19 |
| LCA CASE EMPLOYER NAME | FORMSOLUTIONS, INC. |
| EMPLOYER ADDRESS | 230 PASEO SONRISA |
| EMPLOYER CITY | WALNUT |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91789 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9095982258 |
| AGENT ATTORNEY NAME | SHEU, JIUNN-LIANG |
| AGENT ATTORNEY CITY | ROWLAND HEIGHTS |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | DATABASE ANALYST |
| SOC CODE | 15-1141 |
| SOC NAME | DATABASE ADMINISTRATORS |
| NAIC CODE | 541430 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 27.70 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 27.70 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | WALNUT |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91789 |
