| LCA CASE NUMBER | I-200-16070-380088 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/10/16 |
| DECISION DATE | 3/16/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 3/18/16 |
| EMPLOYMENT END DATE | 3/18/19 |
| LCA CASE EMPLOYER NAME | FORMS DIRECT INC |
| EMPLOYER ADDRESS | 10624 S EASTERN AVENUE |
| EMPLOYER CITY | HENDERSON |
| EMPLOYER STATE | NV |
| EMPLOYER POSTAL CODE | 89052 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4152951640 |
| AGENT ATTORNEY NAME | SCHMIDT, CHRISTIAN |
| AGENT ATTORNEY CITY | OAKLAND |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | LEAD SOFTWARE ENGINEER |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAIC CODE | 541511 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 97,843.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 125,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | HENDERSON |
| WORKSITE COUNTY | CLARK |
| LCA CASE WORKLOC1 STATE | NV |
| WORKSITE POSTAL CODE | 89074 |
