| LCA CASE NUMBER | I-200-20101-479343 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-10 |
| DECISION DATE | 2020-04-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FORMA Technologies Inc. |
| EMPLOYER ADDRESS1 | 330 Townsend Street |
| EMPLOYER ADDRESS2 | Ste. 220 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14156290334 |
| NAICS CODE | 519190 |
| EMPLOYER POC LAST NAME | Chiang |
| EMPLOYER POC FIRST NAME | Benjamin |
| EMPLOYER POC JOB TITLE | Chief Executive Office |
| EMPLOYER POC ADDRESS1 | 330 Townsend Street |
| EMPLOYER POC ADDRESS2 | Ste. 220 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14156290334 |
| EMPLOYER POC EMAIL | ben@Formatech.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | WANG |
| AGENT ATTORNEY FIRST NAME | DAPHNE |
| AGENT ATTORNEY MIDDLE NAME | LEI-HUNG |
| AGENT ATTORNEY ADDRESS1 | 57 W. EL CAMINO REAL |
| AGENT ATTORNEY CITY | MOUNTAIN VIEW |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94040 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16503906548.0 |
| AGENT ATTORNEY EMAIL ADDRESS | DAPHNE@ATTORNEYWANG.COM |
| LAWFIRM NAME BUSINESS NAME | Law Office of Daphne L. Wang |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of the State of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 330 Townsend Street |
| WORKSITE ADDRESS2 | Ste. 220 |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94107 |
| LCA CASE WAGE RATE FROM | 119122.0 |
| LCA CASE WAGE RATE TO | 144039.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 119122.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
