| LCA CASE NUMBER | I-200-20134-567007 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-13 |
| DECISION DATE | 2020-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Configuration 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 | FORMAC, INC. |
| EMPLOYER ADDRESS1 | 3155 KEARNEY STREET, SUITE 210 |
| EMPLOYER CITY | FREMONT |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94538 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15103799024 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | DANDA |
| EMPLOYER POC FIRST NAME | RAM |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 3155 KEARNEY STREET, SUITE 210 |
| EMPLOYER POC CITY | FREMONT |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94538 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15103799024 |
| EMPLOYER POC EMAIL | NARESH@FORMACINC.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hoang |
| AGENT ATTORNEY FIRST NAME | TuongVy |
| AGENT ATTORNEY MIDDLE NAME | Thuy |
| AGENT ATTORNEY ADDRESS1 | P.O BOX 421409 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77242 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17139537787.0 |
| AGENT ATTORNEY PHONE EXT | 103.0 |
| AGENT ATTORNEY EMAIL ADDRESS | vy@rnlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Reddy & Neumann P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Walgreens Co. |
| WORKSITE ADDRESS1 | 106 Wilmot Road., 5th floor |
| LCA CASE WORKLOC1 CITY | Deerfield |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60015 |
| LCA CASE WAGE RATE FROM | 85400.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 81931.0 |
| 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 | Y |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | Y |
| STATUTORY BASIS | BOTH |
| PUBLIC DISCLOSURE | Disclose Business |
