| LCA CASE NUMBER | I-200-20155-625310 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-03 |
| DECISION DATE | 2020-06-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Financial Officer |
| SOC CODE | 11-3031.00 |
| SOC TITLE | Financial Managers |
| 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 | Formulife Inc. |
| EMPLOYER ADDRESS1 | 1253 Andrews Parkway |
| EMPLOYER CITY | Allen |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75002 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12142914911 |
| EMPLOYER PHONE EXT | 0.0 |
| NAICS CODE | 325411 |
| EMPLOYER POC LAST NAME | Stephens |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | HR Manager and General Counsel |
| EMPLOYER POC ADDRESS1 | 1253 Andrews Parkway |
| EMPLOYER POC CITY | Allen |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75002 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12142914911 |
| EMPLOYER POC PHONE EXT | 0.0 |
| EMPLOYER POC EMAIL | jennifer@formulifesupplements.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Ustun |
| AGENT ATTORNEY FIRST NAME | Dobrina |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 12700 Hillcrest Rd. |
| AGENT ATTORNEY ADDRESS2 | Ste 125 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75230 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14699949407.0 |
| AGENT ATTORNEY EMAIL ADDRESS | dobrina@ustunlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Ustun Law Group PLLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1253 Andrews Parkway |
| LCA CASE WORKLOC1 CITY | Allen |
| WORKSITE COUNTY | COLLIN |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75002 |
| LCA CASE WAGE RATE FROM | 159702.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159702.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
