| LCA CASE NUMBER | I-200-20258-821683 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-14 |
| DECISION DATE | 2020-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Devops Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-21 |
| END DATE | 2023-09-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| 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 | Choi |
| AGENT ATTORNEY FIRST NAME | Soo |
| AGENT ATTORNEY MIDDLE NAME | Min |
| 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 | 101.0 |
| AGENT ATTORNEY EMAIL ADDRESS | soo@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 | CVS Health |
| WORKSITE ADDRESS1 | 2211 Sanders Rd |
| LCA CASE WORKLOC1 CITY | Northbrook |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60062 |
| LCA CASE WAGE RATE FROM | 104624.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104624.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| 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 |
