| LCA CASE NUMBER | I-200-21054-093793 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-22 |
| DECISION DATE | 2021-03-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager QA/FA Engineering |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FormFactor, Inc. |
| TRADE NAME DBA | FormFactor |
| EMPLOYER ADDRESS1 | 7005 Southfront Road |
| EMPLOYER CITY | Livermore |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94551 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19252904000 |
| NAICS CODE | 33441 |
| EMPLOYER POC LAST NAME | Shields |
| EMPLOYER POC FIRST NAME | Sarah |
| EMPLOYER POC JOB TITLE | Sr. Talent Acquisition Partner |
| EMPLOYER POC ADDRESS 1 | 7005 Southfront Road |
| EMPLOYER POC CITY | Livermore |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94551 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19252904970 |
| EMPLOYER POC EMAIL | Sarah.Shields@formfactor.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Drummond |
| AGENT ATTORNEY FIRST NAME | Ilana |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 909 Montgomery St |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | CA |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY EMAIL ADDRESS | idrummond@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7005 Southfront Road |
| LCA CASE WORKLOC1 CITY | Livermore |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94551 |
| LCA CASE WAGE RATE FROM | 135490 |
| LCA CASE WAGE RATE TO | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 133827 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Greensides 75791 |
| PREPARER FIRST NAME | Nathaniel |
| PREPARER MIDDLE INITIAL | F |
| PREPARER BUSINESS NAME | Jackson and Hertogs LLP |
| PREPARER EMAIL | ngreensides@jackson-hertogs.com |
