| LCA CASE NUMBER | I-200-21054-096183 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-02-23 |
| DECISION DATE | 2022-12-16 |
| ORIGINAL CERT DATE | 2021-03-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Developer (Integration Architect) |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-08 |
| END DATE | 2024-03-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | ForgeRock Inc. |
| EMPLOYER ADDRESS1 | 201 Mission Street |
| EMPLOYER ADDRESS2 | STE 2900 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16503913909 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | Kantor |
| EMPLOYER POC FIRST NAME | Gali |
| EMPLOYER POC JOB TITLE | People Operations Specialist |
| EMPLOYER POC ADDRESS1 | 201 Mission Street |
| EMPLOYER POC ADDRESS2 | Suite 2900 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16503913909 |
| EMPLOYER POC EMAIL | gali.kantor@forgerock.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mazel |
| AGENT ATTORNEY FIRST NAME | Laura |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 409 13th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1800 |
| AGENT ATTORNEY CITY | Oakland |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14155156783 |
| AGENT ATTORNEY EMAIL ADDRESS | ljmazel@mazelimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Mazel Immigration Law, PC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Oregon Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 215 Quest Park Street |
| WORKSITE ADDRESS2 | #833 |
| LCA CASE WORKLOC1 CITY | Henderson |
| WORKSITE COUNTY | CLARK |
| LCA CASE WORKLOC1 STATE | NV |
| WORKSITE POSTAL CODE | 89074 |
| LCA CASE WAGE RATE FROM | 147587 |
| LCA CASE WAGE RATE TO | 170000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 94598 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Mazel |
| PREPARER FIRST NAME | Laura |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Mazel Immigration Law, PC |
| PREPARER EMAIL | ljmazel@mazelimmigrationlaw.com |
