\ H1B CASE NUMBER I-200-21102-215897



CASE NUNBER: I-200-21102-215897

LCA CASE NUMBERI-200-21102-215897
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-04-12
DECISION DATE2021-11-30
ORIGINAL CERT DATE2021-04-19
VISA CLASSH-1B
LCA CASE JOB TITLETEMPLATE DEPARTMENT MANAGER
SOC CODE15-1151.00
SOC TITLEComputer User Support Specialists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-10-01
END DATE2024-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEDATAFORMA, INC
EMPLOYER ADDRESS1410 Kings Mill Road
EMPLOYER CITYYORK
EMPLOYER STATEPA
EMPLOYER POSTAL CODE17401
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18667649992
NAICS CODE518210
EMPLOYER POC LAST NAMETHOMPSON
EMPLOYER POC FIRST NAMESHELLY
EMPLOYER POC JOB TITLECUSTOMER SUCESS MANAGER
EMPLOYER POC ADDRESS1410 KINGS MILL ROAD
EMPLOYER POC CITYYORK
EMPLOYER POC STATEPA
EMPLOYER POC POSTAL CODE17401
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18667649992
EMPLOYER POC EMAILSTHOMPSON@DATAFORMA.COM
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKoehler
AGENT ATTORNEY FIRST NAMESteven
AGENT ATTORNEY ADDRESS1221 WEST PHILADELPHIA STREET
AGENT ATTORNEY ADDRESS2SUITE 600
AGENT ATTORNEY CITYYORK
AGENT ATTORNEY STATEPA
AGENT ATTORNEY POSTAL CODE17401
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE17178550515
AGENT ATTORNEY EMAIL ADDRESSsjk@stockandleader.com
LAWFIRM NAME BUSINESS NAMESTOCK AND LEADER, LLP
STATE OF HIGHEST COURTPA
NAME OF HIGHEST STATE COURTPennsylvania
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1410 KINGS MILL ROAD
LCA CASE WORKLOC1 CITYYORK
WORKSITE COUNTYYORK
LCA CASE WORKLOC1 STATEPA
WORKSITE POSTAL CODE17401
LCA CASE WAGE RATE FROM49000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE43326
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business and Employment
PREPARER LAST NAMEKoehler
PREPARER FIRST NAMESteven
PREPARER MIDDLE INITIALJ
PREPARER BUSINESS NAMESTOCK AND LEADER LLP
PREPARER EMAILsjk@stockandleader.com