| LCA CASE NUMBER | I-200-21132-307331 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Sr. Clinical Trial Assistant |
| SOC CODE | 13-1041.07 |
| SOC TITLE | Regulatory Affairs Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-17 |
| END DATE | 2024-05-16 |
| 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 | 4D Molecular Therapeutics, Inc. |
| EMPLOYER ADDRESS1 | 5858 Horton Street |
| EMPLOYER ADDRESS2 | Suite 455 |
| EMPLOYER CITY | Emeryville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15105052680 |
| NAICS CODE | 325414 |
| EMPLOYER POC LAST NAME | Clawson |
| EMPLOYER POC FIRST NAME | Corinne |
| EMPLOYER POC JOB TITLE | Associate Director, Human Resources |
| EMPLOYER POC ADDRESS 1 | 5858 Horton Street |
| EMPLOYER POC ADDRESS 2 | Suite 455 |
| EMPLOYER POC CITY | Emeryville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15109022062 |
| EMPLOYER POC EMAIL | CClawson@4DMT.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zedginidze |
| AGENT ATTORNEY FIRST NAME | Tina |
| 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 PHONE | 14159864559 |
| AGENT ATTORNEY EMAIL ADDRESS | tzedginidze@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5858 Horton Street |
| WORKSITE ADDRESS2 | Suite 455 |
| LCA CASE WORKLOC1 CITY | Emeryville |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94608 |
| LCA CASE WAGE RATE FROM | 95000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92955 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zedginidze (87518) |
| PREPARER FIRST NAME | Tina |
| PREPARER BUSINESS NAME | Jackson & Hertogs LLP |
| PREPARER EMAIL | tzedginidze@jackson-hertogs.com |
