| LCA CASE NUMBER | I-200-21153-362613 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-02 |
| DECISION DATE | 2021-06-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Site Reliability Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| 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 Naresh |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 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 | immigration@formacinc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | RIVERA |
| AGENT ATTORNEY FIRST NAME | JUSTIN |
| AGENT ATTORNEY MIDDLE NAME | ALBERTO |
| AGENT ATTORNEY ADDRESS1 | P.O BOX 421409 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77242-1409 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17134291816 |
| AGENT ATTORNEY EMAIL ADDRESS | JUSTIN@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 | True |
| SECONDARY ENTITY BUSINESS NAME | GoDaddy Inc. |
| WORKSITE ADDRESS1 | 2155 E GoDaddy Way |
| LCA CASE WORKLOC1 CITY | Tempe |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85284 |
| LCA CASE WAGE RATE FROM | 66144 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 66144 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |
