| LCA CASE NUMBER | I-200-21237-543810 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-25 |
| DECISION DATE | 2021-09-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Project Manager |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2023-10-31 |
| 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 | Fomat Medical Research Inc. |
| EMPLOYER ADDRESS1 | 300 South A Street |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Oxnard |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18054831185 |
| NAICS CODE | 541715 |
| EMPLOYER POC LAST NAME | Focil |
| EMPLOYER POC FIRST NAME | Nicholas |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 300 South A Street |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Oxnard |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93030 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18054440934 |
| EMPLOYER POC EMAIL | nfocil@fomatmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Focil |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Alfredo |
| AGENT ATTORNEY ADDRESS1 | 5050 NW 74th Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 111 |
| AGENT ATTORNEY CITY | Doral |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33166 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18059916692 |
| AGENT ATTORNEY EMAIL ADDRESS | david@focillegal.com |
| LAWFIRM NAME BUSINESS NAME | Focil Legal PLLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 South A Street |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Oxnard |
| WORKSITE COUNTY | VENTURA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93030 |
| LCA CASE WAGE RATE FROM | 114000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92726 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Focil |
| PREPARER FIRST NAME | David |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Focil Legal PLLC |
| PREPARER EMAIL | david@focillegal.com |
