\ H1B CASE NUMBER I-200-21242-554102



CASE NUNBER: I-200-21242-554102

LCA CASE NUMBERI-200-21242-554102
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-08-30
DECISION DATE2022-10-20
ORIGINAL CERT DATE2021-09-07
VISA CLASSH-1B
LCA CASE JOB TITLEDevOps Engineer
SOC CODE15-1132.00
SOC TITLESoftware Developers, Applications
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-09-01
END DATE2024-08-31
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION1
LCA CASE EMPLOYER NAMEFormac Inc
EMPLOYER ADDRESS13155 Kearney Street
EMPLOYER ADDRESS2Suite 210
EMPLOYER CITYFremont
EMPLOYER STATECA
EMPLOYER POSTAL CODE94538
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15103799024
NAICS CODE541511
EMPLOYER POC LAST NAMEDanda
EMPLOYER POC FIRST NAMERam
EMPLOYER POC MIDDLE NAMENaresh
EMPLOYER POC JOB TITLEPresident
EMPLOYER POC ADDRESS13155 Kearney Street
EMPLOYER POC ADDRESS2Suite 210
EMPLOYER POC CITYFremont
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE94538
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19032627113
EMPLOYER POC EMAILnaresh@formacinc.com
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS19711 E Mountain View Rd
WORKSITE ADDRESS2Apt # 2533
LCA CASE WORKLOC1 CITYSCOTTSDALE
WORKSITE COUNTYMARICOPA
LCA CASE WORKLOC1 STATEAZ
WORKSITE POSTAL CODE85258
LCA CASE WAGE RATE FROM87000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE86632
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTTrue
WILLFUL VIOLATORFalse
SUPPORT H1BTrue
STATUTORY BASIS$60,000 or higher annual wage
PUBLIC DISCLOSUREDisclose Business