| LCA CASE NUMBER | I-200-21257-583378 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-14 |
| DECISION DATE | 2021-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Application Developer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-24 |
| END DATE | 2024-09-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Formac, Inc. |
| EMPLOYER ADDRESS1 | 3155 Kearney Street |
| EMPLOYER ADDRESS2 | 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 |
| EMPLOYER POC MIDDLE NAME | Naresh |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 3155 Kearney Street |
| EMPLOYER POC ADDRESS2 | 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 | 19032627113 |
| EMPLOYER POC EMAIL | naresh@formacinc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Liladhar-Hathi |
| AGENT ATTORNEY FIRST NAME | Indu |
| AGENT ATTORNEY ADDRESS1 | 1754 Technology Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 143 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14084535335 |
| AGENT ATTORNEY EMAIL ADDRESS | indu@indulaw.com |
| LAWFIRM NAME BUSINESS NAME | Indu Law Group, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | The Western Union Company |
| WORKSITE ADDRESS1 | 8744 Lucent Blvd. |
| WORKSITE ADDRESS2 | Suite# 200 |
| LCA CASE WORKLOC1 CITY | Highlands Ranch |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80129 |
| LCA CASE WAGE RATE FROM | 112861 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112861 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
