| LCA CASE NUMBER | I-200-21342-752628 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-08 |
| DECISION DATE | 2021-12-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Quality Assurance Engineer |
| SOC CODE | 15-1151.00 |
| SOC TITLE | Computer User Support Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-13 |
| 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 | DATAFORMA, INC |
| EMPLOYER ADDRESS1 | 410 Kings Mill Road |
| EMPLOYER CITY | YORK |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18667649992 |
| NAICS CODE | 518210 |
| EMPLOYER POC LAST NAME | THOMPSON |
| EMPLOYER POC FIRST NAME | SHELLY |
| EMPLOYER POC JOB TITLE | CUSTOMER SUCESS MANAGER |
| EMPLOYER POC ADDRESS1 | 410 KINGS MILL ROAD |
| EMPLOYER POC CITY | YORK |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18667649992 |
| EMPLOYER POC EMAIL | STHOMPSON@DATAFORMA.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Koehler |
| AGENT ATTORNEY FIRST NAME | Steven |
| AGENT ATTORNEY ADDRESS1 | 221 WEST PHILADELPHIA STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 600 |
| AGENT ATTORNEY CITY | YORK |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 17401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17178550515 |
| AGENT ATTORNEY EMAIL ADDRESS | sjk@stockandleader.com |
| LAWFIRM NAME BUSINESS NAME | STOCK AND LEADER, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 410 Kings Mill Road |
| LCA CASE WORKLOC1 CITY | York |
| WORKSITE COUNTY | YORK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17403 |
| LCA CASE WAGE RATE FROM | 42000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 36546 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | KOEHLER |
| PREPARER FIRST NAME | STEVEN |
| PREPARER BUSINESS NAME | STOCK AND LEADER |
| PREPARER EMAIL | sjk@stockandleader.com |
