| LCA CASE NUMBER | I-200-23363-598330 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-12-29 |
| DECISION DATE | 2024-01-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SENIOR SOFTWARE ENGINEER |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-12-31 |
| END DATE | 2026-12-30 |
| 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 | FORMSTACK, LLC |
| EMPLOYER ADDRESS1 | 11671 LANTERN RD. |
| EMPLOYER ADDRESS2 | SUITE 300 |
| EMPLOYER CITY | FISHERS |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46038 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13175423125 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | POLK |
| EMPLOYER POC FIRST NAME | TAMARA |
| EMPLOYER POC JOB TITLE | CHIEF HUMAN RESOURCES OFFICER |
| EMPLOYER POC ADDRESS1 | 11671 LANTERN RD. |
| EMPLOYER POC ADDRESS2 | SUITE 300 |
| EMPLOYER POC CITY | FISHERS |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46038 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14695693293 |
| EMPLOYER POC EMAIL | TAMMY.POLK@FORMSTACK.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | APONTE / ESMITS |
| AGENT ATTORNEY FIRST NAME | Julie / Christopher |
| AGENT ATTORNEY ADDRESS1 | 550 Warrenville Rd. |
| AGENT ATTORNEY ADDRESS2 | Suite 240 |
| AGENT ATTORNEY CITY | Lisle |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60532 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | IL |
| AGENT ATTORNEY PHONE | 13127625966 |
| AGENT ATTORNEY EMAIL ADDRESS | immigration@japontelaw.com |
| LAWFIRM NAME BUSINESS NAME | J. Aponte & Associates, LLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11671 LANTERN RD. |
| WORKSITE ADDRESS2 | SUITE 300 |
| LCA CASE WORKLOC1 CITY | FISHERS |
| WORKSITE COUNTY | HAMILTON |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46038 |
| LCA CASE WAGE RATE FROM | 179136.88 |
| LCA CASE WAGE RATE TO | 184136.88 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122720 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | CRESPO |
| PREPARER FIRST NAME | MONICA |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | J. APONTE & ASSOCIATES, LLC |
| PREPARER EMAIL | MCRESPO@JAPONTELAW.COM |