| LCA CASE NUMBER | I-200-24158-079974 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-06-06 |
| DECISION DATE | 2024-06-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate |
| SOC CODE | 13-1111.00 |
| SOC TITLE | Management Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-06-11 |
| END DATE | 2027-06-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Forma Group, Inc. |
| EMPLOYER ADDRESS1 | 169 Madison Avenue |
| EMPLOYER ADDRESS2 | Suite 11084 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18138574025 |
| NAICS CODE | 541611 |
| EMPLOYER POC LAST NAME | Nevarez |
| EMPLOYER POC FIRST NAME | Mayra |
| EMPLOYER POC JOB TITLE | Operations Manager |
| EMPLOYER POC ADDRESS1 | 169 Madison Avenue |
| EMPLOYER POC ADDRESS2 | Suite 11084 |
| EMPLOYER POC CITY | New York, NY, |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18138574025 |
| EMPLOYER POC EMAIL | mayra.nevarez@forma.group.io |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Thistlethwaite III |
| AGENT ATTORNEY FIRST NAME | Hugh |
| AGENT ATTORNEY MIDDLE NAME | W. |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY EMAIL ADDRESS | HThistlethwaite@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 110 E. 25th Street |
| WORKSITE ADDRESS2 | Suite 503 |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10010 |
| LCA CASE WAGE RATE FROM | 185000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100506 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Chou |
| PREPARER FIRST NAME | Angela |
| PREPARER MIDDLE INITIAL | B. |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | a.chou@fragomen.com |