| LCA CASE NUMBER | I-200-25137-987985 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-05-16 |
| DECISION DATE | 2025-05-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Head of Engineering |
| SOC CODE | 15-1252 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-10-01 |
| END DATE | 2028-09-30 |
| 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 | Shortform Inc. |
| EMPLOYER ADDRESS1 | 1020 N Marshfield Ave |
| EMPLOYER ADDRESS2 | Unit #3 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60622 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16172376477 |
| EMPLOYER FEIN | 83-4381477 |
| NAICS CODE | 516210 |
| EMPLOYER POC LAST NAME | Cheng |
| EMPLOYER POC FIRST NAME | Allen |
| EMPLOYER POC JOB TITLE | Founder/CEO |
| EMPLOYER POC ADDRESS1 | 1020 N Marshfield Ave |
| EMPLOYER POC ADDRESS2 | Unit #3 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60622 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16172376477 |
| EMPLOYER POC EMAIL | allen@shortform.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nelson |
| AGENT ATTORNEY FIRST NAME | Natalia |
| AGENT ATTORNEY MIDDLE NAME | Kolyada |
| AGENT ATTORNEY ADDRESS1 | 201 Washington Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16177555678 |
| AGENT ATTORNEY EMAIL ADDRESS | nkolyada@kolyadalaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Natalia Kolyada |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | MA Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1020 N Marshfield Ave |
| WORKSITE ADDRESS2 | Unit #3 |
| LCA CASE WORKLOC1 CITY | Chicago |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60622 |
| LCA CASE WAGE RATE FROM | 83.05 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 71.61 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |