| LCA CASE NUMBER | I-200-25147-020525 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-05-27 |
| DECISION DATE | 2025-06-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Architect |
| SOC CODE | 17-1011 |
| SOC TITLE | Architects, Except Landscape and Naval |
| 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 | FORMDesign LLC |
| EMPLOYER ADDRESS1 | 9990 Fairfax Boulevard |
| EMPLOYER ADDRESS2 | Suite 530 |
| EMPLOYER CITY | Fairfax |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17032011022 |
| EMPLOYER FEIN | 90-0158428 |
| NAICS CODE | 541310 |
| EMPLOYER POC LAST NAME | Davies |
| EMPLOYER POC FIRST NAME | Dario |
| EMPLOYER POC JOB TITLE | Principal |
| EMPLOYER POC ADDRESS1 | 9990 Fairfax Boulevard |
| EMPLOYER POC ADDRESS2 | Suite 530 |
| EMPLOYER POC CITY | Fairfax |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22030 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17032011022 |
| EMPLOYER POC EMAIL | ddavies@formdesign.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jutur |
| AGENT ATTORNEY FIRST NAME | Bharath |
| AGENT ATTORNEY MIDDLE NAME | Reddy |
| AGENT ATTORNEY ADDRESS1 | 802 E Woodfield Road |
| AGENT ATTORNEY ADDRESS2 | Suite G400 |
| AGENT ATTORNEY CITY | Schaumburg |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60173 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18479951515 |
| AGENT ATTORNEY PHONE EXT | 227 |
| AGENT ATTORNEY EMAIL ADDRESS | icert@bizlegalservices.com |
| LAWFIRM NAME BUSINESS NAME | International Legal and Business Services Group LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9990 Fairfax Boulevard |
| WORKSITE ADDRESS2 | Suite 530 |
| LCA CASE WORKLOC1 CITY | Fairfax |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22030 |
| LCA CASE WAGE RATE FROM | 72363 |
| LCA CASE WAGE RATE TO | 72365 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 72363 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |