| LCA CASE NUMBER | I-203-21034-051642 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-03 |
| DECISION DATE | 2021-02-10 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Project Architect |
| SOC CODE | 17-1011.00 |
| SOC TITLE | Architects, Except Landscape and Naval |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-01 |
| END DATE | 2022-03-01 |
| 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 | Form4 Architecture Inc. |
| EMPLOYER ADDRESS1 | 120 Second Street, 2nd Floor |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14157758748 |
| NAICS CODE | 54131 |
| EMPLOYER POC LAST NAME | Ferro |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 120 Second Street, 2nd Floor |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14152158904 |
| EMPLOYER POC EMAIL | pferro@form4inc.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 120 Second Street, 2nd Floor |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94105 |
| LCA CASE WAGE RATE FROM | 125008 |
| LCA CASE WAGE RATE TO | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 125008 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |
