| LCA CASE NUMBER | I-203-21090-188776 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-31 |
| DECISION DATE | 2021-04-07 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Implementation Specialist |
| SOC CODE | 15-1199.08 |
| SOC TITLE | Business Intelligence Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-12 |
| END DATE | 2023-04-11 |
| 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 | Formagrid, Inc. |
| EMPLOYER ADDRESS1 | 799 Market Street |
| EMPLOYER ADDRESS2 | Flr 8 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14014396357 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Haque |
| EMPLOYER POC FIRST NAME | Sara |
| EMPLOYER POC JOB TITLE | People Lead |
| EMPLOYER POC ADDRESS 1 | 799 Market Street |
| EMPLOYER POC ADDRESS 2 | Flr 8 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16504741288 |
| EMPLOYER POC EMAIL | sara.haque@airtable.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | John |
| AGENT ATTORNEY FIRST NAME | Kimberly |
| AGENT ATTORNEY ADDRESS1 | 2101 Wilson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Arlington |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17036784000 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | kimberlyj@eiglaw.com |
| LAWFIRM NAME BUSINESS NAME | Erickson Immigration Group |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 153 Ave C |
| WORKSITE ADDRESS2 | Apt 5FN |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10009 |
| LCA CASE WAGE RATE FROM | 67766 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67766 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Woessner |
| PREPARER FIRST NAME | Katie |
| PREPARER BUSINESS NAME | Erickson Immigration Group |
| PREPARER EMAIL | katiew@eiglaw.com |
