| LCA CASE NUMBER | I-200-24335-507739 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-11-29 |
| DECISION DATE | 2024-12-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Project Designer |
| SOC CODE | 17-1011 |
| SOC TITLE | Architects, Except Landscape and Naval |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2024-12-11 |
| END DATE | 2027-12-10 |
| 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 | FormX Inc. |
| EMPLOYER ADDRESS1 | 171 Main St. |
| EMPLOYER ADDRESS2 | Suite 258 |
| EMPLOYER CITY | Los Altos |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94022 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16504050451 |
| EMPLOYER FEIN | 84-4850291 |
| NAICS CODE | 541310 |
| EMPLOYER POC LAST NAME | Gheidar |
| EMPLOYER POC FIRST NAME | Nami |
| EMPLOYER POC JOB TITLE | Head of Product |
| EMPLOYER POC ADDRESS1 | 171 Main St. |
| EMPLOYER POC ADDRESS2 | Suite 258 |
| EMPLOYER POC CITY | Los Altos |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94022 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16504050451 |
| EMPLOYER POC EMAIL | nami@formx.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LUAN |
| AGENT ATTORNEY FIRST NAME | XUE |
| AGENT ATTORNEY ADDRESS1 | 418 Broadway |
| AGENT ATTORNEY ADDRESS2 | Ste. N |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15103098445 |
| AGENT ATTORNEY EMAIL ADDRESS | Xluan@xllaws.com |
| LAWFIRM NAME BUSINESS NAME | BX Practice Group PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Appellate Division |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1250 Alderwood Ave |
| LCA CASE WORKLOC1 CITY | Sunnyvale |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94089 |
| LCA CASE WAGE RATE FROM | 40 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 39.75 |
| PW UNIT OF PAY | Hour |
| 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 |