| LCA CASE NUMBER | I-200-25030-655462 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-01-30 |
| DECISION DATE | 2025-02-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Design Engineer |
| SOC CODE | 17-2141 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-03-03 |
| END DATE | 2028-03-02 |
| 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 | Fathom and Form, LLC |
| EMPLOYER ADDRESS1 | 2910 Humboldt St |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90031 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13238067449 |
| EMPLOYER FEIN | 81-1730478 |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Johnston |
| EMPLOYER POC FIRST NAME | Preston |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 2910 Humboldt St |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90031 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13238067449 |
| EMPLOYER POC EMAIL | preston@fathomandform.design |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Puri |
| AGENT ATTORNEY FIRST NAME | Sachin |
| AGENT ATTORNEY ADDRESS1 | 16530 Ventura Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 312 |
| AGENT ATTORNEY CITY | Encino |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91436 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18187285800 |
| AGENT ATTORNEY EMAIL ADDRESS | sachin@alanrkleinimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Klein and Puri Immigration Law Group |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2910 Humboldt St |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90031 |
| LCA CASE WAGE RATE FROM | 97500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 97198 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |