| LCA CASE NUMBER | I-203-23349-568783 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-12-14 |
| DECISION DATE | 2023-12-21 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | FOOD AND BEVERAGE MANAGER |
| SOC CODE | 11-1021.00 |
| SOC TITLE | General and Operations Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-01-15 |
| END DATE | 2026-01-14 |
| 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 | FORMA PASTA LLC |
| EMPLOYER ADDRESS1 | 14 BEDFORD AVENUE |
| EMPLOYER CITY | BROOKLYN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11222 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17183492009 |
| NAICS CODE | 722511 |
| EMPLOYER POC LAST NAME | RABINOVICH |
| EMPLOYER POC FIRST NAME | AMIT |
| EMPLOYER POC JOB TITLE | EXECUTIVE CHEF/OWNER |
| EMPLOYER POC ADDRESS1 | 14 BEDFORD AVENUE |
| EMPLOYER POC CITY | BROOKLYN |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11222 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15162639640 |
| EMPLOYER POC EMAIL | FORMAPASTAFACTORY@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CAMMISA |
| AGENT ATTORNEY FIRST NAME | ZJANTELLE |
| AGENT ATTORNEY ADDRESS1 | 150 NASSAU STREET, SUITE 3E |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10038 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12122277766 |
| AGENT ATTORNEY EMAIL ADDRESS | zcm@cammisamarkel.com |
| LAWFIRM NAME BUSINESS NAME | CAMMISA MARKEL PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELLATE COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 14 BEDFORD AVENUE |
| LCA CASE WORKLOC1 CITY | BROOKLYN |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11222 |
| LCA CASE WAGE RATE FROM | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 72779 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |