| LCA CASE NUMBER | I-200-17062-576721 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/10/2017 |
| DECISION DATE | 3/16/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/1/2017 |
| EMPLOYMENT END DATE | 8/30/2020 |
| LCA CASE EMPLOYER NAME | FORMDESIGN LLC |
| EMPLOYER ADDRESS | 9990 FAIRFAX BOULEVARD |
| EMPLOYER CITY | FAIRFAX |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7035035555 |
| EMPLOYER PHONE EXT | 1 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BLACKWELL, SUZETTE |
| AGENT ATTORNEY CITY | FALLS CHURCH |
| AGENT ATTORNEY STATE | VA |
| LCA CASE JOB TITLE | ARCHITECT |
| SOC CODE | 17-1011 |
| SOC NAME | ARCHITECTS, EXCEPT LANDSCAPE AND NAVAL |
| NAICS CODE | 541410 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 25.31 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 25.31 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | FAIRFAX |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22030 |
