| LCA CASE NUMBER | I-200-18190-706222 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/16/18 |
| DECISION DATE | 7/20/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/19/18 |
| EMPLOYMENT END DATE | 7/19/21 |
| LCA CASE EMPLOYER NAME | FORMATIV HEALTH MANAGEMENT INC |
| EMPLOYER ADDRESS | 385 JORDAN ROAD |
| EMPLOYER CITY | TROY |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12180 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9043341763 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KNOWLAND, ASHLEY |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | DIRECTOR, OFFSHORE OPERATIONS |
| SOC CODE | 15-1132 |
| SOC NAME | SOFTWARE DEVELOPERS, APPLICATIONS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 68,411.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 69,837.82 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | TROY |
| WORKSITE COUNTY | RENSSELAER |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12180 |
