| LCA CASE NUMBER | I-200-19058-207392 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-03-05 |
| DECISION DATE | 2019-03-11 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-09-01 |
| EMPLOYMENT END DATE | 2022-08-30 |
| 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 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | SUZETTEBLACKWELL |
| AGENT ATTORNEY CITY | VIENNA |
| AGENT ATTORNEY STATE | VA |
| LCA CASE JOB TITLE | ACCOUNTANT |
| SOC CODE | 13-2011 |
| SOC NAME | ACCOUNTANTS AND AUDITORS |
| NAICS CODE | 541310 |
| 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 | False |
| PREVAILING WAGE | 36.77 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | 2 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 37 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | FAIRFAX |
| WORKSITE COUNTY | VIRGINIA |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22030 |
| WILLFUL VIOLATOR | False |
