\ H1B CASE NUMBER I-200-19262-676083



CASE NUNBER: I-200-19262-676083

LCA CASE NUMBERI-200-19262-676083
STATUSCERTIFIED
LCA CASE SUBMIT2019-09-19
DECISION DATE2019-09-25
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE2019-09-23
EMPLOYMENT END DATE2022-09-23
LCA CASE EMPLOYER NAMEFORMFACTOR, INC.
EMPLOYER ADDRESS7005 SOUTHFRONT ROAD
EMPLOYER CITYLIVERMORE
EMPLOYER STATECA
EMPLOYER POSTAL CODE94551
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE9252904000
SECONDARY ENTITYFalse
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY NAMETINAZEDGINIDZE
AGENT ATTORNEY CITYSAN FRANCISCO
AGENT ATTORNEY STATECA
LCA CASE JOB TITLEMECHANICAL ENGINEER - MEMS DESIGN
SOC CODE17-2141
SOC NAMEMECHANICAL ENGINEERS
NAICS CODE33441
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT1
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONTrue
PREVAILING WAGE106350
PW UNIT OF PAYYear
PW WAGE LEVEL2
PW SOURCEOES
LCA CASE WAGE RATE FROM106350
LCA CASE WAGE RATE TO125600
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTFalse
LCA CASE WORKLOC1 CITYSan Jose
WORKSITE COUNTYSanta Clara
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE95134
WILLFUL VIOLATORFalse