| LCA CASE NUMBER | I-200-19277-071599 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-10-04 |
| DECISION DATE | 2020-05-08 |
| ORIGINAL CERT DATE | 2019-10-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SOFTWARE ENGINEER |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-04 |
| END DATE | 2022-11-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FORMATION, INC. |
| EMPLOYER ADDRESS1 | 35 STILLMAN STREET |
| EMPLOYER CITY | SAN FRANCISCO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16502572277 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | DAME |
| EMPLOYER POC FIRST NAME | MAX |
| EMPLOYER POC JOB TITLE | SENIOR DIRECTOR OF FINANCE |
| EMPLOYER POC ADDRESS1 | FORMATION, INC. |
| EMPLOYER POC ADDRESS2 | 35 STILLMAN STREET |
| EMPLOYER POC CITY | SAN FRANCISCO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16502572277 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mozes |
| AGENT ATTORNEY FIRST NAME | Gabriel |
| AGENT ATTORNEY MIDDLE NAME | H. |
| AGENT ATTORNEY ADDRESS1 | 1075 Peachtree St. NE |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309-3958 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14048856758.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 35 STILLMAN STREET |
| LCA CASE WORKLOC1 CITY | SAN FRANCISCO |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94107 |
| LCA CASE WAGE RATE FROM | 145000.0 |
| LCA CASE WAGE RATE TO | 175000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 119122.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | ZERVOULAKOS |
| PREPARER FIRST NAME | LAUREEN RAE |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | SEYFARTH SHAW LLP |
| PREPARER EMAIL | [email protected] |
