| LCA CASE NUMBER | I-200-20223-759715 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-10 |
| DECISION DATE | 2020-08-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Developer |
| SOC CODE | 15-1131.00 |
| SOC TITLE | Computer Programmers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-20 |
| END DATE | 2023-09-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Formmaker Software Inc. |
| EMPLOYER ADDRESS1 | 955 Freeport Parkway |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Coppell |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75019 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19056242220 |
| NAICS CODE | 511210 |
| EMPLOYER POC LAST NAME | Iantorno |
| EMPLOYER POC FIRST NAME | Laura |
| EMPLOYER POC JOB TITLE | Senior Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 955 Freeport Parkway |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Coppell |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75019 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19056242220 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BEARDSLEY |
| AGENT ATTORNEY FIRST NAME | RACHEL |
| AGENT ATTORNEY MIDDLE NAME | JANE |
| AGENT ATTORNEY ADDRESS1 | 1400 BROADWAY |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555.0 |
| AGENT ATTORNEY PHONE EXT | 0.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 955 Freeport Parkway |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Coppell |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75019 |
| LCA CASE WAGE RATE FROM | 78645.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78645.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Smirnova |
| PREPARER FIRST NAME | Elizaveta |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
