| LCA CASE NUMBER | I-200-20337-935087 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-02 |
| DECISION DATE | 2020-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Interior Job Captain |
| SOC CODE | 27-1025.00 |
| SOC TITLE | Interior Designers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-14 |
| END DATE | 2023-12-13 |
| 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 | Form4 Architecture Inc. |
| EMPLOYER ADDRESS1 | 120 Second Street |
| EMPLOYER ADDRESS2 | 2nd Floor |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14157758748 |
| NAICS CODE | 541310 |
| EMPLOYER POC LAST NAME | Ferro |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 120 Second Street |
| EMPLOYER POC ADDRESS 2 | 2nd Floor |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14157758748 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LeGrand Weiner |
| AGENT ATTORNEY FIRST NAME | Kelly |
| AGENT ATTORNEY MIDDLE NAME | Rose |
| AGENT ATTORNEY ADDRESS1 | 2 Park Avenue |
| AGENT ATTORNEY ADDRESS2 | Floor 20 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10016 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19175462989 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Scott Legal P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 120 Second Street |
| WORKSITE ADDRESS2 | 2nd Floor |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94105 |
| LCA CASE WAGE RATE FROM | 81000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 69118 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
