\ H1B CASE NUMBER I-200-20352-966117



CASE NUNBER: I-200-20352-966117

LCA CASE NUMBERI-200-20352-966117
STATUSCertified
LCA CASE SUBMIT2020-12-17
DECISION DATE2020-12-28
VISA CLASSH-1B
LCA CASE JOB TITLEDEVELOPER ADVOCATE
SOC CODE15-1132.00
SOC TITLESoftware Developers, Applications
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-02-12
END DATE2023-11-18
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMETYPEFORM US, LLC
EMPLOYER ADDRESS1370 BRANNAN STREET
EMPLOYER CITYSAN FRANCISCO
EMPLOYER STATECA
EMPLOYER POSTAL CODE94107
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE13463638624
NAICS CODE541511
EMPLOYER POC LAST NAMESIKORA
EMPLOYER POC FIRST NAMEDANIELLA
EMPLOYER POC JOB TITLEHEAD OF PEOPLE OPERATIONS
EMPLOYER POC ADDRESS 1370 BRANNAN STRETT
EMPLOYER POC CITYSAN FRANCISCO
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE94107
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE13463638624
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEREYES GONZALEZ
AGENT ATTORNEY FIRST NAMEADRIANA
AGENT ATTORNEY MIDDLE NAMEH
AGENT ATTORNEY ADDRESS12801 VIA FORTUNA
AGENT ATTORNEY ADDRESS2STE. 350
AGENT ATTORNEY CITYAUSTIN
AGENT ATTORNEY STATETX
AGENT ATTORNEY POSTAL CODE78746
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE15124826830
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMEK&L GATES LLP
STATE OF HIGHEST COURTTX
NAME OF HIGHEST STATE COURTSUPREME COURT OF TEXAS
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1370 BRANNAN STREET
LCA CASE WORKLOC1 CITYSAN FRANCISCO
WORKSITE COUNTYSAN FRANCISCO
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE94107
LCA CASE WAGE RATE FROM146000
LCA CASE WAGE RATE TO155000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE145246
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMESIMS
PREPARER FIRST NAMETERESA
PREPARER BUSINESS NAMEK&L GATES LLP
PREPARER EMAIL[email protected]