| LCA CASE NUMBER | I-200-21082-166731 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-23 |
| DECISION DATE | 2021-03-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Computer Systems Analyst |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-05 |
| END DATE | 2024-04-04 |
| 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 | Health Formula, Inc. |
| EMPLOYER ADDRESS1 | 2931 N. 29th Ave |
| EMPLOYER CITY | Hollywood |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19548437529 |
| NAICS CODE | 446191 |
| EMPLOYER POC LAST NAME | Tandhasetti |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC JOB TITLE | C.E.O. |
| EMPLOYER POC ADDRESS 1 | 2931 N 29th Ave |
| EMPLOYER POC CITY | Hollywood |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33020 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19548437529 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Smalley |
| AGENT ATTORNEY FIRST NAME | Anita |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133812011 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3912 N 29th Ave |
| LCA CASE WORKLOC1 CITY | Hollywood |
| WORKSITE COUNTY | BROWARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33020 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80995 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
