| LCA CASE NUMBER | I-200-21285-639451 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-12 |
| DECISION DATE | 2021-10-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Director of Engineering |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-21 |
| END DATE | 2024-12-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Formation, Inc. |
| EMPLOYER ADDRESS1 | 315 Montgomery Street |
| EMPLOYER ADDRESS2 | 10th Floor |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94104 |
| 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 | VP of Finance |
| EMPLOYER POC ADDRESS1 | 315 Montgomery Street |
| EMPLOYER POC ADDRESS2 | 10th Floor |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16502572277 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Aliaskari |
| AGENT ATTORNEY FIRST NAME | Mahsa |
| AGENT ATTORNEY ADDRESS1 | 601 South Figueroa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12132709679 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 315 Montgomery Street |
| WORKSITE ADDRESS2 | 10th Floor |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94104 |
| LCA CASE WAGE RATE FROM | 212472 |
| LCA CASE WAGE RATE TO | 251000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 212472 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Serrano |
| PREPARER FIRST NAME | Cynthia |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP |
| PREPARER EMAIL | [email protected] |
