| LCA CASE NUMBER | I-200-22111-095794 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-21 |
| DECISION DATE | 2022-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Architectural Designer |
| SOC CODE | 17-3011.01 |
| SOC TITLE | Architectural Drafters |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-30 |
| END DATE | 2025-04-29 |
| 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 | BREAKFORM DESIGN, INC. |
| EMPLOYER ADDRESS1 | 127 ARENA STREET |
| EMPLOYER CITY | El Segundo |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90245 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13103223700 |
| NAICS CODE | 541410 |
| EMPLOYER POC LAST NAME | Cahill |
| EMPLOYER POC FIRST NAME | Corinne |
| EMPLOYER POC JOB TITLE | Accounting Manager |
| EMPLOYER POC ADDRESS1 | 127 ARENA STREET |
| EMPLOYER POC CITY | El Segundo |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90245 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13106995233 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wang |
| AGENT ATTORNEY FIRST NAME | Jessica |
| AGENT ATTORNEY MIDDLE NAME | Lei-Jia |
| AGENT ATTORNEY ADDRESS1 | 57 W. El Camino Real |
| AGENT ATTORNEY CITY | Mountain View |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94040 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16503906549 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Jessica L. Wang |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of the State of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 127 Arena Street |
| LCA CASE WORKLOC1 CITY | El Segundo |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90245 |
| LCA CASE WAGE RATE FROM | 74197 |
| LCA CASE WAGE RATE TO | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74194 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
