\ H1B CASE NUMBER I-200-22138-186709



CASE NUNBER: I-200-22138-186709

LCA CASE NUMBERI-200-22138-186709
STATUSCertified - Withdrawn
LCA CASE SUBMIT2022-05-18
DECISION DATE2022-05-26
ORIGINAL CERT DATE2022-05-25
VISA CLASSH-1B
LCA CASE JOB TITLESenior Oracle EBS Architect
SOC CODE15-1132.00
SOC TITLESoftware Developers, Applications
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-05-30
END DATE2025-05-29
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEFormFactor, Inc.
EMPLOYER ADDRESS17005 Southfront Road
EMPLOYER CITYLivermore
EMPLOYER STATECA
EMPLOYER POSTAL CODE94551
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE19252904000
NAICS CODE334413
EMPLOYER POC LAST NAMEShields
EMPLOYER POC FIRST NAMESarah
EMPLOYER POC JOB TITLEDirector, Human Resources
EMPLOYER POC ADDRESS17005 Southfront Road
EMPLOYER POC CITYLivermore
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE94551
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19252904970
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEZedginidze
AGENT ATTORNEY FIRST NAMETina
AGENT ATTORNEY ADDRESS1909 Montgomery Street
AGENT ATTORNEY ADDRESS2Suite 200
AGENT ATTORNEY CITYSan Francisco
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE94133
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14159864559
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMEJackson & Hertogs LLP
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTCalifornia Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS17005 Southfront Road
LCA CASE WORKLOC1 CITYLivermore
WORKSITE COUNTYALAMEDA
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE94551
LCA CASE WAGE RATE FROM167710
LCA CASE WAGE RATE TO176300
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE167710
PW UNIT OF PAYYear
PW WAGE LEVELIV
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMECruz - 90619
PREPARER FIRST NAMEJose
PREPARER BUSINESS NAMEJackson & Hertogs LLP
PREPARER EMAIL[email protected]