\ H1B CASE NUMBER I-200-23047-781769



CASE NUNBER: I-200-23047-781769

LCA CASE NUMBERI-200-23047-781769
STATUSCertified - Withdrawn
LCA CASE SUBMIT2023-02-16
DECISION DATE2023-03-01
ORIGINAL CERT DATE2023-02-23
VISA CLASSH-1B
LCA CASE JOB TITLEElectrical Manufacturing Engineer
SOC CODE17-2071.00
SOC TITLEElectrical Engineers
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2023-03-06
END DATE2026-03-05
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 CODE33441
EMPLOYER POC LAST NAMEGarrett
EMPLOYER POC FIRST NAMEPaula
EMPLOYER POC JOB TITLESr. HR Generalist
EMPLOYER POC ADDRESS17005 Southfront Road
EMPLOYER POC CITYLivermore
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE94551
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19252904424
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEPham
AGENT ATTORNEY FIRST NAMEBrian
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 ADDRESS12281 Las Palmas Drive
LCA CASE WORKLOC1 CITYCarlsbad
WORKSITE COUNTYSAN DIEGO
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE92011
LCA CASE WAGE RATE FROM94910
LCA CASE WAGE RATE TO136100
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE94910
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2022 - 6/30/2023
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEYang 91829
PREPARER FIRST NAMEAnna
PREPARER BUSINESS NAMEJackson & Hertogs LLP
PREPARER EMAIL[email protected]