| LCA CASE NUMBER | I-200-24106-888462 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-04-15 |
| DECISION DATE | 2024-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DevOps/Cloud Engineer |
| SOC CODE | 15-1299.08 |
| SOC TITLE | Computer Systems Engineers/Architects |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-01 |
| END DATE | 2027-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | WorldAPP, Inc |
| TRADE NAME DBA | FORM.com |
| EMPLOYER ADDRESS1 | 859 Willard St |
| EMPLOYER ADDRESS2 | Sutie 400 |
| EMPLOYER CITY | Quincy |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02169 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18324349809 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Geneva |
| EMPLOYER POC FIRST NAME | Samanatha |
| EMPLOYER POC MIDDLE NAME | Paige |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 161 Forbes Rd |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Braintree |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02184 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18324349809 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Faith |
| AGENT ATTORNEY FIRST NAME | Brittany |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 633 Chestnut St |
| AGENT ATTORNEY ADDRESS2 | Ninth Floor |
| AGENT ATTORNEY CITY | Chattanooga |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37450 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14237568400 |
| AGENT ATTORNEY PHONE EXT | 254 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Grant, Konvalinka & Harrison, P.C. |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Tennessee |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1102 S Abel St |
| WORKSITE ADDRESS2 | Apt 412 |
| LCA CASE WORKLOC1 CITY | Milpitas |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95035 |
| LCA CASE WAGE RATE FROM | 128235.12 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 91354 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Faith |
| PREPARER FIRST NAME | Brittany |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | Grant, Konvalinka & Harrison, PC |
| PREPARER EMAIL | [email protected] |