| LCA CASE NUMBER | I-200-24291-413973 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2024-10-17 |
| DECISION DATE | 2024-10-30 |
| ORIGINAL CERT DATE | 2024-10-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HRIS Analyst |
| SOC CODE | 15-1252 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-04-04 |
| END DATE | 2028-04-03 |
| 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 | FormFactor, Inc. |
| EMPLOYER ADDRESS1 | 7005 Southfront Road |
| EMPLOYER CITY | Livermore |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94551 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19252904000 |
| EMPLOYER FEIN | 13-3711155 |
| NAICS CODE | 33441 |
| EMPLOYER POC LAST NAME | Monnig |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Director, People Operations & Transformation |
| EMPLOYER POC ADDRESS1 | 7005 Southfront Road |
| EMPLOYER POC CITY | Livermore |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94551 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19252904000 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pham |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY ADDRESS1 | 909 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9100 SW Gemini Drive |
| LCA CASE WORKLOC1 CITY | Beaverton |
| WORKSITE COUNTY | MULTNOMAH |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97008 |
| LCA CASE WAGE RATE FROM | 112070 |
| LCA CASE WAGE RATE TO | 133300 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112070 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cervantes 89989 |
| PREPARER FIRST NAME | Peter |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Jackson & Hertogs |
| PREPARER EMAIL | [email protected] |