| LCA CASE NUMBER | I-200-25077-784869 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-03-18 |
| DECISION DATE | 2025-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Software Engineer |
| SOC CODE | 15-1252 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-03-25 |
| END DATE | 2028-03-24 |
| 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 | Formation Bio, Inc. |
| EMPLOYER ADDRESS1 | 16 East 34th Street |
| EMPLOYER ADDRESS2 | Floor 10 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16468672932 |
| EMPLOYER FEIN | 47-1134239 |
| NAICS CODE | 541715 |
| EMPLOYER POC LAST NAME | Enbar |
| EMPLOYER POC FIRST NAME | Melissa |
| EMPLOYER POC JOB TITLE | Chief People Officer |
| EMPLOYER POC ADDRESS1 | 16 East 34th Street |
| EMPLOYER POC ADDRESS2 | Floor 10 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16317669620 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Zaritzky |
| AGENT ATTORNEY ADDRESS1 | 8001 S. 13th Street |
| AGENT ATTORNEY CITY | Lincoln |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68512 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023289899 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Brown Immigration Law P.C., L.L.O. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 16 East 34th Street |
| WORKSITE ADDRESS2 | Floor 10 |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10016 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE TO | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 151819 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |