| LCA CASE NUMBER | I-203-20282-870554 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-07 |
| DECISION DATE | 2020-10-15 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Principal Architect |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-12 |
| END DATE | 2022-10-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | FORMATION, INC. |
| EMPLOYER ADDRESS1 | 35 STILLMAN STREET |
| EMPLOYER CITY | SAN FRANCISCO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16502572277 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | DAME |
| EMPLOYER POC FIRST NAME | MAX |
| EMPLOYER POC JOB TITLE | VP of Finance |
| EMPLOYER POC ADDRESS 1 | 35 STILLMAN STREET |
| EMPLOYER POC CITY | SAN FRANCISCO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16502572277 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Aliaskari |
| AGENT ATTORNEY FIRST NAME | Mahsa |
| AGENT ATTORNEY ADDRESS1 | 601 South Figueroa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12132709679 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 35 Stillman Street |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94107 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE TO | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 169562 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Serrano |
| PREPARER FIRST NAME | Cynthia |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP |
| PREPARER EMAIL | [email protected] |
