| LCA CASE NUMBER | I-200-21242-554102 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-08-30 |
| DECISION DATE | 2022-10-20 |
| ORIGINAL CERT DATE | 2021-09-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DevOps Engineer |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | Formac Inc |
| EMPLOYER ADDRESS1 | 3155 Kearney Street |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Fremont |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94538 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15103799024 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Danda |
| EMPLOYER POC FIRST NAME | Ram |
| EMPLOYER POC MIDDLE NAME | Naresh |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 3155 Kearney Street |
| EMPLOYER POC ADDRESS2 | Suite 210 |
| EMPLOYER POC CITY | Fremont |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94538 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19032627113 |
| EMPLOYER POC EMAIL | naresh@formacinc.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9711 E Mountain View Rd |
| WORKSITE ADDRESS2 | Apt # 2533 |
| LCA CASE WORKLOC1 CITY | SCOTTSDALE |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85258 |
| LCA CASE WAGE RATE FROM | 87000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 86632 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | $60,000 or higher annual wage |
| PUBLIC DISCLOSURE | Disclose Business |