| CASE NUMBER | I-200-24064-768314 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/4/2024 |
| DECISION DATE | 3/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sr. Validation & Compliance Associate |
| SOC CODE | 17-2031.00 |
| SOC TITLE | Bioengineers and Biomedical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/13/2024 |
| END DATE | 3/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | 4D Molecular Therapeutics, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5858 Horton Street |
| EMPLOYER ADDRESS2 | Suite 455 |
| EMPLOYER CITY | Emeryville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15109363466 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 54171 |
| EMPLOYER POC LAST NAME | Reynolds |
| EMPLOYER POC FIRST NAME | Elza |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. Recruiting Manager |
| EMPLOYER POC ADDRESS1 | 5858 Horton Street |
| EMPLOYER POC ADDRESS2 | Suite 455 |
| EMPLOYER POC CITY | Emeryville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15109363466 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ereynolds@4dmt.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Macri |
| AGENT ATTORNEY FIRST NAME | Julia |
| AGENT ATTORNEY MIDDLE NAME | |
| 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 PROVINCE | CA |
| AGENT ATTORNEY PHONE | 14159864559 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jmacri@jackson-hertogs.com |
| LAWFIRM NAME BUSINESS NAME | Jackson & Hertogs LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5858 Horton Street |
| WORKSITE ADDRESS2 | Suite 455 |
| WORKSITE CITY | Emeryville |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94608 |
| WAGE RATE OF PAY FROM | 130000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $150,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $129,168.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cruz - 93043 |
| PREPARER FIRST NAME | Jose |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Jackson & Hertogs LLP |
| PREPARER EMAIL | jcruz@jackson-hertogs.com |
| BEGIN DATE CONVERTED | 2025-01-03 |
