| CASE NUMBER | I-200-24361-572189 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/26/2024 |
| DECISION DATE | 1/3/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sales Planning & Insights Senior Manager |
| SOC CODE | 15-2031.00 |
| SOC TITLE | Operations Research Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/13/2025 |
| END DATE | 1/12/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Formagrid, Inc. |
| TRADE NAME DBA | dba Airtable |
| EMPLOYER ADDRESS1 | 1 Front St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14014396357 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Busalacchi |
| EMPLOYER POC FIRST NAME | Cassandra |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | People Generalist |
| EMPLOYER POC ADDRESS1 | 1 Front St. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16507032202 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | immigration@airtable.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Annand |
| AGENT ATTORNEY FIRST NAME | Christine |
| AGENT ATTORNEY MIDDLE NAME | F. |
| AGENT ATTORNEY ADDRESS1 | 2101 Wilson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Arlington |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17036784000 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | christine@eiglaw.com |
| LAWFIRM NAME BUSINESS NAME | Erickson Immigration Group |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 32 6th Avenue |
| WORKSITE ADDRESS2 | Floor 13, Suite I |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10013 |
| WAGE RATE OF PAY FROM | $277,400.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $138,091.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Fiore |
| PREPARER FIRST NAME | Lisa |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Erickson Immigration Group |
| PREPARER EMAIL | lisaf@eiglaw.com |
| BEGIN DATE CONVERTED | 2025-01-13 |
