All Details of Green Card Application:

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Case Number: A-21356-90154

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21356-90154

Case Status

Certified

Received Date

2022-01-12

Decision Date

2022-08-31

Refile

N

Original File Date

2022-01-01 06:34:41

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FormAssembly, Inc.

Employer Name Slug

formassembly-inc

Employer Address 1

885 S. College Mall Road, #399

Employer Address 2

Employer City

Bloomington

Employer City Slug

bloomington

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

47401

Employer Phone

(844) 293-2367

Employer Number of Employees

71

Employer Year Commenced Business

2006

NAICS Code

541990

FW Ownership Interest

N

Employer Contact Name

Joseph Owens-Barham

Employer Contact Address 1

885 S. College Mall Road, #399

Employer Contact Address 2

Employer Contact City

Bloomington

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

47401

Employer Contact Phone

(844) 293-2367

Employer Contact Email

joey@formassembly.com

Agent Attorney Name

Navid Dayzad

Agent Attorney Firm Name

Dayzad Law Offices PC

Agent Attorney Phone

(213) 380-6280

Agent Attorney Address 1

3731 Wilshire Boulevard

Agent Attorney Address 2

Suite 810

Agent Attorney City

Los Angeles

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90010

Agent Attorney Email

dayzad@dayzadlaw.com

PW Track Number

P10021029041273

PW SOC Code

11-3021

PW SOC Title

Computer and Information Systems Managers

PW Skill Level

Level IV

PW Wage

122429.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-06-11

PW Expiration Date

2021-09-09

Wage Offer From

175000.00

Wage Offer To

0.00

Average Salary

175000.00

Wage Unit of Pay

Year

Worksite Address 1

885 S. College Mall Road, #399

Worksite Address 2

Fulltime telecommuting permitted from any location in the United States

Worksite City

Bloomington

Worksite City Slug

bloomington

Worksite State

INDIANA

Worksite Postal Code

47401

Job Title

IT Security Manager, VP

Job Title Slug

it-security-manager-vp

Minimum Education

Bachelor's

Major Field of Study

Computer Science, Software Engineering, or closely related field

Required Training

N

Required Experience

Y

Required Experience Months

60

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

closely related fields

Accept Alternative Combination

Y

Accept Alternative Combination Education

Other

Accept Alternative Combination Education Years

5

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

60

Accept Alternative Job Title

See H11 Below

Job Opportunity Requirements Normal

N

Foreign Language Required

N

Specific Skills

Qualified candidates must possess a Bachelors degree in Computer Science, Software Engineering, or closely related field plus 5 years of experience. Of the required experience, must have at least 4 years of experience in each of the following System Architecture and Solution Design; All of the following information security standards PCI DSS, SOC 1 Type 1, HIPAA, GDPR, CCPA, NIST, and FedRamp; Infrastructure, code adoption, and implementation using AWS and IBM Softlayer; Database administration using all of the following technologies Oracle, MSSQL, AWS Aurora, and MYSQL; Managing an information technology budget of over 1 million USD; Cloud migration, design, and execution. Fulltime telecommuting permitted from any location in the United States. In lieu of a Bachelors degree, employer will accept 2 additional years of work experience managing IT security and infrastructure at the director level or above. Employer will accept any suitable combination of education, training, or experience.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2021-07-28

SWA Job Order End Date

2021-08-27

Sunday Edition Newspaper

Y

First Newspaper Name

Bloomington HeraldTimes

First Advertisement Start Date

2021-08-01

Second Newspaper Ad Name

Bloomington HeraldTimes

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-08-08

Employer Website From Date

2021-07-26

Employer Website To Date

2021-08-09

Professional Organization Ad From Date

2022-01-01 06:34:41

Professional Organization Advertisement To Date

2022-01-01 06:34:41

Job Search Website From Date

2021-07-27

Job Search Website To Date

2021-08-10

Employee Referral Program From Date

2022-01-01 06:34:41

Employee Referral Program To Date

2022-01-01 06:34:41

Local Ethnic Paper From Date

2022-01-01 06:34:41

Local Ethnic Paper To Date

2022-01-01 06:34:41

Radio/TV Ad From Date

2022-01-01 06:34:41

Radio/TV Ad To Date

2022-01-01 06:34:41

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

INDIA

Class of Admission

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

CHEMISTRY

Foreign Worker Years of Education Completed

1999

Foreign Worker Institution of Education

SAURASHTRA UNIVERSITY

Foreign Worker Education Institution Address 1

SAURASHTRA UNIVERSITY CAMPUS, MUNJKA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

RAJKOT

Foreign Worker Education Institution State/Province

GUJARAT

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

360005

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Navid Dayzad

Preparer Title

Senior Attorney

Preparer Email

dayzad@dayzadlaw.com

Employer Information Declaration Name

Joey OwensBarham

Employer Information Declaration Title

Director of Talent and Culture