Fiscal Year

2022

Case Number

A-21132-85530

Case Status

Certified-Expired

Received Date

2021-05-26

Decision Date

2021-10-25

Refile

N

Original File Date

2022-01-01 10:18:56

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FORMA BRANDS LLC

Employer Name Slug

forma-brands-llc

Employer Address 1

10303 NORRIS AVE

Employer Address 2

Employer City

PACOIMA

Employer City Slug

pacoima

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

91331

Employer Phone

7472273004

Employer Number of Employees

1001

Employer Year Commenced Business

2016

NAICS Code

44612

FW Ownership Interest

N

Employer Contact Name

Anne C Comolli

Employer Contact Address 1

22 Fourth Street, 4th Floor

Employer Contact Address 2

Employer Contact City

San Francisco

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

94103

Employer Contact Phone

4159572005

Employer Contact Email

anne.comolli@formabrands.com

Agent Attorney Name

Jennifer A Grady

Agent Attorney Firm Name

The Grady Firm, P.C.

Agent Attorney Phone

9497986298

Agent Attorney Address 1

4695 MacArthur Court, Suite 1100

Agent Attorney Address 2

Agent Attorney City

Newport Beach

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

92660

Agent Attorney Email

jgrady@gradyfirm.com

PW Track Number

P10020091446939

PW SOC Code

11-3071

PW SOC Title

Director, Supply Chain Operations

PW Skill Level

Level IV

PW Wage

147638.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-07-08

PW Expiration Date

2021-06-30

Wage Offer From

170000.00

Wage Offer To

0.00

Average Salary

170000.00

Wage Unit of Pay

Year

Worksite Address 1

22 4th Street

Worksite Address 2

4th Floor

Worksite City

San Francsico

Worksite City Slug

san-francsico

Worksite State

CALIFORNIA

Worksite Postal Code

94103

Job Title

Director, Supply Chain Operations

Job Title Slug

director-supply-chain-operations

Minimum Education

Other

Major Field of Study

Business Administration and Engineering

Required Training

Y

Required Experience

Y

Required Experience Months

96

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

N

Foreign Language Required

N

Specific Skills

Experience with engineering and complex problemsolving techniques; knowledge of Information Technology supply chain systems and applications; data analysis and project management; and planning, forecasting, and business applications.

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

2020-12-15

SWA Job Order End Date

2021-01-15

Sunday Edition Newspaper

Y

First Newspaper Name

San Francisco Chronicle

First Advertisement Start Date

2020-12-13

Second Newspaper Ad Name

San Francisco Chronicle

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-20

Employer Website From Date

2020-12-22

Employer Website To Date

2021-01-08

Professional Organization Ad From Date

2022-01-01 10:18:56

Professional Organization Advertisement To Date

2022-01-01 10:18:56

Job Search Website From Date

2020-12-23

Job Search Website To Date

2021-01-08

Employee Referral Program From Date

2022-01-01 10:18:56

Employee Referral Program To Date

2022-01-01 10:18:56

Local Ethnic Paper From Date

2020-12-11

Local Ethnic Paper To Date

2020-12-18

Radio/TV Ad From Date

2022-01-01 10:18:56

Radio/TV Ad To Date

2022-01-01 10:18:56

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Master's

Foreign Worker Information: Major

MASTER OF BUSINESS ADMINISTRATION

Foreign Worker Years of Education Completed

2016

Foreign Worker Institution of Education

CORNELL UNIVERSITY

Foreign Worker Education Institution Address 1

616 THURSTON AVENUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ITHACA

Foreign Worker Education Institution State/Province

NY

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

14853

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Jennifer A Grady

Preparer Title

Attorney

Preparer Email

jgrady@gradyfirm.com

Employer Information Declaration Name

Anne M Comolli

Employer Information Declaration Title

Director, Talent Acquisition