| CASE NUMBER | I-200-24015-641255 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/15/2024 |
| DECISION DATE | 1/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | SR. DATABASE ADMINISTRATOR |
| SOC CODE | 15-1242.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/2/2024 |
| END DATE | 2/1/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | QSI SERVICES INC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5225 A HICKORY PARK DR. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | GLEN ALLEN |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23059 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18044147902 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | MALPANI |
| EMPLOYER POC FIRST NAME | AJAY |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | C E O |
| EMPLOYER POC ADDRESS1 | 5225 A HICKORY PARK DR. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | GLEN ALLEN |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23059 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18044147902 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | AJAY.MALPANI@QSISERVICES.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | KOZAR, ESQ. |
| AGENT ATTORNEY FIRST NAME | MIKA B. |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 5 INDEPENDENCE WAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 160 |
| AGENT ATTORNEY CITY | PRINCETON |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8540 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17328327978 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ICERT@TVALAWYERS.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF THOMAS V. ALLEN, PLLC. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELLATE COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | STATE FUND COMPENSATION INSURANCE FUND |
| WORKSITE ADDRESS1 | 5880 OWENS DR. |
| WORKSITE ADDRESS2 | BUILDING #B |
| WORKSITE CITY | PLEASANTON |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94588 |
| WAGE RATE OF PAY FROM | 127712 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $127,712.00 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-02-02 |
