| CASE NUMBER | I-200-25059-733815 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/28/2025 |
| DECISION DATE | 3/7/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Manager IT Data as a Service |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/10/2025 |
| END DATE | 3/9/2028 |
| 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 | Ahold Delhaize USA Services, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2110 Executive Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Salisbury |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28147 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17043104277 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 445110 |
| EMPLOYER POC LAST NAME | Rogers |
| EMPLOYER POC FIRST NAME | Dawn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, HR Business Partner |
| EMPLOYER POC ADDRESS1 | 2110 Executive Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Salisbury |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28147 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17043104277 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Dawn.Rogers@adusa.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Callaghan |
| AGENT ATTORNEY FIRST NAME | Dalina |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2200 Pennsylvania Avenue, NW |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20037 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12026623022 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | DCallaghan@hunton.com |
| LAWFIRM NAME BUSINESS NAME | Hunton Andrews Kurth LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2110 Executive Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Salisbury |
| WORKSITE COUNTY | ROWAN |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 28147 |
| WAGE RATE OF PAY FROM | $160,422.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $226,800.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $160,422.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2024 |
| PW SURVEY PUBLISHER | Willis Towers Watson |
| PW SURVEY NAME | Genl Industry, Middle Mgmt, Professional & Support Survey |
| 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 | Hasegawa |
| PREPARER FIRST NAME | Mika |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Hunton Andrews Kurth LLP |
| PREPARER EMAIL | mhasegawa@hunton.com |
| BEGIN DATE CONVERTED | 2025-03-10 |
