| CASE NUMBER | I-200-24058-750120 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/26/2024 |
| DECISION DATE | 3/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Director, IT Quality Engineering & Release Automation |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/13/2024 |
| END DATE | 8/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | USIS Consults, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1190 Winterson Road, Suite 100 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Linthicum |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21090 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14108598600 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 5416 |
| EMPLOYER POC LAST NAME | Burke |
| EMPLOYER POC FIRST NAME | Donna |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Operations/Administration |
| EMPLOYER POC ADDRESS1 | 1190 Winterson Road, Suite 100 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Linthicum |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21090 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14106944019 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dburke@acrisure.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Pangilinan |
| AGENT ATTORNEY FIRST NAME | Don |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 930 Montgomery St. Ste. 502 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18009742691 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dongroup@lpimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Levin and Pangilinan PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | State Compensation Insurance Fund |
| WORKSITE ADDRESS1 | 5880 Owens Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Pleasanton |
| WORKSITE COUNTY | ALAMEDA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 94588 |
| WAGE RATE OF PAY FROM | 293550 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $274,206.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-08 |
