| CASE NUMBER | I-200-23334-533326 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/30/2023 |
| DECISION DATE | 12/7/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | ETL Developer - Senior |
| SOC CODE | 15-1243.01 |
| SOC TITLE | Data Warehousing Specialists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/21/2024 |
| END DATE | 2/20/2027 |
| 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 | VCU Health System Authority |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 830 E. Main St. |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Richmond |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18046280011 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Fleming |
| EMPLOYER POC FIRST NAME | Jose |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Immigration Coordinator |
| EMPLOYER POC ADDRESS1 | 830 E. Main St. |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Richmond |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18048283632 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jose.fleming@vcuhealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Konrad |
| AGENT ATTORNEY FIRST NAME | Helen |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 1111 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18047753825 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | hkonrad@lawmh.com |
| LAWFIRM NAME BUSINESS NAME | McCandlish Holton, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 7818 E. Parham Rd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Richmond |
| WORKSITE COUNTY | HENRICO |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 23294 |
| WAGE RATE OF PAY FROM | 104645 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $104,645.00 |
| 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 | 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 | Barger |
| PREPARER FIRST NAME | Meghan |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | McCandlish Holton, PC |
| PREPARER EMAIL | mbarger@lawmh.com |
| BEGIN DATE CONVERTED | 2025-09-02 |
