| CASE NUMBER | I-200-24285-402655 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/11/2024 |
| DECISION DATE | 10/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Business Systems Analyst |
| SOC CODE | 15-1211.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/28/2025 |
| END DATE | 3/27/2028 |
| 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 | Dominion Dental USA Inc |
| TRADE NAME DBA | Dominion National |
| EMPLOYER ADDRESS1 | 251 18th Street South |
| EMPLOYER ADDRESS2 | Suite 900 |
| EMPLOYER CITY | Arlington |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17035185000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524298 |
| EMPLOYER POC LAST NAME | Gilchrist |
| EMPLOYER POC FIRST NAME | Tangela |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 251 18th Street South |
| EMPLOYER POC ADDRESS2 | Suite 900 |
| EMPLOYER POC CITY | Arlington |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17035185000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | tgilchrist@dominionnational.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Bricks |
| AGENT ATTORNEY FIRST NAME | Liath |
| AGENT ATTORNEY MIDDLE NAME | Sharon |
| AGENT ATTORNEY ADDRESS1 | 9071 WEST BROAD STREET |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | HENRICO |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23294 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18043777247 |
| AGENT ATTORNEY PHONE EXT | 211 |
| AGENT ATTORNEY EMAIL ADDRESS | liath@dyerimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Dyer Immigration Law Group, P.C. |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Beneficiary's home address |
| WORKSITE ADDRESS1 | 25565 Emerson Oaks Dr |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Aldie |
| WORKSITE COUNTY | LOUDOUN |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 20105 |
| WAGE RATE OF PAY FROM | $82,098.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $82,098.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | 2025-03-28 |
