All Details of Green Card Application:

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Case Number: A-22088-32576

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22088-32576

Case Status

Certified

Received Date

2022-04-01

Decision Date

2022-12-22

Refile

N

Original File Date

2023-01-01 17:59:14

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

CRUSADERS CENTRAL CLINIC ASSOCIATION

Employer Name Slug

crusaders-central-clinic-association

Employer Address 1

1200 WEST STATE STREET

Employer Address 2

Employer City

ROCKFORD

Employer City Slug

rockford

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

61102

Employer Phone

(815) 490-1600

Employer Number of Employees

307

Employer Year Commenced Business

1970

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

PeggyAnne Davenport

Employer Contact Address 1

1200 WEST STATE STREET

Employer Contact Address 2

Employer Contact City

ROCKFORD

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

61102

Employer Contact Phone

(815) 490-1600

Employer Contact Email

pdavenport@crusaderhealth.org

Agent Attorney Name

JAN PEDERSON

Agent Attorney Firm Name

Wright, Constable Skeen, LLP

Agent Attorney Phone

2405830003

Agent Attorney Address 1

6931 Arlington Road

Agent Attorney Address 2

Suite 450

Agent Attorney City

Bethesda

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

20814

Agent Attorney Email

jan@wcslaw.com

PW Track Number

P10021193457176

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

Level I

PW Wage

51438.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-03-28

PW Expiration Date

2022-06-30

Wage Offer From

128865.00

Wage Offer To

0.00

Average Salary

128865.00

Wage Unit of Pay

Year

Worksite Address 1

1200 W STATE ST

Worksite Address 2

Worksite City

ROCKFORD

Worksite City Slug

rockford

Worksite State

ILLINOIS

Worksite Postal Code

61102

Job Title

DENTIST

Job Title Slug

dentist

Minimum Education

Other

Major Field of Study

DENTISTRY

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

MUST HAVE D.D.S. OR D.M.D. DEGREE; FULL AND UNRESTRICTED LICENSE TO PRACTICE DENTISTRY IN IL.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2021-10-15

SWA Job Order End Date

2021-11-17

Sunday Edition Newspaper

Y

First Newspaper Name

Rockford Register Star

First Advertisement Start Date

2021-10-24

Second Newspaper Ad Name

Rockford Register Star

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-10-31

Employer Website From Date

2023-01-01 17:59:14

Employer Website To Date

2023-01-01 17:59:14

Professional Organization Ad From Date

2023-01-01 17:59:14

Professional Organization Advertisement To Date

2023-01-01 17:59:14

Job Search Website From Date

2021-10-28

Job Search Website To Date

2021-11-03

Employee Referral Program From Date

2023-01-01 17:59:14

Employee Referral Program To Date

2023-01-01 17:59:14

Local Ethnic Paper From Date

2021-10-27

Local Ethnic Paper To Date

2021-10-27

Radio/TV Ad From Date

2021-11-22

Radio/TV Ad To Date

2021-11-23

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BELGIUM

Foreign Worker Birth Country

RWANDA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTISTRY

Foreign Worker Years of Education Completed

2017

Foreign Worker Institution of Education

HOWARD UNIVERSITY COLLEGE OF DENTISTRY

Foreign Worker Education Institution Address 1

600 W ST NW #2005

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

WASHINGTON

Foreign Worker Education Institution State/Province

DC

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

20059

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

JAN PEDERSON

Preparer Title

ATTORNEY

Preparer Email

jan@wcslaw.com

Employer Information Declaration Name

SAMUEL MILLER

Employer Information Declaration Title

PRESIDENT CEO