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Case Number: A-22041-10152

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22041-10152

Case Status

Certified

Received Date

2022-02-21

Decision Date

2022-11-08

Refile

N

Original File Date

2023-01-01 18:13:26

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Kristen Golubov

Employer Name Slug

kristen-golubov

Employer Address 1

26 orchard drive

Employer Address 2

Employer City

new canaan

Employer City Slug

new-canaan

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6840

Employer Phone

9142609884

Employer Number of Employees

1

Employer Year Commenced Business

2021

NAICS Code

814110

FW Ownership Interest

N

Employer Contact Name

kristen golubov

Employer Contact Address 1

26 orchard drive

Employer Contact Address 2

Employer Contact City

new canaan

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6840

Employer Contact Phone

9142609884

Employer Contact Email

kristen.golubov@gmail.com

Agent Attorney Name

Marjorie J Siegel

Agent Attorney Firm Name

Law Office of Marjorie Siegel

Agent Attorney Phone

2123700103

Agent Attorney Address 1

60 East 42nd Street

Agent Attorney Address 2

Suite 4700

Agent Attorney City

NEW YORK

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

10165

Agent Attorney Email

MARGIELAW@ATT.NET

PW Track Number

10021106231828

PW SOC Code

37-2012

PW SOC Title

MAIDS AND HOUSEKEEPING CLEANERS

PW Skill Level

Level II

PW Wage

28787.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-09-21

PW Expiration Date

2022-06-30

Wage Offer From

28787.00

Wage Offer To

0.00

Average Salary

28787.00

Wage Unit of Pay

Year

Worksite Address 1

26 ORCHARD DRIVE

Worksite Address 2

Worksite City

NEW CANAAN

Worksite City Slug

new-canaan

Worksite State

CONNECTICUT

Worksite Postal Code

6840

Job Title

LIVE-IN HOUSEKEEPER

Job Title Slug

live-in-housekeeper

Minimum Education

None

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

3

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

N

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

References required; no smoking in premises or around the children.

Combination Occupation

Y

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

Y

Foreign Worker Live in Domestic Service

Y

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

2021-10-15

SWA Job Order End Date

2021-11-30

Sunday Edition Newspaper

Y

First Newspaper Name

New York Post

First Advertisement Start Date

2021-10-31

Second Newspaper Ad Name

New York Post

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-11-07

Employer Website From Date

2023-01-01 18:13:26

Employer Website To Date

2023-01-01 18:13:26

Professional Organization Ad From Date

2023-01-01 18:13:26

Professional Organization Advertisement To Date

2023-01-01 18:13:26

Job Search Website From Date

2023-01-01 18:13:26

Job Search Website To Date

2023-01-01 18:13:26

Employee Referral Program From Date

2023-01-01 18:13:26

Employee Referral Program To Date

2023-01-01 18:13:26

Local Ethnic Paper From Date

2023-01-01 18:13:26

Local Ethnic Paper To Date

2023-01-01 18:13:26

Radio/TV Ad From Date

2023-01-01 18:13:26

Radio/TV Ad To Date

2023-01-01 18:13:26

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BRAZIL

Foreign Worker Birth Country

BRAZIL

Class of Admission

J-1

Foreign Worker Education

None

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

Foreign Worker Institution of Education

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

MARJORIE J SIEGEL

Preparer Title

ATTORNEY

Preparer Email

MARGIELAW@ATT.NET

Employer Information Declaration Name

KRISTEN GOLUBOV

Employer Information Declaration Title

EMPLOYER