Fiscal Year

2020

Case Number

A-20073-30661

Case Status

Certified

Received Date

2020-03-13

Decision Date

2020-07-16

Refile

N

Original File Date

2020-01-01 19:54:31

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

OM TRIAD INC

Employer Name Slug

om-triad-inc

Employer Address 1

7915 NC HWY 68 N.

Employer Address 2

Employer City

STOKESDALE

Employer City Slug

stokesdale

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

27357

Employer Phone

336-587-5872

Employer Number of Employees

8

Employer Year Commenced Business

2014

NAICS Code

445120

FW Ownership Interest

N

Employer Contact Name

PINAKIN OZA

Employer Contact Address 1

7 LOCHSIDE CT.

Employer Contact Address 2

Employer Contact City

GREENSBORO

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

27410

Employer Contact Phone

336-587-5872

Employer Contact Email

ozainc94@gmail.com

Agent Attorney Name

William I Jang

Agent Attorney Firm Name

Law Office of William Jang, PLLC

Agent Attorney Phone

5123232333

Agent Attorney Address 1

314 E. Highland Mall Blvd. #406

Agent Attorney Address 2

Agent Attorney City

Austin

Agent Attorney State/Province

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

78752

Agent Attorney Email

william@wjanglaw.com

PW Track Number

P10019249052691

PW SOC Code

41-2011

PW SOC Title

Convenience Store Clerk

PW Skill Level

Level I

PW Wage

17493.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-01-10

PW Expiration Date

2020-06-30

Wage Offer From

17493.00

Wage Offer To

0.00

Average Salary

17493.00

Wage Unit of Pay

Year

Worksite Address 1

7915 NC Hwy 68 N.

Worksite Address 2

Worksite City

Stokesdale

Worksite City Slug

stokesdale

Worksite State

NORTH CAROLINA

Worksite Postal Code

27357

Job Title

Convenience Store Clerk

Job Title Slug

convenience-store-clerk

Minimum Education

High School

Major Field of Study

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 be able to repeatedly lift and stock items weighing up to 25 lbs and be willing to work varying shifts, including nights. Must undergo criminal background check and not have any felony or moral turpitude conviction. Experience not required.

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

N

Application for College/University Teacher

N

SWA Job Order Start Date

2020-01-12

SWA Job Order End Date

2020-02-11

Sunday Edition Newspaper

Y

First Newspaper Name

News Record

First Advertisement Start Date

2020-01-19

Second Newspaper Ad Name

News Record

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-01-26

Employer Website From Date

2020-01-01 19:54:31

Employer Website To Date

2020-01-01 19:54:31

Professional Organization Ad From Date

2020-01-01 19:54:31

Professional Organization Advertisement To Date

2020-01-01 19:54:31

Job Search Website From Date

2020-01-01 19:54:31

Job Search Website To Date

2020-01-01 19:54:31

Employee Referral Program From Date

2020-01-01 19:54:31

Employee Referral Program To Date

2020-01-01 19:54:31

Local Ethnic Paper From Date

2020-01-01 19:54:31

Local Ethnic Paper To Date

2020-01-01 19:54:31

Radio/TV Ad From Date

2020-01-01 19:54:31

Radio/TV Ad To Date

2020-01-01 19:54:31

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

AUSTRALIA

Foreign Worker Birth Country

INDIA

Class of Admission

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

1992

Foreign Worker Institution of Education

SANKAT MOCHAN INTER COLLEGE

Foreign Worker Education Institution Address 1

SINGHPUR, SARNATH

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

VARANASI

Foreign Worker Education Institution State/Province

UTTAR PRADESH

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

221007

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

William I Jang

Preparer Title

Attorney

Preparer Email

william@wjanglaw.com

Employer Information Declaration Name

Pinakin Oza

Employer Information Declaration Title

Manager