All Details of Green Card Application:

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Case Number: A-22056-16635

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22056-16635

Case Status

Certified

Received Date

2022-02-25

Decision Date

2022-11-09

Refile

N

Original File Date

2023-01-01 08:33:01

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

GOLDEN YEARS AT HILLTOP LLC

Employer Name Slug

golden-years-at-hilltop-llc

Employer Address 1

13106 30TH AVE SE

Employer Address 2

Employer City

EVERETT

Employer City Slug

everett

Employer State

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98208

Employer Phone

4257501840

Employer Number of Employees

5

Employer Year Commenced Business

2019

NAICS Code

6233

FW Ownership Interest

N

Employer Contact Name

Orsalem Kahsai

Employer Contact Address 1

13106 30th Ave SE

Employer Contact Address 2

Employer Contact City

Everett

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98208

Employer Contact Phone

4257501840

Employer Contact Email

kahsaio@yahoo.com

Agent Attorney Name

Lourdes S Santos Tancinco

Agent Attorney Firm Name

TANCINCO LAW PC

Agent Attorney Phone

4153970808

Agent Attorney Address 1

1 Hallidie Plaza, Suite 818

Agent Attorney Address 2

Agent Attorney City

San Francisco

Agent Attorney State/Province

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

94102

Agent Attorney Email

lou@tancinco.com

PW Track Number

P10021118268166

PW SOC Code

31-1011

PW SOC Title

Home Health Aide

PW Skill Level

Level I

PW Wage

29848.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-10-25

PW Expiration Date

2022-06-30

Wage Offer From

29848.00

Wage Offer To

0.00

Average Salary

29848.00

Wage Unit of Pay

Year

Worksite Address 1

13106 30th Ave SE

Worksite Address 2

Worksite City

Everett

Worksite City Slug

everett

Worksite State

WASHINGTON

Worksite Postal Code

98208

Job Title

Caregiver

Job Title Slug

caregiver

Minimum Education

High School

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

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

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

2021-11-04

SWA Job Order End Date

2021-12-04

Sunday Edition Newspaper

Y

First Newspaper Name

Seattle Times

First Advertisement Start Date

2021-11-07

Second Newspaper Ad Name

Seattle Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-11-14

Employer Website From Date

2023-01-01 08:33:01

Employer Website To Date

2023-01-01 08:33:01

Professional Organization Ad From Date

2023-01-01 08:33:01

Professional Organization Advertisement To Date

2023-01-01 08:33:01

Job Search Website From Date

2023-01-01 08:33:01

Job Search Website To Date

2023-01-01 08:33:01

Employee Referral Program From Date

2023-01-01 08:33:01

Employee Referral Program To Date

2023-01-01 08:33:01

Local Ethnic Paper From Date

2023-01-01 08:33:01

Local Ethnic Paper To Date

2023-01-01 08:33:01

Radio/TV Ad From Date

2023-01-01 08:33:01

Radio/TV Ad To Date

2023-01-01 08:33:01

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

J-1

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL DIPLOMA ACADEMIC

Foreign Worker Years of Education Completed

1996

Foreign Worker Institution of Education

JIMENEZ BETHEL INSTITUTE

Foreign Worker Education Institution Address 1

BRGY NAGA JIMENEZ

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MISAMIS OCCIDENTAL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

PHILIPPINES

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

Lourdes S TANCINCO

Preparer Title

Attorney

Preparer Email

lou@tancinco.com

Employer Information Declaration Name

Kahsai ORSALEM

Employer Information Declaration Title

ManagerOwner