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Case Number: A-23115-32834

Fiscal year: 2024

Fiscal Year

2024

Case Number

A-23115-32834

Case Status

Certified

Received Date

2023-05-05

Decision Date

2024-05-22

Refile

N

Original File Date

2024-01-01 01:24:48

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BELLA VISTA SENIOR CARE LLC

Employer Name Slug

bella-vista-senior-care-llc

Employer Address 1

631 HAZEL ST

Employer Address 2

Employer City

OSHKOSH

Employer City Slug

oshkosh

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54901

Employer Phone

920-233-6667

Employer Number of Employees

84

Employer Year Commenced Business

2021

NAICS Code

623311

FW Ownership Interest

N

Employer Contact Name

Melanie Baron

Employer Contact Address 1

631 Hazel St

Employer Contact Address 2

Employer Contact City

Oshkosh

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54901

Employer Contact Phone

920-233-6667

Employer Contact Email

mbaron@edenseniorhc.com

Agent Attorney Name

YoungEon Kim

Agent Attorney Firm Name

Mirae Law LLC

Agent Attorney Phone

8472970009 Ext. 4

Agent Attorney Address 1

1701 Golf Rd. 11106

Agent Attorney Address 2

Agent Attorney City

Rolling Meadows

Agent Attorney State/Province

ILLINOIS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

60008

Agent Attorney Email

ryan@miraelaw.com

PW Track Number

P10022040889812

PW SOC Code

35-3041

PW SOC Title

Food Servers, Nonrestaurant

PW Skill Level

Level I

PW Wage

19406.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2023-01-17

PW Expiration Date

2023-06-30

Wage Offer From

19406.00

Wage Offer To

0.00

Average Salary

19406.00

Wage Unit of Pay

Year

Worksite Address 1

631 Hazel St.

Worksite Address 2

Worksite City

Oshkosh

Worksite City Slug

oshkosh

Worksite State

WISCONSIN

Worksite Postal Code

54901

Job Title

Server

Job Title Slug

server

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

Completion of the Tests of General Educational Development GED is acceptable in lieu of high school diploma.

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

2023-01-25

SWA Job Order End Date

2023-02-26

Sunday Edition Newspaper

Y

First Newspaper Name

Milwaukee Journal sentinel

First Advertisement Start Date

2023-02-05

Second Newspaper Ad Name

Milwaukee Journal sentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2023-02-12

Employer Website From Date

2024-01-01 01:24:48

Employer Website To Date

2024-01-01 01:24:48

Professional Organization Ad From Date

2024-01-01 01:24:48

Professional Organization Advertisement To Date

2024-01-01 01:24:48

Job Search Website From Date

2024-01-01 01:24:48

Job Search Website To Date

2024-01-01 01:24:48

Employee Referral Program From Date

2024-01-01 01:24:48

Employee Referral Program To Date

2024-01-01 01:24:48

Local Ethnic Paper From Date

2024-01-01 01:24:48

Local Ethnic Paper To Date

2024-01-01 01:24:48

Radio/TV Ad From Date

2024-01-01 01:24:48

Radio/TV Ad To Date

2024-01-01 01:24:48

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

E-2

Foreign Worker Education

High School

Foreign Worker Information: Major

GENERAL

Foreign Worker Years of Education Completed

2008

Foreign Worker Institution of Education

SEWON HIGH SCHOOL

Foreign Worker Education Institution Address 1

202, SUPSONGMAEULRO, ILSANDONGGU

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

GOYANGSI

Foreign Worker Education Institution State/Province

GYEONGGIDO

Foreign Worker Education Institution Country

SOUTH KOREA

Foreign Worker Education Institution Postal Code

10305

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

YoungEon Kim

Preparer Title

Attorney at Law

Preparer Email

ryan@miraelaw.com

Employer Information Declaration Name

Melanie Baron

Employer Information Declaration Title

HR Generalist