Fiscal Year

2017

Case Number

A-16259-53089

Case Status

Certified-Expired

Received Date

2016-09-25

Decision Date

2016-12-07

Refile

N

Original File Date

2017-01-01 04:35:51

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Familia Dental Racine LLC

Employer Name Slug

familia-dental-racine-llc

Employer Address 1

5201 Washington Ave.

Employer Address 2

Suite A

Employer City

Racine

Employer City Slug

racine

Employer State

WI

Employer State Slug

wi

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

53406

Employer Phone

847-915-3019

Employer Number of Employees

19

Employer Year Commenced Business

2015

NAICS Code

FW Ownership Interest

N

Employer Contact Name

Employer Contact Address 1

Employer Contact Address 2

Employer Contact City

Employer Contact State/Province

Employer Contact Country

Employer Contact Postal Code

Employer Contact Phone

Employer Contact Email

Agent Attorney Name

Agent Attorney Firm Name

Ogletree, Deakins, Nash, Smoak & Stewart, P.C.

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Austin

Agent Attorney State/Province

TX

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10016105752976

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

Level I

PW Wage

187.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2016-06-28

PW Expiration Date

2016-09-26

Wage Offer From

187.00

Wage Offer To

0.00

Average Salary

187.00

Wage Unit of Pay

Year

Worksite Address 1

Worksite Address 2

Worksite City

Racine

Worksite City Slug

racine

Worksite State

WI

Worksite Postal Code

53406

Job Title

General Dentist

Job Title Slug

general-dentist

Minimum Education

Other

Major Field of Study

Dental Surgery

Required Training

N

Required Experience

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Doctor of Dental Medicine (D.M.D)

Accept Alternative Combination

Accept Alternative Combination Education

N

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

Doctor of Dental Medicine (D.M.D)

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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2016-04-14

SWA Job Order End Date

2016-05-17

Sunday Edition Newspaper

Y

First Newspaper Name

Milwaukee Journal Sentinel

First Advertisement Start Date

2016-05-08

Second Newspaper Ad Name

Milwaukee Journal Sentinel

Second Advertisement Type

Y

Second Ad Start Date

2016-05-15

Employer Website From Date

2016-05-11

Employer Website To Date

2016-05-23

Professional Organization Ad From Date

2017-01-01 04:35:51

Professional Organization Advertisement To Date

2017-01-01 04:35:51

Job Search Website From Date

2016-05-12

Job Search Website To Date

2016-05-23

Employee Referral Program From Date

2016-05-12

Employee Referral Program To Date

2016-05-23

Local Ethnic Paper From Date

2017-01-01 04:35:51

Local Ethnic Paper To Date

2017-01-01 04:35:51

Radio/TV Ad From Date

2017-01-01 04:35:51

Radio/TV Ad To Date

2017-01-01 04:35:51

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

IRAN

Foreign Worker Birth Country

IRAN

Class of Admission

F-1

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL SURGERY

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

UNIVERSITY OF COLORADO DENVER

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

Foreign Worker Employer Pays for Education

Foreign Worker Currently Employed

Employer Completed Application

Preparer Name

Preparer Title

Shareholder/ Attorney

Preparer Email

Employer Information Declaration Name

Employer Information Declaration Title

President