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Case Number: A-18198-97998

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-18198-97998

Case Status

Certified-Expired

Received Date

2019-06-13

Decision Date

2020-03-13

Refile

N

Original File Date

2020-01-01 07:04:24

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Rachel Wallach

Employer Name Slug

rachel-wallach

Employer Address 1

21917 78th Pl W

Employer Address 2

Employer City

Edmonds

Employer City Slug

edmonds

Employer State

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98026

Employer Phone

4254207903

Employer Number of Employees

1

Employer Year Commenced Business

2017

NAICS Code

6241

FW Ownership Interest

Y

Employer Contact Name

Rachel Wallach

Employer Contact Address 1

21917 78th Pl W

Employer Contact Address 2

Employer Contact City

Edmonds

Employer Contact State/Province

WASHINGTON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98026

Employer Contact Phone

4254207903

Employer Contact Email

rnaftali@gmail.com

Agent Attorney Name

Kerner Andersson M Anna

Agent Attorney Firm Name

Kerner Andersson Law Firm

Agent Attorney Phone

6058300780

Agent Attorney Address 1

PO BOX 143

Agent Attorney Address 2

Agent Attorney City

Burke

Agent Attorney State/Province

SOUTH DAKOTA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

57523

Agent Attorney Email

ANNA@KERNERLEGAL.COM

PW Track Number

P10018248065261

PW SOC Code

39-9011

PW SOC Title

Nannies

PW Skill Level

Level I

PW Wage

24232.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-02-21

PW Expiration Date

2019-06-30

Wage Offer From

24232.00

Wage Offer To

0.00

Average Salary

24232.00

Wage Unit of Pay

Year

Worksite Address 1

21917 78th Pl W

Worksite Address 2

Worksite City

Edmonds

Worksite City Slug

edmonds

Worksite State

WASHINGTON

Worksite Postal Code

98026

Job Title

Live-out Nanny

Job Title Slug

live-out-nanny

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 possess valid CPR FirstAid certificates.

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

2019-02-28

SWA Job Order End Date

2019-04-01

Sunday Edition Newspaper

Y

First Newspaper Name

Everett Daily Herald

First Advertisement Start Date

2019-04-14

Second Newspaper Ad Name

Everett Daily Herald

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-04-21

Employer Website From Date

2020-01-01 07:04:24

Employer Website To Date

2020-01-01 07:04:24

Professional Organization Ad From Date

2020-01-01 07:04:24

Professional Organization Advertisement To Date

2020-01-01 07:04:24

Job Search Website From Date

2020-01-01 07:04:24

Job Search Website To Date

2020-01-01 07:04:24

Employee Referral Program From Date

2020-01-01 07:04:24

Employee Referral Program To Date

2020-01-01 07:04:24

Local Ethnic Paper From Date

2020-01-01 07:04:24

Local Ethnic Paper To Date

2020-01-01 07:04:24

Radio/TV Ad From Date

2020-01-01 07:04:24

Radio/TV Ad To Date

2020-01-01 07:04:24

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDONESIA

Foreign Worker Birth Country

INDONESIA

Class of Admission

Not in USA

Foreign Worker Education

High School

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

2000

Foreign Worker Institution of Education

BPK PENABUR BELAJAR

Foreign Worker Education Institution Address 1

SMAK 3 BPK PENABUR

Foreign Worker Education Institution Address 2

JALAN RAYA CIBEUREUM NO. 92

Foreign Worker Education Institution City

BANDUNG

Foreign Worker Education Institution State/Province

WEST JAVA

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

40184

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Anna Kerner Andersson

Preparer Title

Attorney

Preparer Email

anna@kernerlegal.com

Employer Information Declaration Name

Wallach Rachel

Employer Information Declaration Title

Owner