All Details of Green Card Application:
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Case Number: A-19100-91379
Fiscal year: 2020
Fiscal Year
2020
Case Number
A-19100-91379
Case Status
Certified-Expired
Received Date
2019-04-10
Decision Date
2019-11-26
Refile
N
Original File Date
2020-01-01 07:13:20
Previous SWA Case Number State
Schedule A Sheepherder
N
Employer Name
Poulsen Dental Corporation
Employer Name Slug
poulsen-dental-corporation
Employer Address 1
17000 Red Hill Avenue
Employer Address 2
Employer City
Irvine
Employer City Slug
irvine
Employer State
CALIFORNIA
Employer State Slug
california
Employer Country
UNITED STATES OF AMERICA
Employer Postal Code
92614
Employer Phone
7148458596
Employer Number of Employees
9
Employer Year Commenced Business
2017
NAICS Code
621210
FW Ownership Interest
N
Employer Contact Name
Lena Kimura
Employer Contact Address 1
17000 Red Hill Avenue
Employer Contact Address 2
Employer Contact City
Irvine
Employer Contact State/Province
CALIFORNIA
Employer Contact Country
UNITED STATES OF AMERICA
Employer Contact Postal Code
92614
Employer Contact Phone
7148458596
Employer Contact Email
KimuraL@pacden.com
Agent Attorney Name
Dana A GOLD
Agent Attorney Firm Name
GOLD LAW OFFICES
Agent Attorney Phone
9252320442
Agent Attorney Address 1
1630 N. Main Street, Ste. 44
Agent Attorney Address 2
Agent Attorney City
Walnut Creek
Agent Attorney State/Province
CALIFORNIA
Agent Attorney Country
UNITED STATES OF AMERICA
Agent Attorney Postal Code
94596
Agent Attorney Email
dana@goldlawoffices.com
PW Track Number
P10018264541648
PW SOC Code
29-1021
PW SOC Title
DENTIST
PW Skill Level
Level I
PW Wage
82722.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2018-12-20
PW Expiration Date
2019-06-30
Wage Offer From
125000.00
Wage Offer To
0.00
Average Salary
125000.00
Wage Unit of Pay
Year
Worksite Address 1
29121 Newport Road, Suite 101
Worksite Address 2
Worksite City
Menifee
Worksite City Slug
menifee
Worksite State
CALIFORNIA
Worksite Postal Code
92584
Job Title
DENTIST
Job Title Slug
dentist
Minimum Education
Other
Major Field of Study
DENTISTRY
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 have DDS or DMD degree or foreign equivalent.br Must have valid CA dental license.
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
2018-10-17
SWA Job Order End Date
2018-11-23
Sunday Edition Newspaper
Y
First Newspaper Name
The Press Enterprise
First Advertisement Start Date
2018-12-30
Second Newspaper Ad Name
The Press Enterprise
Second Advertisement Type
Newspaper
Second Ad Start Date
2019-01-06
Employer Website From Date
2020-01-01 07:13:20
Employer Website To Date
2020-01-01 07:13:20
Professional Organization Ad From Date
2020-01-01 07:13:20
Professional Organization Advertisement To Date
2020-01-01 07:13:20
Job Search Website From Date
2018-12-30
Job Search Website To Date
2019-01-13
Employee Referral Program From Date
2019-01-07
Employee Referral Program To Date
2019-01-31
Local Ethnic Paper From Date
2019-01-03
Local Ethnic Paper To Date
2019-01-03
Radio/TV Ad From Date
2020-01-01 07:13:20
Radio/TV Ad To Date
2020-01-01 07:13:20
Employer Received Payment
N
Posted Notice at Worksite
Y
Layoff in Past Six Months
N
Country of Citizenship
CANADA
Foreign Worker Birth Country
CANADA
Class of Admission
Foreign Worker Education
Other
Foreign Worker Information: Major
DENTISTRY
Foreign Worker Years of Education Completed
2018
Foreign Worker Institution of Education
LOMA LINDA UNIVERSITY
Foreign Worker Education Institution Address 1
11092 ANDERSON STREET
Foreign Worker Education Institution Address 2
Foreign Worker Education Institution City
LOMA LINDA
Foreign Worker Education Institution State/Province
CA
Foreign Worker Education Institution Country
UNITED STATES OF AMERICA
Foreign Worker Education Institution Postal Code
92350
Foreign Worker Experience with Employer
N/A
Foreign Worker Employer Pays for Education
N
Foreign Worker Currently Employed
Y
Employer Completed Application
N
Preparer Name
DANA A GOLD
Preparer Title
ATTORNEY AT LAW
Preparer Email
NIELY@goldlawoffices.com
Employer Information Declaration Name
Lena KIMURA
Employer Information Declaration Title
LEGAL ADMINISTRATOR IMMIGRATION