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Case Number: A-19112-95641

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19112-95641

Case Status

Certified-Expired

Received Date

2019-04-19

Decision Date

2020-04-01

Refile

N

Original File Date

2020-01-01 07:14:32

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

RABETH ADULT FAMILY HOME, LLC

Employer Name Slug

rabeth-adult-family-home-llc

Employer Address 1

12635 84TH AVENUE

Employer Address 2

Employer City

SOUTH SEATTLE

Employer City Slug

south-seattle

Employer State

WASHINGTON

Employer State Slug

washington

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

98178

Employer Phone

206-229-0782

Employer Number of Employees

2

Employer Year Commenced Business

2012

NAICS Code

623312

FW Ownership Interest

N

Employer Contact Name

RAMIL BERGANTINOS

Employer Contact Address 1

12635 84TH AVENUE

Employer Contact Address 2

Employer Contact City

SOUTH SEATTLE

Employer Contact State/Province

WASHINGTON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

98178

Employer Contact Phone

206-229-0782

Employer Contact Email

BETHAL1216@YAHOO.COM

Agent Attorney Name

JESSE P CORONEL

Agent Attorney Firm Name

JPC IMMIGRATION SERVICES

Agent Attorney Phone

213-384-6651

Agent Attorney Address 1

3660 WILSHIRE BLVD. SUITE 1124

Agent Attorney Address 2

Agent Attorney City

LOS ANGELES

Agent Attorney State/Province

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90010

Agent Attorney Email

JESCOR@AOL.COM

PW Track Number

P10018249825014

PW SOC Code

31-1011

PW SOC Title

CAREGIVER

PW Skill Level

Level II

PW Wage

13.80

PW Unit of Pay

Hour

PW Wage Source

OES

PW Determination Date

2019-01-11

PW Expiration Date

2019-06-30

Wage Offer From

13.80

Wage Offer To

0.00

Average Salary

13.80

Wage Unit of Pay

Hour

Worksite Address 1

12635 84TH AVENUE

Worksite Address 2

Worksite City

SOUTH SEATTLE

Worksite City Slug

south-seattle

Worksite State

WASHINGTON

Worksite Postal Code

98178

Job Title

CAREGIVER

Job Title Slug

caregiver

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

6

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

NONE

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

2019-01-18

SWA Job Order End Date

2019-02-20

Sunday Edition Newspaper

Y

First Newspaper Name

SEATTLE TIMES NEWSPAPER

First Advertisement Start Date

2019-02-17

Second Newspaper Ad Name

SEATTLE TIMES NEWSPAPER

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-02-24

Employer Website From Date

2020-01-01 07:14:32

Employer Website To Date

2020-01-01 07:14:32

Professional Organization Ad From Date

2020-01-01 07:14:32

Professional Organization Advertisement To Date

2020-01-01 07:14:32

Job Search Website From Date

2020-01-01 07:14:32

Job Search Website To Date

2020-01-01 07:14:32

Employee Referral Program From Date

2020-01-01 07:14:32

Employee Referral Program To Date

2020-01-01 07:14:32

Local Ethnic Paper From Date

2020-01-01 07:14:32

Local Ethnic Paper To Date

2020-01-01 07:14:32

Radio/TV Ad From Date

2020-01-01 07:14:32

Radio/TV Ad To Date

2020-01-01 07:14:32

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

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

1985

Foreign Worker Institution of Education

MINDANAO STATE UNIVERSITY

Foreign Worker Education Institution Address 1

ANDRES BONIFACIO AVEUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ILIGAN CITY

Foreign Worker Education Institution State/Province

LANAO DEL N

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

9200

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

JESSE P CORONEL

Preparer Title

EMPLOYERS AGENT

Preparer Email

JESCOR@AOL.COM

Employer Information Declaration Name

RAMIL BERGANTINOS

Employer Information Declaration Title

ADMINISTRATOR