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Case Number: A-19253-55626

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19253-55626

Case Status

Certified

Received Date

2019-09-10

Decision Date

2020-06-19

Refile

N

Original File Date

2020-01-01 07:57:38

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

3B ENTERPRISES DBA HOME INSTEAD SENIOR CARE

Employer Name Slug

3b-enterprises-dba-home-instead-senior-care

Employer Address 1

4101 TAYLORSVILLE RD.

Employer Address 2

SUITE 200

Employer City

LOUISVILLE

Employer City Slug

louisville

Employer State

KENTUCKY

Employer State Slug

kentucky

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

40220

Employer Phone

5025159515

Employer Number of Employees

368

Employer Year Commenced Business

1999

NAICS Code

621610

FW Ownership Interest

N

Employer Contact Name

Brent Beanblossom

Employer Contact Address 1

4101 Taylorsville Road

Employer Contact Address 2

Suite 200

Employer Contact City

Louisville

Employer Contact State/Province

KENTUCKY

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

40220

Employer Contact Phone

502-515-9515

Employer Contact Email

brent.beanblossom@homeinstead.com

Agent Attorney Name

Nhu Muon

Agent Attorney Firm Name

Law Office of Nhu Muon

Agent Attorney Phone

(626) 286-5988

Agent Attorney Address 1

1228 S. San Gabriel Blvd.

Agent Attorney Address 2

Suite D

Agent Attorney City

San Gabriel

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

91776

Agent Attorney Email

nhu@muonlaw.com

PW Track Number

P10018264926956

PW SOC Code

31-1011

PW SOC Title

Home Health Aides

PW Skill Level

Level II

PW Wage

21611.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-01-25

PW Expiration Date

2019-06-30

Wage Offer From

21611.00

Wage Offer To

0.00

Average Salary

21611.00

Wage Unit of Pay

Year

Worksite Address 1

4101 Taylorsville Road

Worksite Address 2

Suite 200

Worksite City

Louisville

Worksite City Slug

louisville

Worksite State

KENTUCKY

Worksite Postal Code

40220

Job Title

Caregiver

Job Title Slug

caregiver

Minimum Education

None

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

N

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

6

Accept Alternative Job Title

Home Health Aides

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

2019-04-02

SWA Job Order End Date

2019-05-13

Sunday Edition Newspaper

Y

First Newspaper Name

The CourierJournal

First Advertisement Start Date

2019-05-05

Second Newspaper Ad Name

The CourierJournal

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-05-12

Employer Website From Date

2020-01-01 07:57:38

Employer Website To Date

2020-01-01 07:57:38

Professional Organization Ad From Date

2020-01-01 07:57:38

Professional Organization Advertisement To Date

2020-01-01 07:57:38

Job Search Website From Date

2020-01-01 07:57:38

Job Search Website To Date

2020-01-01 07:57:38

Employee Referral Program From Date

2020-01-01 07:57:38

Employee Referral Program To Date

2020-01-01 07:57:38

Local Ethnic Paper From Date

2020-01-01 07:57:38

Local Ethnic Paper To Date

2020-01-01 07:57:38

Radio/TV Ad From Date

2020-01-01 07:57:38

Radio/TV Ad To Date

2020-01-01 07:57:38

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

None

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

Foreign Worker Institution of Education

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

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Nhu Muon

Preparer Title

Attorney

Preparer Email

nhu@muonlaw.com

Employer Information Declaration Name

Brent Beanblossom

Employer Information Declaration Title

Owner CFO