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Case Number: A-19266-61583

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19266-61583

Case Status

Certified-Expired

Received Date

2019-10-04

Decision Date

2020-03-27

Refile

N

Original File Date

2020-01-01 08:02:03

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Payam Behradnia DMD dba EZ Smile Family Dental

Employer Name Slug

payam-behradnia-dmd-dba-ez-smile-family-dental

Employer Address 1

4757 HOEN AVE

Employer Address 2

Employer City

SANTA ROSA

Employer City Slug

santa-rosa

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95405

Employer Phone

7075759595

Employer Number of Employees

16

Employer Year Commenced Business

2013

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Payam Behradnia

Employer Contact Address 1

4757 HOEN AVE

Employer Contact Address 2

Employer Contact City

SANTA ROSA

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95405

Employer Contact Phone

7075759595

Employer Contact Email

ceo@ezsmilefamily.com

Agent Attorney Name

Shirley Baxley

Agent Attorney Firm Name

Shirleys Immigration Service

Agent Attorney Phone

7143288090

Agent Attorney Address 1

2121 West Jester Way

Agent Attorney Address 2

Agent Attorney City

POST FALLS

Agent Attorney State/Province

IDAHO

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

83854

Agent Attorney Email

shirley.baxley@sbcglobal.net

PW Track Number

P10019153986623

PW SOC Code

29-1021

PW SOC Title

Dentist, General

PW Skill Level

Level I

PW Wage

74443.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-09-17

PW Expiration Date

2020-06-30

Wage Offer From

74443.00

Wage Offer To

0.00

Average Salary

74443.00

Wage Unit of Pay

Year

Worksite Address 1

4757 HOEN AVE

Worksite Address 2

Worksite City

SANTA ROSA

Worksite City Slug

santa-rosa

Worksite State

CALIFORNIA

Worksite Postal Code

95405

Job Title

Dentist, General

Job Title Slug

dentist-general

Minimum Education

Other

Major Field of Study

Dentistry

Required Training

N

Required Experience

Y

Required Experience Months

12

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

Valid state 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

2019-06-05

SWA Job Order End Date

2019-07-31

Sunday Edition Newspaper

Y

First Newspaper Name

Press Democrat

First Advertisement Start Date

2019-05-05

Second Newspaper Ad Name

Press Democrat

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-05-12

Employer Website From Date

2020-01-01 08:02:03

Employer Website To Date

2020-01-01 08:02:03

Professional Organization Ad From Date

2020-01-01 08:02:03

Professional Organization Advertisement To Date

2020-01-01 08:02:03

Job Search Website From Date

2019-05-05

Job Search Website To Date

2019-06-10

Employee Referral Program From Date

2019-06-03

Employee Referral Program To Date

2019-06-30

Local Ethnic Paper From Date

2019-05-16

Local Ethnic Paper To Date

2019-05-16

Radio/TV Ad From Date

2020-01-01 08:02:03

Radio/TV Ad To Date

2020-01-01 08:02:03

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

IRAN

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTISTRY

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

UNIVERSITY OF IOWA

Foreign Worker Education Institution Address 1

101 JESSUP HALL

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

IOWA CITY

Foreign Worker Education Institution State/Province

IA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

52242

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Shirley Baxley

Preparer Title

Agent

Preparer Email

shirley.baxley@sbcglobal.net

Employer Information Declaration Name

PAYAM BEHRADNIA

Employer Information Declaration Title

OWNERDMD