Fiscal Year

2021

Case Number

A-19346-94939

Case Status

Certified-Expired

Received Date

2020-01-10

Decision Date

2020-11-24

Refile

N

Original File Date

2021-01-01 08:52:13

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Samuel Wilson Brenner

Employer Name Slug

samuel-wilson-brenner

Employer Address 1

415 S Willaman Dr

Employer Address 2

PH1

Employer City

Los Angeles

Employer City Slug

los-angeles

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

90048

Employer Phone

7208835417

Employer Number of Employees

1

Employer Year Commenced Business

2019

NAICS Code

814110

FW Ownership Interest

N

Employer Contact Name

Samuel W Brenner

Employer Contact Address 1

415 S Willaman Dr

Employer Contact Address 2

PH1

Employer Contact City

Los Angeles

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

90048

Employer Contact Phone

7208835417

Employer Contact Email

Sbrenner2288@gmail.com

Agent Attorney Name

Malathi Benjamin

Agent Attorney Firm Name

Malathi Benjamin PLC

Agent Attorney Phone

6267441750

Agent Attorney Address 1

127 N. Madison Aven

Agent Attorney Address 2

Suite 211

Agent Attorney City

Pasadena

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

91101

Agent Attorney Email

malathi@malathibenjamin.com

PW Track Number

P10019157508419

PW SOC Code

39-9011

PW SOC Title

Nannies

PW Skill Level

Level I

PW Wage

23504.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-09-24

PW Expiration Date

2020-06-30

Wage Offer From

23504.00

Wage Offer To

0.00

Average Salary

23504.00

Wage Unit of Pay

Year

Worksite Address 1

415 S Willaman Dr

Worksite Address 2

PH1

Worksite City

Los Angeles

Worksite City Slug

los-angeles

Worksite State

CALIFORNIA

Worksite Postal Code

90048

Job Title

Childcare Provider

Job Title Slug

childcare-provider

Minimum Education

High School

Major Field of Study

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

Must have CPR and First Aid certification in accordance with AHA standards and guidelines. Valid CA Driver License.br br Please note this is NOT a special skill Part C. Employers number of employees should read 0, but the form does not allow.

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

2019-07-26

SWA Job Order End Date

2019-08-25

Sunday Edition Newspaper

Y

First Newspaper Name

Los Angeles Daily News

First Advertisement Start Date

2019-11-17

Second Newspaper Ad Name

Los Angeles Daily News

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-11-24

Employer Website From Date

2021-01-01 08:52:13

Employer Website To Date

2021-01-01 08:52:13

Professional Organization Ad From Date

2021-01-01 08:52:13

Professional Organization Advertisement To Date

2021-01-01 08:52:13

Job Search Website From Date

2021-01-01 08:52:13

Job Search Website To Date

2021-01-01 08:52:13

Employee Referral Program From Date

2021-01-01 08:52:13

Employee Referral Program To Date

2021-01-01 08:52:13

Local Ethnic Paper From Date

2021-01-01 08:52:13

Local Ethnic Paper To Date

2021-01-01 08:52:13

Radio/TV Ad From Date

2021-01-01 08:52:13

Radio/TV Ad To Date

2021-01-01 08:52:13

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BRAZIL

Foreign Worker Birth Country

BRAZIL

Class of Admission

F-1

Foreign Worker Education

High School

Foreign Worker Information: Major

GENERAL

Foreign Worker Years of Education Completed

1999

Foreign Worker Institution of Education

ESCOLA ESTADUAL PROFESSOR MOACYR CAMPOS

Foreign Worker Education Institution Address 1

AV. RIO DAS PEDRAS, 2022

Foreign Worker Education Institution Address 2

JARDIM

Foreign Worker Education Institution City

SAO PAOLO

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BRAZIL

Foreign Worker Education Institution Postal Code

03452-100

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Malathi Benjamin

Preparer Title

Attorney

Preparer Email

malathi@malathibenjamin.com

Employer Information Declaration Name

Samuel W Brenner

Employer Information Declaration Title

Owner