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Case Number: A-20139-55423

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20139-55423

Case Status

Certified-Expired

Received Date

2020-06-18

Decision Date

2021-01-08

Refile

N

Original File Date

2021-01-01 08:57:07

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

REGENCY GRANDE NURSING REHABILITATION CENTER, LL

Employer Name Slug

regency-grande-nursing-rehabilitation-center-ll

Employer Address 1

65 NORTH SUSSEX STREET

Employer Address 2

Employer City

DOVER

Employer City Slug

dover

Employer State

NEW JERSEY

Employer State Slug

new-jersey

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

7801

Employer Phone

9733615200

Employer Number of Employees

180

Employer Year Commenced Business

2003

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

BERNARDINA SAMIN

Employer Contact Address 1

65 NORTH SUSSEX STREET

Employer Contact Address 2

Employer Contact City

DOVER

Employer Contact State/Province

NEW JERSEY

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

7801

Employer Contact Phone

9733615200

Employer Contact Email

regencygrandenursing@gmail.com

Agent Attorney Name

Mario Jr L Bejasa

Agent Attorney Firm Name

Bejasa Law Office, PC

Agent Attorney Phone

2122443375

Agent Attorney Address 1

110 West 34th Street

Agent Attorney Address 2

Suite 808

Agent Attorney City

New York

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

100012115

Agent Attorney Email

bejasa3375@msn.com

PW Track Number

P10019217034289

PW SOC Code

31-1014

PW SOC Title

Nursing Assistants

PW Skill Level

Level II

PW Wage

31949.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-12-03

PW Expiration Date

2020-06-30

Wage Offer From

31949.00

Wage Offer To

31949.00

Average Salary

31949.00

Wage Unit of Pay

Year

Worksite Address 1

65 North Sussex Street

Worksite Address 2

Worksite City

Dover

Worksite City Slug

dover

Worksite State

NEW JERSEY

Worksite Postal Code

7801

Job Title

Nursing Aide

Job Title Slug

nursing-aide

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

Y

Accept Alternative Occupation Months

6

Accept Alternative Job Title

NURSE OR CAREGIVER

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

2019-12-30

SWA Job Order End Date

2020-02-06

Sunday Edition Newspaper

Y

First Newspaper Name

Daily Record

First Advertisement Start Date

2020-01-05

Second Newspaper Ad Name

Daily Record

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-01-12

Employer Website From Date

2021-01-01 08:57:07

Employer Website To Date

2021-01-01 08:57:07

Professional Organization Ad From Date

2021-01-01 08:57:07

Professional Organization Advertisement To Date

2021-01-01 08:57:07

Job Search Website From Date

2021-01-01 08:57:07

Job Search Website To Date

2021-01-01 08:57:07

Employee Referral Program From Date

2021-01-01 08:57:07

Employee Referral Program To Date

2021-01-01 08:57:07

Local Ethnic Paper From Date

2021-01-01 08:57:07

Local Ethnic Paper To Date

2021-01-01 08:57:07

Radio/TV Ad From Date

2021-01-01 08:57:07

Radio/TV Ad To Date

2021-01-01 08:57:07

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

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

POTOTAN COMPREHENSIVE HIGH SCHOOL

Foreign Worker Education Institution Address 1

BARANGAY CAUAYAN

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

POTOTAN

Foreign Worker Education Institution State/Province

ILOILO

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

5008

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Mario, Jr. L BEJASA

Preparer Title

Attorney for the Employer

Preparer Email

bejasa3375@msn.com

Employer Information Declaration Name

Bernardina O SAMIN

Employer Information Declaration Title

Authorized Representative