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Case Number: A-20175-68706

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20175-68706

Case Status

Certified-Expired

Received Date

2020-06-27

Decision Date

2021-01-25

Refile

N

Original File Date

2021-01-01 08:58:40

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Prime Total Pain Clinic PC

Employer Name Slug

prime-total-pain-clinic-pc

Employer Address 1

118126 Broad Ave.

Employer Address 2

Unit 910

Employer City

Palisades Park

Employer City Slug

palisades-park

Employer State

NEW JERSEY

Employer State Slug

new-jersey

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

7650

Employer Phone

(201) 313-1122

Employer Number of Employees

10

Employer Year Commenced Business

2017

NAICS Code

621310

FW Ownership Interest

N

Employer Contact Name

Seung Mock LEE

Employer Contact Address 1

118126 Broad Ave.

Employer Contact Address 2

Unit 910

Employer Contact City

Palisades Park

Employer Contact State/Province

NEW JERSEY

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

7650

Employer Contact Phone

(201) 313-1122

Employer Contact Email

primepainlee@gmail.com

Agent Attorney Name

Young Min Ko

Agent Attorney Firm Name

Ko Associates, LLC

Agent Attorney Phone

2012425588

Agent Attorney Address 1

705 Grand Ave.

Agent Attorney Address 2

Suite 206

Agent Attorney City

Ridgefield

Agent Attorney State/Province

NEW JERSEY

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

7657

Agent Attorney Email

youngminko@gmail.com

PW Track Number

P10019327163975

PW SOC Code

43-3021

PW SOC Title

Billing, Cost, and Rate Clerks

PW Skill Level

Level I

PW Wage

32344.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-17

PW Expiration Date

2020-06-30

Wage Offer From

32344.00

Wage Offer To

0.00

Average Salary

32344.00

Wage Unit of Pay

Year

Worksite Address 1

118126 Broad Ave.

Worksite Address 2

Unit 910

Worksite City

Palisades Park

Worksite City Slug

palisades-park

Worksite State

NEW JERSEY

Worksite Postal Code

7650

Job Title

Billing Clerk

Job Title Slug

billing-clerk

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

N

Required Experience Months

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

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

2020-03-17

SWA Job Order End Date

2020-04-17

Sunday Edition Newspaper

Y

First Newspaper Name

The RecordHerald News

First Advertisement Start Date

2020-04-05

Second Newspaper Ad Name

The RecordHerald News

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-04-12

Employer Website From Date

2021-01-01 08:58:40

Employer Website To Date

2021-01-01 08:58:40

Professional Organization Ad From Date

2021-01-01 08:58:40

Professional Organization Advertisement To Date

2021-01-01 08:58:40

Job Search Website From Date

2021-01-01 08:58:40

Job Search Website To Date

2021-01-01 08:58:40

Employee Referral Program From Date

2021-01-01 08:58:40

Employee Referral Program To Date

2021-01-01 08:58:40

Local Ethnic Paper From Date

2021-01-01 08:58:40

Local Ethnic Paper To Date

2021-01-01 08:58:40

Radio/TV Ad From Date

2021-01-01 08:58:40

Radio/TV Ad To Date

2021-01-01 08:58:40

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

FORENSIC PSYCHOLOGY

Foreign Worker Years of Education Completed

2017

Foreign Worker Institution of Education

JOHN JAY COLLEGE OF CRIMINAL JUSTICE

Foreign Worker Education Institution Address 1

524 W. 59TH ST.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NEW YORK

Foreign Worker Education Institution State/Province

NY

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

10019

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Young Min Ko

Preparer Title

Attorneyatlaw

Preparer Email

youngminko@gmail.com

Employer Information Declaration Name

Seung Mock LEE

Employer Information Declaration Title

President