All Details of Green Card Application:
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Case Number: A-21040-50647
Fiscal year: 2021
Fiscal Year
2021
Case Number
A-21040-50647
Case Status
Withdrawn
Received Date
2021-02-22
Decision Date
2021-02-22
Refile
N
Original File Date
2021-01-01 09:02:50
Previous SWA Case Number State
Schedule A Sheepherder
N
Employer Name
SAN JACINTO HEALTHCARE
Employer Name Slug
san-jacinto-healthcare
Employer Address 1
275 N. SAN JACINTO ST.
Employer Address 2
Employer City
HEMET
Employer City Slug
hemet
Employer State
CALIFORNIA
Employer State Slug
california
Employer Country
UNITED STATES OF AMERICA
Employer Postal Code
92543
Employer Phone
951-658-9441
Employer Number of Employees
150
Employer Year Commenced Business
2010
NAICS Code
623110
FW Ownership Interest
N
Employer Contact Name
Mario Bertumen
Employer Contact Address 1
275 N. SAN JACINTO ST.
Employer Contact Address 2
Employer Contact City
HEMET
Employer Contact State/Province
CALIFORNIA
Employer Contact Country
UNITED STATES OF AMERICA
Employer Contact Postal Code
92543
Employer Contact Phone
951-658-9441
Employer Contact Email
sanjacinto.healthcare275@gmail.com
Agent Attorney Name
Sadiri Padre
Agent Attorney Firm Name
Santa Clarita Legal Services Corp.
Agent Attorney Phone
2133751226
Agent Attorney Address 1
3660 Wilshire Blvd. Ste. 825
Agent Attorney Address 2
Agent Attorney City
Los Angeles
Agent Attorney State/Province
CALIFORNIA
Agent Attorney Country
UNITED STATES OF AMERICA
Agent Attorney Postal Code
90010
Agent Attorney Email
sspadre@yahoo.com
PW Track Number
P10020083426351
PW SOC Code
31-1014
PW SOC Title
Nursing Assistant
PW Skill Level
Level I
PW Wage
26270.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2020-06-19
PW Expiration Date
2020-09-17
Wage Offer From
26270.00
Wage Offer To
0.00
Average Salary
26270.00
Wage Unit of Pay
Year
Worksite Address 1
275 N. SAN JACINTO STREET
Worksite Address 2
Worksite City
HEMET
Worksite City Slug
hemet
Worksite State
CALIFORNIA
Worksite Postal Code
92543
Job Title
NURSING ASSISTANT
Job Title Slug
nursing-assistant
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
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
2020-08-23
SWA Job Order End Date
2020-09-25
Sunday Edition Newspaper
Y
First Newspaper Name
PRESS ENTERPRISE
First Advertisement Start Date
2020-11-08
Second Newspaper Ad Name
PRESS ENTERPRISE
Second Advertisement Type
Newspaper
Second Ad Start Date
2020-11-15
Employer Website From Date
2021-01-01 09:02:50
Employer Website To Date
2021-01-01 09:02:50
Professional Organization Ad From Date
2021-01-01 09:02:50
Professional Organization Advertisement To Date
2021-01-01 09:02:50
Job Search Website From Date
2021-01-01 09:02:50
Job Search Website To Date
2021-01-01 09:02:50
Employee Referral Program From Date
2021-01-01 09:02:50
Employee Referral Program To Date
2021-01-01 09:02:50
Local Ethnic Paper From Date
2021-01-01 09:02:50
Local Ethnic Paper To Date
2021-01-01 09:02:50
Radio/TV Ad From Date
2021-01-01 09:02:50
Radio/TV Ad To Date
2021-01-01 09:02:50
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
Not in USA
Foreign Worker Education
High School
Foreign Worker Information: Major
HIGH SCHOOL
Foreign Worker Years of Education Completed
2012
Foreign Worker Institution of Education
NAGA CITY SCIENCE HIGH SCHOOL
Foreign Worker Education Institution Address 1
GIMENEZ SUBDIVISION LEON SA AUREUS ST
Foreign Worker Education Institution Address 2
Foreign Worker Education Institution City
NAGA CITY
Foreign Worker Education Institution State/Province
Foreign Worker Education Institution Country
PHILIPPINES
Foreign Worker Education Institution Postal Code
4400
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
SADIRI S PADRE
Preparer Title
ATTORNEY
Preparer Email
SSPADRE@YAHOO.COM
Employer Information Declaration Name
MARIO BERTUMEN
Employer Information Declaration Title
ADMINISTRATOR