Fiscal Year

2021

Case Number

A-20147-58276

Case Status

Certified

Received Date

2020-05-13

Decision Date

2021-04-05

Refile

N

Original File Date

2021-01-01 09:10:46

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

1ST FAMILY DENTAL OF PULASKI PC DBA 1ST FAMILY DENTAL

Employer Name Slug

1st-family-dental-of-pulaski-pc-dba-1st-family-dental

Employer Address 1

4707 N. PULASKI RD

Employer Address 2

Employer City

CHICAGO

Employer City Slug

chicago

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

60630

Employer Phone

6308949700

Employer Number of Employees

1

Employer Year Commenced Business

2017

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

KARAM KARAM

Employer Contact Address 1

4707 N. PULASKI RD

Employer Contact Address 2

Employer Contact City

CHICAGO

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60630

Employer Contact Phone

6308949700

Employer Contact Email

[email protected]

Agent Attorney Name

JACOB A KANYUSIK

Agent Attorney Firm Name

KRIEZELMAN BURTON ASSOCIATES, LLC

Agent Attorney Phone

(312) 332-2550

Agent Attorney Address 1

200 W ADAMS ST

Agent Attorney Address 2

STE 2211

Agent Attorney City

CHICAGO

Agent Attorney State/Province

ILLINOIS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

60606

Agent Attorney Email

[email protected]

PW Track Number

P10019101421916

PW SOC Code

31-9091

PW SOC Title

DENTAL ASSISTANT

PW Skill Level

Level IV

PW Wage

45032.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-07-25

PW Expiration Date

2020-06-30

Wage Offer From

45032.00

Wage Offer To

0.00

Average Salary

45032.00

Wage Unit of Pay

Year

Worksite Address 1

4707 N. PULASKI RD

Worksite Address 2

Worksite City

CHICAGO

Worksite City Slug

chicago

Worksite State

ILLINOIS

Worksite Postal Code

60630

Job Title

DENTAL ASSISTANT

Job Title Slug

dental-assistant

Minimum Education

None

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

24

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

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

REQUIRES 2 YEARS OF EXPERIENCE IN A RELATED OCCUPATION. ALSO REQUIRES CPR CERTIFICATION. CORONAL POLISHING AND APPLICATION OF PIT AND FISSURE SEALANTS CERTIFICATION.

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

2019-11-19

SWA Job Order End Date

2019-12-19

Sunday Edition Newspaper

Y

First Newspaper Name

CHICAGO SUNTIMES

First Advertisement Start Date

2019-11-17

Second Newspaper Ad Name

CHICAGO SUNTIMES

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-11-24

Employer Website From Date

2021-01-01 09:10:46

Employer Website To Date

2021-01-01 09:10:46

Professional Organization Ad From Date

2021-01-01 09:10:46

Professional Organization Advertisement To Date

2021-01-01 09:10:46

Job Search Website From Date

2021-01-01 09:10:46

Job Search Website To Date

2021-01-01 09:10:46

Employee Referral Program From Date

2021-01-01 09:10:46

Employee Referral Program To Date

2021-01-01 09:10:46

Local Ethnic Paper From Date

2021-01-01 09:10:46

Local Ethnic Paper To Date

2021-01-01 09:10:46

Radio/TV Ad From Date

2021-01-01 09:10:46

Radio/TV Ad To Date

2021-01-01 09:10:46

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

MEXICO

Foreign Worker Birth Country

MEXICO

Class of Admission

Foreign Worker Education

None

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

Foreign Worker Institution of Education

Foreign Worker Education Institution Address 1

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

JACOB A KANYUSIK

Preparer Title

ATTORNEY

Preparer Email

[email protected]

Employer Information Declaration Name

KARAM KARAM

Employer Information Declaration Title

SECRETARY CFO