Fiscal Year

2021

Case Number

A-20132-52837

Case Status

Certified

Received Date

2020-05-18

Decision Date

2021-04-16

Refile

N

Original File Date

2021-01-01 09:13:38

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Fairgreen Assisted Living Inc.

Employer Name Slug

fairgreen-assisted-living-inc

Employer Address 1

1150 Wayne Avenue

Employer Address 2

Employer City

New Smyrna Beach

Employer City Slug

new-smyrna-beach

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

32168

Employer Phone

3864283018

Employer Number of Employees

24

Employer Year Commenced Business

2004

NAICS Code

623312

FW Ownership Interest

N

Employer Contact Name

Jesusa H Kepler

Employer Contact Address 1

1150 Wayne Avenue

Employer Contact Address 2

Employer Contact City

New Smyrna Beach

Employer Contact State/Province

FLORIDA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

32168

Employer Contact Phone

3864283018

Employer Contact Email

fairgreenassistedliving.inc@gmail.com

Agent Attorney Name

Maria Posada Ricci

Agent Attorney Firm Name

AMERICAN IMMIGRATION ATTORNEYS, PLLC

Agent Attorney Phone

3865866985

Agent Attorney Address 1

P.O. Box 2536

Agent Attorney Address 2

Agent Attorney City

Bunnell

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

32110

Agent Attorney Email

aiaperm@gmail.com

PW Track Number

P10019270064662

PW SOC Code

43-4051

PW SOC Title

Admissions CoordinatorPatient Representatives

PW Skill Level

Level I

PW Wage

21632.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-01-30

PW Expiration Date

2020-06-30

Wage Offer From

21632.00

Wage Offer To

0.00

Average Salary

21632.00

Wage Unit of Pay

Year

Worksite Address 1

1150 Wayne Avenue

Worksite Address 2

Worksite City

New Smyrna Beach

Worksite City Slug

new-smyrna-beach

Worksite State

FLORIDA

Worksite Postal Code

32168

Job Title

Admissions Coordinator/Patient Representative

Job Title Slug

admissions-coordinatorpatient-representative

Minimum Education

High School

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

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

NA

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

2020-02-24

SWA Job Order End Date

2020-03-27

Sunday Edition Newspaper

Y

First Newspaper Name

The Daytona Beach NewsJournal

First Advertisement Start Date

2020-02-16

Second Newspaper Ad Name

The Daytona Beach NewsJournal

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-02-23

Employer Website From Date

2021-01-01 09:13:38

Employer Website To Date

2021-01-01 09:13:38

Professional Organization Ad From Date

2021-01-01 09:13:38

Professional Organization Advertisement To Date

2021-01-01 09:13:38

Job Search Website From Date

2021-01-01 09:13:38

Job Search Website To Date

2021-01-01 09:13:38

Employee Referral Program From Date

2021-01-01 09:13:38

Employee Referral Program To Date

2021-01-01 09:13:38

Local Ethnic Paper From Date

2021-01-01 09:13:38

Local Ethnic Paper To Date

2021-01-01 09:13:38

Radio/TV Ad From Date

2021-01-01 09:13:38

Radio/TV Ad To Date

2021-01-01 09:13:38

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SAUDI ARABIA

Foreign Worker Birth Country

SAUDI ARABIA

Class of Admission

F-2

Foreign Worker Education

High School

Foreign Worker Information: Major

SECONDARY SCHOOL

Foreign Worker Years of Education Completed

2007

Foreign Worker Institution of Education

ALTEFL ALMETHALY SECONDARY

Foreign Worker Education Institution Address 1

JEDDAH CENTER

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

JEDDAH

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SAUDI ARABIA

Foreign Worker Education Institution Postal Code

21577

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Maria Posada Ricci

Preparer Title

Attorney at Law

Preparer Email

aiaperm@gmail.com

Employer Information Declaration Name

Jesusa H Kepler

Employer Information Declaration Title

President