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Case Number: A-20126-50391

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20126-50391

Case Status

Certified

Received Date

2020-05-05

Decision Date

2021-04-30

Refile

N

Original File Date

2021-01-01 09:18:09

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

WOJTEK JACHYM

Employer Name Slug

wojtek-jachym

Employer Address 1

221 NORFOLK CT

Employer Address 2

Employer City

ROSELLE

Employer City Slug

roselle

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

60172

Employer Phone

3125432516

Employer Number of Employees

1

Employer Year Commenced Business

2020

NAICS Code

814110

FW Ownership Interest

N

Employer Contact Name

WOJTEK JACHYM

Employer Contact Address 1

221 NORFOLK CT

Employer Contact Address 2

Employer Contact City

ROSELLE

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60172

Employer Contact Phone

3125432516

Employer Contact Email

WOJTEKJACHYM1234@GMAIL.COM

Agent Attorney Name

PRZEMYSLAW JAN BLOCH, ESQ.

Agent Attorney Firm Name

Agent Attorney Phone

7185226773

Agent Attorney Address 1

26 COURT STREET

Agent Attorney Address 2

SUITE 2113

Agent Attorney City

BROOKLYN

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

11242

Agent Attorney Email

PJBLOCHESQUIRE@AOL.COM

PW Track Number

P10020014251952

PW SOC Code

37-2012

PW SOC Title

HOUSEKEEPER

PW Skill Level

Level I

PW Wage

21632.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-13

PW Expiration Date

2020-07-12

Wage Offer From

21632.00

Wage Offer To

0.00

Average Salary

21632.00

Wage Unit of Pay

Year

Worksite Address 1

221 NORFOLK CT.

Worksite Address 2

Worksite City

ROSELLE

Worksite City Slug

roselle

Worksite State

ILLINOIS

Worksite Postal Code

60172

Job Title

HOUSEKEEPER

Job Title Slug

housekeeper

Minimum Education

None

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

N

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

2020-03-05

SWA Job Order End Date

2020-04-04

Sunday Edition Newspaper

Y

First Newspaper Name

THE DAILY HERALD

First Advertisement Start Date

2020-03-15

Second Newspaper Ad Name

THE DAILY HERALD

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-03-22

Employer Website From Date

2021-01-01 09:18:09

Employer Website To Date

2021-01-01 09:18:09

Professional Organization Ad From Date

2021-01-01 09:18:09

Professional Organization Advertisement To Date

2021-01-01 09:18:09

Job Search Website From Date

2021-01-01 09:18:09

Job Search Website To Date

2021-01-01 09:18:09

Employee Referral Program From Date

2021-01-01 09:18:09

Employee Referral Program To Date

2021-01-01 09:18:09

Local Ethnic Paper From Date

2021-01-01 09:18:09

Local Ethnic Paper To Date

2021-01-01 09:18:09

Radio/TV Ad From Date

2021-01-01 09:18:09

Radio/TV Ad To Date

2021-01-01 09:18:09

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

POLAND

Foreign Worker Birth Country

POLAND

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/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

PRZEMYSLAW JAN BLOCH, ESQ.

Preparer Title

ATTORNEY

Preparer Email

PJBLOCHESQUIRE@AOL.COM

Employer Information Declaration Name

WOJTEK JACHYM

Employer Information Declaration Title

HOUSEHOLD OWNER