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Case Number: A-20275-06605

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20275-06605

Case Status

Certified

Received Date

2020-10-05

Decision Date

2021-04-30

Refile

N

Original File Date

2021-01-01 09:18:33

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

WISCONSIN DENTAL GROUP, S.C. DBA FORWARDDENTAL

Employer Name Slug

wisconsin-dental-group-sc-dba-forwarddental

Employer Address 1

N114 W18770 CLINTON DRIVE

Employer Address 2

Employer City

GERMANTOWN

Employer City Slug

germantown

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

53022

Employer Phone

4143572040

Employer Number of Employees

77

Employer Year Commenced Business

1989

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Robert W Trettin

Employer Contact Address 1

N114 W18770 Clinton Drive

Employer Contact Address 2

Employer Contact City

Germantown

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

53022

Employer Contact Phone

4143572040

Employer Contact Email

RTrettin@amdpi.com

Agent Attorney Name

Matthew W Hoyt

Agent Attorney Firm Name

Baker Hostetler LLP

Agent Attorney Phone

(614) 462-2650

Agent Attorney Address 1

200 Civic Center Drive

Agent Attorney Address 2

Suite 1200

Agent Attorney City

Columbus

Agent Attorney State/Province

OHIO

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

43215

Agent Attorney Email

mhoyt@bakerlaw.com

PW Track Number

P10020013248573

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

N/A

PW Wage

100.00

PW Unit of Pay

Hour

PW Wage Source

OES

PW Determination Date

2020-04-13

PW Expiration Date

2020-07-12

Wage Offer From

100.00

Wage Offer To

0.00

Average Salary

100.00

Wage Unit of Pay

Hour

Worksite Address 1

15680 W. Capitol Drive

Worksite Address 2

Worksite City

Brookfield

Worksite City Slug

brookfield

Worksite State

WISCONSIN

Worksite Postal Code

53005

Job Title

Dentist

Job Title Slug

dentist

Minimum Education

Other

Major Field of Study

DDS or DMD

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

WI dental license, and DEA and CPR certification. Travel between company offices in greater Milwaukee area may be required.

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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-06-08

SWA Job Order End Date

2020-07-08

Sunday Edition Newspaper

Y

First Newspaper Name

Milwaukee Journal Sentinel

First Advertisement Start Date

2020-06-14

Second Newspaper Ad Name

Milwaukee Journal Sentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-06-21

Employer Website From Date

2021-01-01 09:18:33

Employer Website To Date

2021-01-01 09:18:33

Professional Organization Ad From Date

2021-01-01 09:18:33

Professional Organization Advertisement To Date

2021-01-01 09:18:33

Job Search Website From Date

2020-06-11

Job Search Website To Date

2020-06-25

Employee Referral Program From Date

2021-01-01 09:18:33

Employee Referral Program To Date

2021-01-01 09:18:33

Local Ethnic Paper From Date

2020-06-17

Local Ethnic Paper To Date

2020-06-17

Radio/TV Ad From Date

2020-08-11

Radio/TV Ad To Date

2020-08-11

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DMD

Foreign Worker Years of Education Completed

2017

Foreign Worker Institution of Education

BOSTON UNIVERSITY

Foreign Worker Education Institution Address 1

635 ALBANY STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BOSTON

Foreign Worker Education Institution State/Province

MA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

2118

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Matthew W Hoyt

Preparer Title

Attorney

Preparer Email

mhoyt@bakerlaw.com

Employer Information Declaration Name

Robert W Trettin

Employer Information Declaration Title

President