Fiscal Year

2021

Case Number

A-20237-91231

Case Status

Certified

Received Date

2020-10-06

Decision Date

2021-05-03

Refile

N

Original File Date

2021-01-01 09:18:46

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FAMILIA DENTAL FORT WAYNE PLLC

Employer Name Slug

familia-dental-fort-wayne-pllc

Employer Address 1

5328 COLDWATER RD.

Employer Address 2

Employer City

FORT WAYNE

Employer City Slug

fort-wayne

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46825

Employer Phone

847-915-3019

Employer Number of Employees

20

Employer Year Commenced Business

2013

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Barb Cendrowski

Employer Contact Address 1

2050 East Algonquin Rd.

Employer Contact Address 2

Suite 610

Employer Contact City

Schaumburg

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60173

Employer Contact Phone

8478018365

Employer Contact Email

[email protected]

Agent Attorney Name

Mark WU

Agent Attorney Firm Name

Ogletree, Deakins, Nash, Smoak Stewart, P.C.

Agent Attorney Phone

5123444707

Agent Attorney Address 1

301 Congress Avenue

Agent Attorney Address 2

Suite 1150

Agent Attorney City

Austin

Agent Attorney State/Province

TEXAS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

78701

Agent Attorney Email

[email protected]

PW Track Number

P10020017261274

PW SOC Code

29-1021

PW SOC Title

Dentist, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-16

PW Expiration Date

2020-07-15

Wage Offer From

208000.00

Wage Offer To

0.00

Average Salary

208000.00

Wage Unit of Pay

Year

Worksite Address 1

5328 Coldwater Road

Worksite Address 2

Worksite City

Fort Wayne

Worksite City Slug

fort-wayne

Worksite State

INDIANA

Worksite Postal Code

46825

Job Title

General Dentist

Job Title Slug

general-dentist

Minimum Education

Other

Major Field of Study

Dental Surgery

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Doctor of Dental Medicine D.M.D.

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

Requires State dental license. Employer will accept Doctor of Dental Surgery D.D.S. or Doctor of Dental Medicine D.M.D.. Employer will accept foreign degree equivalent.

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

2020-07-10

Sunday Edition Newspaper

Y

First Newspaper Name

The Journal Gazette

First Advertisement Start Date

2020-06-07

Second Newspaper Ad Name

The Journal Gazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-06-14

Employer Website From Date

2021-01-01 09:18:46

Employer Website To Date

2021-01-01 09:18:46

Professional Organization Ad From Date

2020-06-19

Professional Organization Advertisement To Date

2020-07-19

Job Search Website From Date

2020-06-09

Job Search Website To Date

2020-06-22

Employee Referral Program From Date

2021-01-01 09:18:46

Employee Referral Program To Date

2021-01-01 09:18:46

Local Ethnic Paper From Date

2021-01-01 09:18:46

Local Ethnic Paper To Date

2021-01-01 09:18:46

Radio/TV Ad From Date

2020-06-25

Radio/TV Ad To Date

2020-06-25

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

DENTAL SURGERY

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

DR. NTR UNIVERSITY OF HEALTH SCIENCES

Foreign Worker Education Institution Address 1

BEHIND TGIF, BESIDE CANCER HOSPITAL, PADAVALAREVU, GUNADALA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

VIJAYAWADA

Foreign Worker Education Institution State/Province

ANDHRA PRADESH

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

520004

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

Mark WU

Preparer Title

Attorney

Preparer Email

[email protected]

Employer Information Declaration Name

Barbara Cendrowski

Employer Information Declaration Title

Recruitment Specialist