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Case Number: A-20083-34068

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20083-34068

Case Status

Certified

Received Date

2020-06-30

Decision Date

2021-05-20

Refile

N

Original File Date

2021-01-01 09:25:30

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

GROUP 4 DENTAL LAB, INC DBA GROUP 4 DENTAL

Employer Name Slug

group-4-dental-lab-inc-dba-group-4-dental

Employer Address 1

GROUP IV DENTAL LAB INC DBA GROUP 4 DENTAL LAB

Employer Address 2

14791 SW MILLIKAN WAY

Employer City

BEAVERTON

Employer City Slug

beaverton

Employer State

OREGON

Employer State Slug

oregon

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

97003

Employer Phone

503-737-9383

Employer Number of Employees

13

Employer Year Commenced Business

1995

NAICS Code

339116

FW Ownership Interest

N

Employer Contact Name

Cory Purdy

Employer Contact Address 1

14791 SW Millikan Way

Employer Contact Address 2

Employer Contact City

Beaverton

Employer Contact State/Province

OREGON

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

97003

Employer Contact Phone

503-737-9383

Employer Contact Email

groupivdental@gmail.com

Agent Attorney Name

Tasaneeya P Shepherd

Agent Attorney Firm Name

White and Shepherd, LLP

Agent Attorney Phone

503-922-2924

Agent Attorney Address 1

8341 SW Beaverton Hillsdale Hwy

Agent Attorney Address 2

Agent Attorney City

Portland

Agent Attorney State/Province

OREGON

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

97225

Agent Attorney Email

tanya@lawfirmws.com

PW Track Number

P10019353207803

PW SOC Code

51-9081

PW SOC Title

Dental Laboratory Technicians

PW Skill Level

Level II

PW Wage

33342.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-01

PW Expiration Date

2020-06-30

Wage Offer From

33342.00

Wage Offer To

0.00

Average Salary

33342.00

Wage Unit of Pay

Year

Worksite Address 1

Group IV Dental Lab Inc.

Worksite Address 2

14791 SW Millikan Way

Worksite City

Beaverton

Worksite City Slug

beaverton

Worksite State

OREGON

Worksite Postal Code

97003

Job Title

Dental Laboratory Technician

Job Title Slug

dental-laboratory-technician

Minimum Education

Associate's

Major Field of Study

Dental Laboratory Technology

Required Training

N

Required Experience

Y

Required Experience Months

1

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

REQUIREMENTS Associates degree in Dental Laboratory Technology and at least one month of experience as a Dental Laboratory Technician.

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

2020-04-06

SWA Job Order End Date

2020-05-10

Sunday Edition Newspaper

Y

First Newspaper Name

The Oregonian

First Advertisement Start Date

2020-03-22

Second Newspaper Ad Name

The Oregonian

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-03-29

Employer Website From Date

2021-01-01 09:25:30

Employer Website To Date

2021-01-01 09:25:30

Professional Organization Ad From Date

2021-01-01 09:25:30

Professional Organization Advertisement To Date

2021-01-01 09:25:30

Job Search Website From Date

2021-01-01 09:25:30

Job Search Website To Date

2021-01-01 09:25:30

Employee Referral Program From Date

2021-01-01 09:25:30

Employee Referral Program To Date

2021-01-01 09:25:30

Local Ethnic Paper From Date

2021-01-01 09:25:30

Local Ethnic Paper To Date

2021-01-01 09:25:30

Radio/TV Ad From Date

2021-01-01 09:25:30

Radio/TV Ad To Date

2021-01-01 09:25:30

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

THAILAND

Foreign Worker Birth Country

THAILAND

Class of Admission

F-1

Foreign Worker Education

Associate's

Foreign Worker Information: Major

DENTAL LABORATORY TECHNOLOGY

Foreign Worker Years of Education Completed

2019

Foreign Worker Institution of Education

PORTLAND COMMUNITY COLLEGE ROCK CREEK CAMPUS

Foreign Worker Education Institution Address 1

17705 NW SPRINGVILLE RD.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

PORTLAND

Foreign Worker Education Institution State/Province

OR

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

97229

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Tasaneeya P Shepherd

Preparer Title

Attorney

Preparer Email

tanya@lawfirmws.com

Employer Information Declaration Name

Cory Purdy

Employer Information Declaration Title

Owner