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Case Number: A-20182-71650

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20182-71650

Case Status

Certified

Received Date

2020-06-30

Decision Date

2021-06-09

Refile

N

Original File Date

2021-01-01 09:34:18

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

KUSH DENTAL LLC

Employer Name Slug

kush-dental-llc

Employer Address 1

1012 SR 436

Employer Address 2

Employer City

CASSELBERRY

Employer City Slug

casselberry

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

32707

Employer Phone

4076685294

Employer Number of Employees

5

Employer Year Commenced Business

2014

NAICS Code

6212

FW Ownership Interest

N

Employer Contact Name

Carlton Laing

Employer Contact Address 1

1012 SR 436

Employer Contact Address 2

Employer Contact City

Casselberry

Employer Contact State/Province

FLORIDA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

32707

Employer Contact Phone

407-668-5294

Employer Contact Email

kushdentalllc@gmail.com

Agent Attorney Name

Gerardo Moran

Agent Attorney Firm Name

Immigration One LLC

Agent Attorney Phone

407-924-2136

Agent Attorney Address 1

301 N Ferncreek Ave.

Agent Attorney Address 2

Suite 4

Agent Attorney City

Orlando

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

32803

Agent Attorney Email

gmoran@bellsouth.net

PW Track Number

P10019318146805

PW SOC Code

31-9091

PW SOC Title

Dental Assistant

PW Skill Level

Level IV

PW Wage

39770.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-09

PW Expiration Date

2020-06-30

Wage Offer From

39800.00

Wage Offer To

39800.00

Average Salary

39800.00

Wage Unit of Pay

Year

Worksite Address 1

1012 SR 436

Worksite Address 2

Worksite City

Casselberry

Worksite City Slug

casselberry

Worksite State

FLORIDA

Worksite Postal Code

32707

Job Title

Dental Assistant

Job Title Slug

dental-assistant

Minimum Education

Associate's

Major Field of Study

Dental practice assistance

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

XRay Certification DAPAbr Expanded Functions Dental Assistant DAPA

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

2020-04-24

SWA Job Order End Date

2020-05-25

Sunday Edition Newspaper

Y

First Newspaper Name

Sanford Herald

First Advertisement Start Date

2020-05-03

Second Newspaper Ad Name

Sanford Herald

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-10

Employer Website From Date

2021-01-01 09:34:18

Employer Website To Date

2021-01-01 09:34:18

Professional Organization Ad From Date

2021-01-01 09:34:18

Professional Organization Advertisement To Date

2021-01-01 09:34:18

Job Search Website From Date

2021-01-01 09:34:18

Job Search Website To Date

2021-01-01 09:34:18

Employee Referral Program From Date

2021-01-01 09:34:18

Employee Referral Program To Date

2021-01-01 09:34:18

Local Ethnic Paper From Date

2021-01-01 09:34:18

Local Ethnic Paper To Date

2021-01-01 09:34:18

Radio/TV Ad From Date

2021-01-01 09:34:18

Radio/TV Ad To Date

2021-01-01 09:34:18

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

VENEZUELA

Foreign Worker Birth Country

VENEZUELA

Class of Admission

B-2

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

ODONTOLGY

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

UNIVERSITY ROMULO GALLEGOS

Foreign Worker Education Institution Address 1

SAN JUAN DE LO MORROS

Foreign Worker Education Institution Address 2

ESTADO GUARICO

Foreign Worker Education Institution City

SAN JUAN DE LOS MORROS

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

VENEZUELA

Foreign Worker Education Institution Postal Code

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

Gerardo Moran

Preparer Title

Agent

Preparer Email

gmoran@bellsouth.net

Employer Information Declaration Name

Carlton Laing

Employer Information Declaration Title

Manager