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Case Number: A-20203-79125

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20203-79125

Case Status

Certified

Received Date

2020-07-21

Decision Date

2021-06-11

Refile

N

Original File Date

2021-01-01 09:36:21

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PREMIER COMBAT CENTER

Employer Name Slug

premier-combat-center

Employer Address 1

13540 DISCOVERY DR STE 15

Employer Address 2

Employer City

OMAHA

Employer City Slug

omaha

Employer State

NEBRASKA

Employer State Slug

nebraska

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

68137

Employer Phone

4024534448

Employer Number of Employees

12

Employer Year Commenced Business

2010

NAICS Code

7139

FW Ownership Interest

N

Employer Contact Name

Ryan J Jensen

Employer Contact Address 1

13540 DISCOVERY DR STE 15

Employer Contact Address 2

Employer Contact City

OMAHA

Employer Contact State/Province

NEBRASKA PREMIER COMBAT CENTER

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

68137

Employer Contact Phone

4024534448

Employer Contact Email

premiercombatcenter@gmail.com

Agent Attorney Name

Taymoor M Pilehvar

Agent Attorney Firm Name

Agent Attorney Phone

7864906649

Agent Attorney Address 1

429 Seabreeze Blvd.

Agent Attorney Address 2

Ste. 13

Agent Attorney City

Fort Lauderdale

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

33316

Agent Attorney Email

taymoor@pilehvar.com

PW Track Number

P10019353208509

PW SOC Code

25-3021

PW SOC Title

Brazilian Jiu Jitsu Instructor

PW Skill Level

Level IV

PW Wage

49005.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-01

PW Expiration Date

2020-06-30

Wage Offer From

49005.00

Wage Offer To

0.00

Average Salary

49005.00

Wage Unit of Pay

Year

Worksite Address 1

13540 Discovery Drive

Worksite Address 2

Worksite City

Omaha

Worksite City Slug

omaha

Worksite State

NEBRASKA

Worksite Postal Code

68137

Job Title

Brazilian Jiu Jitsu Instructor

Job Title Slug

brazilian-jiu-jitsu-instructor

Minimum Education

None

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

36

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

Black Belt in Brazilian Jiu Jitsu

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

2020-04-29

SWA Job Order End Date

2020-06-01

Sunday Edition Newspaper

Y

First Newspaper Name

Omaha World Herald

First Advertisement Start Date

2020-05-03

Second Newspaper Ad Name

Omaha World Herald

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-10

Employer Website From Date

2021-01-01 09:36:21

Employer Website To Date

2021-01-01 09:36:21

Professional Organization Ad From Date

2021-01-01 09:36:21

Professional Organization Advertisement To Date

2021-01-01 09:36:21

Job Search Website From Date

2021-01-01 09:36:21

Job Search Website To Date

2021-01-01 09:36:21

Employee Referral Program From Date

2021-01-01 09:36:21

Employee Referral Program To Date

2021-01-01 09:36:21

Local Ethnic Paper From Date

2021-01-01 09:36:21

Local Ethnic Paper To Date

2021-01-01 09:36:21

Radio/TV Ad From Date

2021-01-01 09:36:21

Radio/TV Ad To Date

2021-01-01 09:36:21

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BRAZIL

Foreign Worker Birth Country

BRAZIL

Class of Admission

O-1

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

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Taymoor M Pilehvar

Preparer Title

Attorney

Preparer Email

taymoor@pilehvar.com

Employer Information Declaration Name

Ryan Jensen

Employer Information Declaration Title

Owner