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Case Number: A-20335-26592

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20335-26592

Case Status

Certified

Received Date

2020-12-18

Decision Date

2021-06-11

Refile

N

Original File Date

2021-01-01 09:36:55

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

CHASE KOTULA DENTAL PARTNERSHIP

Employer Name Slug

chase-kotula-dental-partnership

Employer Address 1

4050 REDWOOD HWY STE A

Employer Address 2

Employer City

SAN RAFAEL

Employer City Slug

san-rafael

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

94903

Employer Phone

4154997700

Employer Number of Employees

28

Employer Year Commenced Business

2013

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Connee Stark

Employer Contact Address 1

4050 Redwood Hwy Ste A

Employer Contact Address 2

Employer Contact City

San Rafael

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

94903

Employer Contact Phone

7073184919

Employer Contact Email

connee@marindentalcare.com

Agent Attorney Name

Daniel J Roten

Agent Attorney Firm Name

Law Offices of Kaiser and Roten

Agent Attorney Phone

415-986-4444

Agent Attorney Address 1

350 Sansome Street

Agent Attorney Address 2

Suite 400

Agent Attorney City

San Francisco

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

94104

Agent Attorney Email

droten@sfimmigrationlawyer.com

PW Track Number

P10020085435580

PW SOC Code

29-2021

PW SOC Title

Registered Dental Hygienist

PW Skill Level

Level I

PW Wage

88150.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-06-30

PW Expiration Date

2020-09-28

Wage Offer From

103000.00

Wage Offer To

0.00

Average Salary

103000.00

Wage Unit of Pay

Year

Worksite Address 1

4050 Redwood Highway

Worksite Address 2

Suite A

Worksite City

San Rafael

Worksite City Slug

san-rafael

Worksite State

CALIFORNIA

Worksite Postal Code

94903

Job Title

Registered Dental Hygienist

Job Title Slug

registered-dental-hygienist

Minimum Education

Associate's

Major Field of Study

Dental Hygiene

Required Training

N

Required Experience

Y

Required Experience Months

12

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

State of California Registered Dental Hygienist Certificate and License.

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

2020-09-18

SWA Job Order End Date

2020-10-20

Sunday Edition Newspaper

Y

First Newspaper Name

San Francisco Chronicle

First Advertisement Start Date

2020-09-20

Second Newspaper Ad Name

San Francisco Chronicle

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-09-27

Employer Website From Date

2021-01-01 09:36:55

Employer Website To Date

2021-01-01 09:36:55

Professional Organization Ad From Date

2021-01-01 09:36:55

Professional Organization Advertisement To Date

2021-01-01 09:36:55

Job Search Website From Date

2021-01-01 09:36:55

Job Search Website To Date

2021-01-01 09:36:55

Employee Referral Program From Date

2021-01-01 09:36:55

Employee Referral Program To Date

2021-01-01 09:36:55

Local Ethnic Paper From Date

2021-01-01 09:36:55

Local Ethnic Paper To Date

2021-01-01 09:36:55

Radio/TV Ad From Date

2021-01-01 09:36:55

Radio/TV Ad To Date

2021-01-01 09:36:55

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

EL SALVADOR

Foreign Worker Birth Country

EL SALVADOR

Class of Admission

TPS

Foreign Worker Education

Associate's

Foreign Worker Information: Major

ASSOCIATE IN SCIENCE DENTAL HYGIENE

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

FOOTHILL COLLEGE

Foreign Worker Education Institution Address 1

12345 EL MONTE RD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LOS ALTOS HILLS

Foreign Worker Education Institution State/Province

CA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

94022

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Daniel J ROTEN

Preparer Title

Attorney

Preparer Email

droten@sfimmigrationlawyer.com

Employer Information Declaration Name

Steven CHASE

Employer Information Declaration Title

Doctor of Dental Surgery DDS Partner