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Case Number: A-20204-79453

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20204-79453

Case Status

Certified

Received Date

2020-07-28

Decision Date

2021-07-01

Refile

N

Original File Date

2021-01-01 09:44:50

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

VIP West Insurance

Employer Name Slug

vip-west-insurance

Employer Address 1

17620 Bellflower Blvd #B105

Employer Address 2

Employer City

Bellflower

Employer City Slug

bellflower

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

90706

Employer Phone

5629252178

Employer Number of Employees

4

Employer Year Commenced Business

2001

NAICS Code

524210

FW Ownership Interest

N

Employer Contact Name

Sam Abdalla

Employer Contact Address 1

17620 Bellflower Blvd #B105

Employer Contact Address 2

Employer Contact City

Bellflower

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

90706

Employer Contact Phone

5629252178

Employer Contact Email

igotinsurance@gmail.com

Agent Attorney Name

Mark A Mancini

Agent Attorney Firm Name

Wasserman, Mancini Chang, P.C.

Agent Attorney Phone

2027838905

Agent Attorney Address 1

1915 I Street, NW

Agent Attorney Address 2

Suite 300

Agent Attorney City

Washington

Agent Attorney State/Province

DISTRICT OF COLUMBIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

20006

Agent Attorney Email

wmc@wmclawfirm.com

PW Track Number

P10020031289380

PW SOC Code

43-9061

PW SOC Title

Office Clerks, General

PW Skill Level

Level II

PW Wage

31054.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-23

PW Expiration Date

2020-07-22

Wage Offer From

31054.00

Wage Offer To

0.00

Average Salary

31054.00

Wage Unit of Pay

Year

Worksite Address 1

17620 Bellflower Blvd

Worksite Address 2

Suite B105

Worksite City

Bellflower

Worksite City Slug

bellflower

Worksite State

CALIFORNIA

Worksite Postal Code

90706

Job Title

Office Clerk

Job Title Slug

office-clerk

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

6

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

Y

Accept Alternative Occupation Months

6

Accept Alternative Job Title

6 months experience in management position

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Must have knowledge of Microsoft Word, Excel, and PowerPoint. Must be able to work long hours, weekends and overtime.

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

2020-05-08

SWA Job Order End Date

2020-06-10

Sunday Edition Newspaper

Y

First Newspaper Name

The Long Beach PressTelegram

First Advertisement Start Date

2020-05-17

Second Newspaper Ad Name

The Long Beach PressTelegram

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-24

Employer Website From Date

2021-01-01 09:44:50

Employer Website To Date

2021-01-01 09:44:50

Professional Organization Ad From Date

2021-01-01 09:44:50

Professional Organization Advertisement To Date

2021-01-01 09:44:50

Job Search Website From Date

2021-01-01 09:44:50

Job Search Website To Date

2021-01-01 09:44:50

Employee Referral Program From Date

2021-01-01 09:44:50

Employee Referral Program To Date

2021-01-01 09:44:50

Local Ethnic Paper From Date

2021-01-01 09:44:50

Local Ethnic Paper To Date

2021-01-01 09:44:50

Radio/TV Ad From Date

2021-01-01 09:44:50

Radio/TV Ad To Date

2021-01-01 09:44:50

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

JORDAN

Foreign Worker Birth Country

JORDAN

Class of Admission

F-1

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

FINANCE

Foreign Worker Years of Education Completed

2011

Foreign Worker Institution of Education

THE UNIVERSITY OF JORDAN

Foreign Worker Education Institution Address 1

QUEEN RANIA STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

AMMAN

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

JORDAN

Foreign Worker Education Institution Postal Code

11972

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Mark A Mancini

Preparer Title

Attorney

Preparer Email

wmclawfirm.com

Employer Information Declaration Name

Samer Addalla

Employer Information Declaration Title

Insurance Agent