All Details of Green Card Application:
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Case Number: A-20351-33795
Fiscal year: 2021
Fiscal Year
2021
Case Number
A-20351-33795
Case Status
Certified
Received Date
2021-01-21
Decision Date
2021-07-06
Refile
N
Original File Date
2021-01-01 09:46:10
Previous SWA Case Number State
Schedule A Sheepherder
N
Employer Name
LAKEWOOD FAMILY DENTAL INC
Employer Name Slug
lakewood-family-dental-inc
Employer Address 1
4512 PARNELL AVE
Employer Address 2
Employer City
FORT WAYNE
Employer City Slug
fort-wayne
Employer State
INDIANA
Employer State Slug
indiana
Employer Country
UNITED STATES OF AMERICA
Employer Postal Code
46825
Employer Phone
2603991333
Employer Number of Employees
9
Employer Year Commenced Business
2014
NAICS Code
621210
FW Ownership Interest
N
Employer Contact Name
Srinivasulu Kakollu
Employer Contact Address 1
4512 Parnell Ave
Employer Contact Address 2
Employer Contact City
FORT WAYNE
Employer Contact State/Province
INDIANA
Employer Contact Country
UNITED STATES OF AMERICA
Employer Contact Postal Code
46825
Employer Contact Phone
2603991333
Employer Contact Email
drnivas2000@gmail.com
Agent Attorney Name
KELLIE N LEGO
Agent Attorney Firm Name
MVP LAW GROUP, PA
Agent Attorney Phone
240-390-0600
Agent Attorney Address 1
10632 LITTLE PATUXENT PARKWAY, BUILDING 2000
Agent Attorney Address 2
SUITE 406
Agent Attorney City
COLUMBIA
Agent Attorney State/Province
MARYLAND
Agent Attorney Country
UNITED STATES OF AMERICA
Agent Attorney Postal Code
21044
Agent Attorney Email
KELLIE@MVPLG.COM
PW Track Number
P10020184692887
PW SOC Code
29-1021
PW SOC Title
Dentists, General
PW Skill Level
N/A
PW Wage
208000.00
PW Unit of Pay
Year
PW Wage Source
OES
PW Determination Date
2020-11-09
PW Expiration Date
2021-06-30
Wage Offer From
208000.00
Wage Offer To
0.00
Average Salary
208000.00
Wage Unit of Pay
Year
Worksite Address 1
4512 PARNELL AVENUE
Worksite Address 2
Worksite City
FORT WAYNE
Worksite City Slug
fort-wayne
Worksite State
INDIANA
Worksite Postal Code
46825
Job Title
ASSOCIATE DENTIST
Job Title Slug
associate-dentist
Minimum Education
Other
Major Field of Study
DENTAL SURGERY, DENTAL MEDICINE
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
Y
Accept Alternative Occupation
N
Accept Alternative Occupation Months
Accept Alternative Job Title
Job Opportunity Requirements Normal
Y
Foreign Language Required
N
Specific Skills
INDIANA STATE DENTAL LICENSE; ANDbr KNOWLEDGE OF THE DIAGNOSIS AND TREATMENT OF ORAL AND DENTAL CONDITIONS
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
Y
Application for College/University Teacher
N
SWA Job Order Start Date
2020-11-11
SWA Job Order End Date
2020-12-16
Sunday Edition Newspaper
Y
First Newspaper Name
THE JOURNAL GAZETTE
First Advertisement Start Date
2020-11-15
Second Newspaper Ad Name
THE JOURNAL GAZETTE
Second Advertisement Type
Newspaper
Second Ad Start Date
2020-11-22
Employer Website From Date
2020-11-16
Employer Website To Date
2020-12-01
Professional Organization Ad From Date
2021-01-01 09:46:10
Professional Organization Advertisement To Date
2021-01-01 09:46:10
Job Search Website From Date
2020-11-15
Job Search Website To Date
2020-11-30
Employee Referral Program From Date
2021-01-01 09:46:10
Employee Referral Program To Date
2021-01-01 09:46:10
Local Ethnic Paper From Date
2020-11-20
Local Ethnic Paper To Date
2020-11-20
Radio/TV Ad From Date
2021-01-01 09:46:10
Radio/TV Ad To Date
2021-01-01 09:46:10
Employer Received Payment
N
Posted Notice at Worksite
Y
Layoff in Past Six Months
N
Country of Citizenship
INDIA
Foreign Worker Birth Country
INDIA
Class of Admission
H-1B
Foreign Worker Education
Other
Foreign Worker Information: Major
DENTAL SURGERY
Foreign Worker Years of Education Completed
2017
Foreign Worker Institution of Education
NEW YORK UNIVERSITY
Foreign Worker Education Institution Address 1
345 E. 24TH STREET
Foreign Worker Education Institution Address 2
Foreign Worker Education Institution City
NEW YORK
Foreign Worker Education Institution State/Province
NY
Foreign Worker Education Institution Country
UNITED STATES OF AMERICA
Foreign Worker Education Institution Postal Code
10010
Foreign Worker Experience with Employer
N
Foreign Worker Employer Pays for Education
N
Foreign Worker Currently Employed
Y
Employer Completed Application
N
Preparer Name
KELLIE N LEGO
Preparer Title
ATTORNEY
Preparer Email
KELLIE@MVPLG.COM
Employer Information Declaration Name
KAKOLLU SRINIVASULU
Employer Information Declaration Title
OWNER