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Case Number: A-20254-98116

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20254-98116

Case Status

Certified

Received Date

2020-09-10

Decision Date

2021-07-27

Refile

N

Original File Date

2021-01-01 09:53:40

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

21st Century Agency Inc.

Employer Name Slug

21st-century-agency-inc

Employer Address 1

6400 N Northwest Hwy

Employer Address 2

Employer City

Chicago

Employer City Slug

chicago

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

60631

Employer Phone

312-307-9244

Employer Number of Employees

1

Employer Year Commenced Business

2000

NAICS Code

5241

FW Ownership Interest

N

Employer Contact Name

Robert Pavetto

Employer Contact Address 1

6400 N Northwest Hwy

Employer Contact Address 2

Employer Contact City

Chicago

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60631

Employer Contact Phone

(773) 774-1244

Employer Contact Email

robpavetto@sbcglobal.net

Agent Attorney Name

Justin R Burton

Agent Attorney Firm Name

Kriezelman Burton Associates, LLC

Agent Attorney Phone

(312) 332-2550

Agent Attorney Address 1

200 W Adams St

Agent Attorney Address 2

Ste 2211

Agent Attorney City

Chicago

Agent Attorney State/Province

ILLINOIS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

60606

Agent Attorney Email

gov@krilaw.com

PW Track Number

P10020083427910

PW SOC Code

41-3021

PW SOC Title

Insurance Sales Agents

PW Skill Level

Level I

PW Wage

30826.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-06-22

PW Expiration Date

2020-09-20

Wage Offer From

30826.00

Wage Offer To

0.00

Average Salary

30826.00

Wage Unit of Pay

Year

Worksite Address 1

6400 N Northwest Hwy

Worksite Address 2

Worksite City

Chicago

Worksite City Slug

chicago

Worksite State

ILLINOIS

Worksite Postal Code

60631

Job Title

Insurance Agent

Job Title Slug

insurance-agent

Minimum Education

High School

Major Field of Study

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

Y

Accept Alternative Occupation Months

24

Accept Alternative Job Title

Independent Contractor Insurance Agent or similar.

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

State of IL insurance producers 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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-06-23

SWA Job Order End Date

2020-07-27

Sunday Edition Newspaper

Y

First Newspaper Name

Chicago SunTimes

First Advertisement Start Date

2020-06-21

Second Newspaper Ad Name

Chicago SunTimes

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-06-28

Employer Website From Date

2021-01-01 09:53:40

Employer Website To Date

2021-01-01 09:53:40

Professional Organization Ad From Date

2020-07-02

Professional Organization Advertisement To Date

2020-07-31

Job Search Website From Date

2020-06-21

Job Search Website To Date

2020-07-20

Employee Referral Program From Date

2021-01-01 09:53:40

Employee Referral Program To Date

2021-01-01 09:53:40

Local Ethnic Paper From Date

2020-06-25

Local Ethnic Paper To Date

2020-06-25

Radio/TV Ad From Date

2021-01-01 09:53:40

Radio/TV Ad To Date

2021-01-01 09:53:40

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

POLAND

Foreign Worker Birth Country

POLAND

Class of Admission

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL

Foreign Worker Years of Education Completed

2002

Foreign Worker Institution of Education

HIGH SCHOOL OF ECONOMICS AT GROUP OF ENONOMIC SCHOOLS NO. 2 IN THE NAME OF IGNACY DASZYNSKI

Foreign Worker Education Institution Address 1

OS. SPLDZIELCZE 6

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KRAKOW

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

POLAND

Foreign Worker Education Institution Postal Code

31-943

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Justin R Burton

Preparer Title

Attorney

Preparer Email

gov@krilaw.com

Employer Information Declaration Name

Robert Pavetto

Employer Information Declaration Title

Owner