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Case Number: A-21056-55979

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21056-55979

Case Status

Certified

Received Date

2021-02-25

Decision Date

2021-07-28

Refile

N

Original File Date

2021-01-01 09:54:16

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Atlanta grappling system llc

Employer Name Slug

atlanta-grappling-system-llc

Employer Address 1

2110 Faulkner Rd NE

Employer Address 2

Employer City

Atlanta

Employer City Slug

atlanta

Employer State

GEORGIA

Employer State Slug

georgia

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

30324

Employer Phone

4044963567

Employer Number of Employees

8

Employer Year Commenced Business

2015

NAICS Code

61162

FW Ownership Interest

N

Employer Contact Name

Roan Carneiro

Employer Contact Address 1

2110 Faulkner Rd NE

Employer Contact Address 2

Employer Contact City

Atlanta

Employer Contact State/Province

GEORGIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

30324

Employer Contact Phone

4044963567

Employer Contact Email

Jucao@attatl.com

Agent Attorney Name

Marcelo B Gondim

Agent Attorney Firm Name

GONDIM LAW CORP

Agent Attorney Phone

7147331277

Agent Attorney Address 1

650 Town Center Dr. Suite 930

Agent Attorney Address 2

Agent Attorney City

Costa Mesa

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

92626

Agent Attorney Email

info@gondim-law.com

PW Track Number

P10020259823770

PW SOC Code

39-9031

PW SOC Title

JIU JITSU INSTRUCTOR

PW Skill Level

Level I

PW Wage

25522.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-02-18

PW Expiration Date

2021-06-30

Wage Offer From

25522.00

Wage Offer To

0.00

Average Salary

25522.00

Wage Unit of Pay

Year

Worksite Address 1

2110 FAULKNER RD NE

Worksite Address 2

Worksite City

ATLANTA

Worksite City Slug

atlanta

Worksite State

GEORGIA

Worksite Postal Code

30324

Job Title

JIU JITSU INSTRUCTOR

Job Title Slug

jiu-jitsu-instructor

Minimum Education

None

Major Field of Study

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

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

2020-10-07

SWA Job Order End Date

2020-11-10

Sunday Edition Newspaper

Y

First Newspaper Name

THE ATLANTA JOURNAL CONSTITUTION

First Advertisement Start Date

2020-10-11

Second Newspaper Ad Name

THE ATLANTA JOURNAL CONSTITUTION

Second Advertisement Type

Journal

Second Ad Start Date

2020-10-18

Employer Website From Date

2021-01-01 09:54:16

Employer Website To Date

2021-01-01 09:54:16

Professional Organization Ad From Date

2021-01-01 09:54:16

Professional Organization Advertisement To Date

2021-01-01 09:54:16

Job Search Website From Date

2021-01-01 09:54:16

Job Search Website To Date

2021-01-01 09:54:16

Employee Referral Program From Date

2021-01-01 09:54:16

Employee Referral Program To Date

2021-01-01 09:54:16

Local Ethnic Paper From Date

2021-01-01 09:54:16

Local Ethnic Paper To Date

2021-01-01 09:54:16

Radio/TV Ad From Date

2021-01-01 09:54:16

Radio/TV Ad To Date

2021-01-01 09:54:16

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

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

N

Employer Completed Application

N

Preparer Name

MARCELO B GONDIM

Preparer Title

ATTORNEY AT LAW

Preparer Email

INFO@GONDIM-LAW.COM

Employer Information Declaration Name

ROAN CARNEIRO

Employer Information Declaration Title

OWNER