Fiscal Year

2021

Case Number

A-20153-60403

Case Status

Certified

Received Date

2020-09-23

Decision Date

2021-08-13

Refile

N

Original File Date

2021-01-01 09:59:27

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

REGENCY GRANDE NURSING REHABILITATION CENTER, LL

Employer Name Slug

regency-grande-nursing-rehabilitation-center-ll

Employer Address 1

65 NORTH SUSSEX STREET

Employer Address 2

Employer City

DOVER

Employer City Slug

dover

Employer State

NEW JERSEY

Employer State Slug

new-jersey

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

7801

Employer Phone

9733615200

Employer Number of Employees

180

Employer Year Commenced Business

2003

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

BERNARDINA SAMIN

Employer Contact Address 1

65 NORTH SUSSEX STREET

Employer Contact Address 2

Employer Contact City

DOVER

Employer Contact State/Province

NEW JERSEY

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

7801

Employer Contact Phone

9733615200

Employer Contact Email

regencygrandenursing@gmail.com

Agent Attorney Name

Mario Jr L Bejasa

Agent Attorney Firm Name

Bejasa Law Office, PC

Agent Attorney Phone

2122443375

Agent Attorney Address 1

110 West 34th Street

Agent Attorney Address 2

Suite 808

Agent Attorney City

New York

Agent Attorney State/Province

NEW YORK

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

100012115

Agent Attorney Email

bejasa3375@msn.com

PW Track Number

P10019361219213

PW SOC Code

35-2012

PW SOC Title

Cooks, Institution and Cafeteria

PW Skill Level

Level III

PW Wage

36046.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-06

PW Expiration Date

2020-07-05

Wage Offer From

36046.00

Wage Offer To

36046.00

Average Salary

36046.00

Wage Unit of Pay

Year

Worksite Address 1

65 North Sussex Street

Worksite Address 2

Worksite City

Dover

Worksite City Slug

dover

Worksite State

NEW JERSEY

Worksite Postal Code

7801

Job Title

Cook

Job Title Slug

cook

Minimum Education

High School

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

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

none

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

2020-04-22

SWA Job Order End Date

2020-05-30

Sunday Edition Newspaper

Y

First Newspaper Name

Daily Record

First Advertisement Start Date

2020-04-26

Second Newspaper Ad Name

Daily Record

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-03

Employer Website From Date

2021-01-01 09:59:27

Employer Website To Date

2021-01-01 09:59:27

Professional Organization Ad From Date

2021-01-01 09:59:27

Professional Organization Advertisement To Date

2021-01-01 09:59:27

Job Search Website From Date

2021-01-01 09:59:27

Job Search Website To Date

2021-01-01 09:59:27

Employee Referral Program From Date

2021-01-01 09:59:27

Employee Referral Program To Date

2021-01-01 09:59:27

Local Ethnic Paper From Date

2021-01-01 09:59:27

Local Ethnic Paper To Date

2021-01-01 09:59:27

Radio/TV Ad From Date

2021-01-01 09:59:27

Radio/TV Ad To Date

2021-01-01 09:59:27

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

J-1

Foreign Worker Education

High School

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

2008

Foreign Worker Institution of Education

PINES CITY NATIONAL HIGH SCHOOL

Foreign Worker Education Institution Address 1

PALMA STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BAGUIO CITY

Foreign Worker Education Institution State/Province

BENGUET

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

2600

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Mario, Jr. L BEJASA

Preparer Title

Attorney for the Employer

Preparer Email

bejasa3375@msn.com

Employer Information Declaration Name

Bernardina O SAMIN

Employer Information Declaration Title

Authorized Representative