Fiscal Year

2021

Case Number

A-21212-25305

Case Status

Withdrawn

Received Date

2021-08-14

Decision Date

2021-08-18

Refile

N

Original File Date

2021-01-01 10:02:25

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Cosden LLC DBA Palatine Nursing Home

Employer Name Slug

cosden-llc-dba-palatine-nursing-home

Employer Address 1

154 Lafayette St.

Employer Address 2

Employer City

Palatine Bridge

Employer City Slug

palatine-bridge

Employer State

NEW YORK

Employer State Slug

new-york

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

13428

Employer Phone

518-673-5212

Employer Number of Employees

100

Employer Year Commenced Business

2013

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Gina Bongo

Employer Contact Address 1

154 Lafayette St.

Employer Contact Address 2

Employer Contact City

Palatine Bridge

Employer Contact State/Province

NEW YORK

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

13428

Employer Contact Phone

518-673-5212

Employer Contact Email

caringpartners.cosden@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

10001

Agent Attorney Email

bejasa3375@msn.com

PW Track Number

P10020294883471

PW SOC Code

31-1014

PW SOC Title

Nursing Assistants

PW Skill Level

Level II

PW Wage

28018.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-15

PW Expiration Date

2021-06-30

Wage Offer From

28018.00

Wage Offer To

28018.00

Average Salary

28018.00

Wage Unit of Pay

Week

Worksite Address 1

154 Lafayette Street

Worksite Address 2

Worksite City

Palatine Bridge

Worksite City Slug

palatine-bridge

Worksite State

NEW YORK

Worksite Postal Code

13428

Job Title

Nursing Aide

Job Title Slug

nursing-aide

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

NURSE OR CAREGIVER

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

2021-04-09

SWA Job Order End Date

2021-05-17

Sunday Edition Newspaper

Y

First Newspaper Name

New York Post

First Advertisement Start Date

2021-03-28

Second Newspaper Ad Name

New York Post

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-04

Employer Website From Date

2021-01-01 10:02:25

Employer Website To Date

2021-01-01 10:02:25

Professional Organization Ad From Date

2021-01-01 10:02:25

Professional Organization Advertisement To Date

2021-01-01 10:02:25

Job Search Website From Date

2021-01-01 10:02:25

Job Search Website To Date

2021-01-01 10:02:25

Employee Referral Program From Date

2021-01-01 10:02:25

Employee Referral Program To Date

2021-01-01 10:02:25

Local Ethnic Paper From Date

2021-01-01 10:02:25

Local Ethnic Paper To Date

2021-01-01 10:02:25

Radio/TV Ad From Date

2021-01-01 10:02:25

Radio/TV Ad To Date

2021-01-01 10:02:25

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

Foreign Worker Education

High School

Foreign Worker Information: Major

Foreign Worker Years of Education Completed

2002

Foreign Worker Institution of Education

BAROTAC VIEJO NATIONAL HIGH SCHOOL

Foreign Worker Education Institution Address 1

POBLACION

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BAROTAC VIEJO

Foreign Worker Education Institution State/Province

ILOILO

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

5011

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 Bejesa

Preparer Title

Attorney for the Employer

Preparer Email

bejasa3375@msn.com

Employer Information Declaration Name

Gina B BONGO

Employer Information Declaration Title

Authorized Representative