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Case Number: A-21126-82828

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21126-82828

Case Status

Certified-Expired

Received Date

2021-05-07

Decision Date

2021-11-01

Refile

N

Original File Date

2022-01-01 10:21:48

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PAUL M POLYVIOU DDS

Employer Name Slug

paul-m-polyviou-dds

Employer Address 1

3784 DIX TOLEDO RD

Employer Address 2

Employer City

LINCOLN PARK

Employer City Slug

lincoln-park

Employer State

MICHIGAN

Employer State Slug

michigan

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

48146

Employer Phone

3133882400

Employer Number of Employees

13

Employer Year Commenced Business

2006

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Paul M Polyviou

Employer Contact Address 1

3784 Dix Toledo Rd

Employer Contact Address 2

Employer Contact City

Lincoln park

Employer Contact State/Province

MICHIGAN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

48146

Employer Contact Phone

3133882400

Employer Contact Email

kids1stdentistry@gmail.com

Agent Attorney Name

Kate M McCarroll

Agent Attorney Firm Name

Kerr, Russell Weber, PLC

Agent Attorney Phone

3134843815

Agent Attorney Address 1

500 Woodward Avenue

Agent Attorney Address 2

Suite 2500

Agent Attorney City

Detroit

Agent Attorney State/Province

MICHIGAN

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

48226

Agent Attorney Email

kmccarroll@kerr-russell.com

PW Track Number

P10020339938479

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

2021-04-14

PW Expiration Date

2021-07-13

Wage Offer From

208000.00

Wage Offer To

0.00

Average Salary

208000.00

Wage Unit of Pay

Year

Worksite Address 1

3778 Dix Toledo Road

Worksite Address 2

Worksite City

Lincoln Park

Worksite City Slug

lincoln-park

Worksite State

MICHIGAN

Worksite Postal Code

48146

Job Title

Dentist (Pediatric)

Job Title Slug

dentist-pediatric

Minimum Education

Other

Major Field of Study

Dentistry

Required Training

N

Required Experience

N

Required Experience Months

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

Must have valid Dentistry LicenseEligibility in the State of Michigan.

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

2020-12-16

SWA Job Order End Date

2021-01-20

Sunday Edition Newspaper

Y

First Newspaper Name

Detroit Free Press

First Advertisement Start Date

2020-12-13

Second Newspaper Ad Name

Detroit Free Press

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-20

Employer Website From Date

2020-12-16

Employer Website To Date

2021-01-05

Professional Organization Ad From Date

2022-01-01 10:21:48

Professional Organization Advertisement To Date

2022-01-01 10:21:48

Job Search Website From Date

2020-12-14

Job Search Website To Date

2020-12-23

Employee Referral Program From Date

2022-01-01 10:21:48

Employee Referral Program To Date

2022-01-01 10:21:48

Local Ethnic Paper From Date

2020-12-09

Local Ethnic Paper To Date

2020-12-09

Radio/TV Ad From Date

2022-01-01 10:21:48

Radio/TV Ad To Date

2022-01-01 10:21:48

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

DENTISTRY

Foreign Worker Years of Education Completed

2011

Foreign Worker Institution of Education

UNIVERSITY OF CALIFORNIA

Foreign Worker Education Institution Address 1

513 PARNASSUS AVE.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SAN FRANCISCO

Foreign Worker Education Institution State/Province

CA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

94143

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Kate M McCarroll

Preparer Title

Attorney

Preparer Email

kmccarroll@kerr-russell.com

Employer Information Declaration Name

Paul M Polyviou

Employer Information Declaration Title

Owner