Fiscal Year

2022

Case Number

A-21171-03993

Case Status

Certified-Expired

Received Date

2021-06-24

Decision Date

2021-12-17

Refile

N

Original File Date

2022-01-01 10:38:08

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FAMILIA DENTAL FORT WAYNE PLLC

Employer Name Slug

familia-dental-fort-wayne-pllc

Employer Address 1

5328 COLDWATER RD.

Employer Address 2

Employer City

FORT WAYNE

Employer City Slug

fort-wayne

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46825

Employer Phone

847-915-3019

Employer Number of Employees

13

Employer Year Commenced Business

2013

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Barb Cendrowski

Employer Contact Address 1

2050 East Algonquin Rd.

Employer Contact Address 2

Suite 610

Employer Contact City

Schaumburg

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60173

Employer Contact Phone

8478018365

Employer Contact Email

bcendrowski@familiadental.com

Agent Attorney Name

Mark Wu

Agent Attorney Firm Name

Ogletree, Deakins, Nash, Smoak Stewart, P.C.

Agent Attorney Phone

5123444707

Agent Attorney Address 1

301 Congress Ave

Agent Attorney Address 2

Ste 1150

Agent Attorney City

Austin

Agent Attorney State/Province

TEXAS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

78701

Agent Attorney Email

mark.wu@ogletreedeakins.com

PW Track Number

P10020283874714

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

Level I

PW Wage

97157.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-09

PW Expiration Date

2021-06-30

Wage Offer From

97157.00

Wage Offer To

0.00

Average Salary

97157.00

Wage Unit of Pay

Year

Worksite Address 1

5328 Coldwater Road

Worksite Address 2

Worksite City

Fort Wayne

Worksite City Slug

fort-wayne

Worksite State

INDIANA

Worksite Postal Code

46825

Job Title

General Dentist

Job Title Slug

general-dentist

Minimum Education

Other

Major Field of Study

Dental Surgery

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Doctor of Dental Medicine D.M.D

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

Requires state dental license. Employer will accept Doctor of Dental Surgery D.D.S. or Doctor of Dental Medicine D.M.D.. Employer will accept foreign degree equivalent.

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

2021-04-13

SWA Job Order End Date

2021-05-16

Sunday Edition Newspaper

Y

First Newspaper Name

The Journal Gazette

First Advertisement Start Date

2021-04-11

Second Newspaper Ad Name

The Journal Gazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-18

Employer Website From Date

2022-01-01 10:38:08

Employer Website To Date

2022-01-01 10:38:08

Professional Organization Ad From Date

2021-04-20

Professional Organization Advertisement To Date

2021-05-20

Job Search Website From Date

2021-04-13

Job Search Website To Date

2021-04-26

Employee Referral Program From Date

2022-01-01 10:38:08

Employee Referral Program To Date

2022-01-01 10:38:08

Local Ethnic Paper From Date

2022-01-01 10:38:08

Local Ethnic Paper To Date

2022-01-01 10:38:08

Radio/TV Ad From Date

2021-04-22

Radio/TV Ad To Date

2021-04-22

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

F-1

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL SURGERY

Foreign Worker Years of Education Completed

2020

Foreign Worker Institution of Education

INDIANA UNIVERSITY SCHOOL OF DENTISTRY

Foreign Worker Education Institution Address 1

1121 W MICHIGAN STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

INDIANAPOLIS

Foreign Worker Education Institution State/Province

IN

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

46202

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

Mark Wu

Preparer Title

Attorney

Preparer Email

mark.wu@ogletreedeakins.com

Employer Information Declaration Name

Barbara Cendrowski

Employer Information Declaration Title

Recruitment Specialist