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Case Number: A-21195-17490

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21195-17490

Case Status

Certified-Expired

Received Date

2021-07-14

Decision Date

2022-01-12

Refile

N

Original File Date

2022-01-01 10:45:41

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PINE HAVEN CHRISTIAN HOME, INC.

Employer Name Slug

pine-haven-christian-home-inc

Employer Address 1

531 GIDDINGS AVE.

Employer Address 2

Employer City

SHEBOYGAN FALLS

Employer City Slug

sheboygan-falls

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

53085

Employer Phone

920-467-2401

Employer Number of Employees

316

Employer Year Commenced Business

1950

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Katie Boge

Employer Contact Address 1

531 Giddings Avenue

Employer Contact Address 2

Employer Contact City

Sheboygan Falls

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

53085

Employer Contact Phone

9205505253

Employer Contact Email

kboge@pinehaven.org

Agent Attorney Name

Nhu Muon

Agent Attorney Firm Name

Law Office of Nhu Muon

Agent Attorney Phone

(626) 286-5988

Agent Attorney Address 1

1228 S. San Gabriel Blvd.

Agent Attorney Address 2

Suite D

Agent Attorney City

San Gabriel

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

91776

Agent Attorney Email

nhu@muonlaw.com

PW Track Number

P10020205732649

PW SOC Code

31-1011

PW SOC Title

Home Health Aides

PW Skill Level

Level II

PW Wage

23629.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-12-29

PW Expiration Date

2021-06-30

Wage Offer From

23629.00

Wage Offer To

0.00

Average Salary

23629.00

Wage Unit of Pay

Year

Worksite Address 1

531 Giddings Avenue

Worksite Address 2

Worksite City

Sheboygan Falls

Worksite City Slug

sheboygan-falls

Worksite State

WISCONSIN

Worksite Postal Code

53085

Job Title

Caregiver

Job Title Slug

caregiver

Minimum Education

None

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

N

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

6

Accept Alternative Job Title

Caregiver andor Home Health Aide

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

2021-02-01

SWA Job Order End Date

2021-03-05

Sunday Edition Newspaper

Y

First Newspaper Name

Sheboygan Press

First Advertisement Start Date

2021-01-17

Second Newspaper Ad Name

Sheboygan Press

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-01-24

Employer Website From Date

2022-01-01 10:45:41

Employer Website To Date

2022-01-01 10:45:41

Professional Organization Ad From Date

2022-01-01 10:45:41

Professional Organization Advertisement To Date

2022-01-01 10:45:41

Job Search Website From Date

2022-01-01 10:45:41

Job Search Website To Date

2022-01-01 10:45:41

Employee Referral Program From Date

2022-01-01 10:45:41

Employee Referral Program To Date

2022-01-01 10:45:41

Local Ethnic Paper From Date

2022-01-01 10:45:41

Local Ethnic Paper To Date

2022-01-01 10:45:41

Radio/TV Ad From Date

2022-01-01 10:45:41

Radio/TV Ad To Date

2022-01-01 10:45:41

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

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

Nhu Muon

Preparer Title

Attorney

Preparer Email

nhu@muonlaw.com

Employer Information Declaration Name

Katie Boge

Employer Information Declaration Title

Director of Human Resources