Fiscal Year

2022

Case Number

A-21116-78682

Case Status

Certified-Expired

Received Date

2021-04-28

Decision Date

2022-01-18

Refile

N

Original File Date

2022-01-01 10:47:14

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FIVE STAR DENTAL LABORATORY, INC.

Employer Name Slug

five-star-dental-laboratory-inc

Employer Address 1

1210 N. JEFFERSON ST. #D

Employer Address 2

Employer City

ANAHEIM

Employer City Slug

anaheim

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

92807

Employer Phone

(714) 778-5050

Employer Number of Employees

10

Employer Year Commenced Business

2014

NAICS Code

339116

FW Ownership Interest

N

Employer Contact Name

Jaeyang Yu

Employer Contact Address 1

1210 N. Jefferson St. #D

Employer Contact Address 2

Employer Contact City

Anaheim

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92807

Employer Contact Phone

(714) 778-5050

Employer Contact Email

5stardentallab@gmail.com

Agent Attorney Name

Sunghwan Kim

Agent Attorney Firm Name

The Law Office of Richard Sunghwan Kim

Agent Attorney Phone

2137395015

Agent Attorney Address 1

3255 Wilshire Blvd.

Agent Attorney Address 2

Suite 1805

Agent Attorney City

Los Angeles

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90010

Agent Attorney Email

iminlawyeroffice@gmail.com

PW Track Number

P10020235782820

PW SOC Code

51-9081

PW SOC Title

Lab Technician

PW Skill Level

Level II

PW Wage

36109.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-01-28

PW Expiration Date

2021-06-30

Wage Offer From

36109.00

Wage Offer To

36109.00

Average Salary

36109.00

Wage Unit of Pay

Year

Worksite Address 1

1210 N. Jefferson St. #D

Worksite Address 2

Worksite City

Anaheim

Worksite City Slug

anaheim

Worksite State

CALIFORNIA

Worksite Postal Code

92807

Job Title

Lab Technician

Job Title Slug

lab-technician

Minimum Education

Associate's

Major Field of Study

Dental Technology

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Dental Laboratory Technology

Accept Alternative Combination

Y

Accept Alternative Combination Education

None

Accept Alternative Combination Education Years

2

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

The minimum qualification for this position is to have an associates degree in dental technology or dental laboratory technology. Alternatively, 2 years of full time work experience as dental lab technician, dental technician, dental ceramist, or denture technician.

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

2021-02-19

SWA Job Order End Date

2021-03-24

Sunday Edition Newspaper

Y

First Newspaper Name

Los Angeles Times

First Advertisement Start Date

2021-03-14

Second Newspaper Ad Name

Los Angeles Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-03-21

Employer Website From Date

2022-01-01 10:47:14

Employer Website To Date

2022-01-01 10:47:14

Professional Organization Ad From Date

2022-01-01 10:47:14

Professional Organization Advertisement To Date

2022-01-01 10:47:14

Job Search Website From Date

2022-01-01 10:47:14

Job Search Website To Date

2022-01-01 10:47:14

Employee Referral Program From Date

2022-01-01 10:47:14

Employee Referral Program To Date

2022-01-01 10:47:14

Local Ethnic Paper From Date

2022-01-01 10:47:14

Local Ethnic Paper To Date

2022-01-01 10:47:14

Radio/TV Ad From Date

2022-01-01 10:47:14

Radio/TV Ad To Date

2022-01-01 10:47:14

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

J-1

Foreign Worker Education

Associate's

Foreign Worker Information: Major

DENTAL LABORATORY TECHNOLOGY

Foreign Worker Years of Education Completed

2020

Foreign Worker Institution of Education

WONKWANG HEALTH SCIENCE UNIVERSITY

Foreign Worker Education Institution Address 1

514 IKSANDAERO

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

IKSAN

Foreign Worker Education Institution State/Province

JEONBUK

Foreign Worker Education Institution Country

SOUTH KOREA

Foreign Worker Education Institution Postal Code

54538

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

SUNGHWAN KIM

Preparer Title

Attorney at Law

Preparer Email

iminlawyeroffice@gmail.com

Employer Information Declaration Name

JAEYANG YU

Employer Information Declaration Title

GENERAL MANAGER