All Details of Green Card Application:

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Case Number: A-21222-29449

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21222-29449

Case Status

Certified-Expired

Received Date

2021-08-31

Decision Date

2022-02-08

Refile

N

Original File Date

2022-01-01 10:54:20

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MILDRED COLLAZO DDS PL

Employer Name Slug

mildred-collazo-dds-pl

Employer Address 1

5863 N UNIVERSITY DR. SUITE A102

Employer Address 2

Employer City

TAMARAC

Employer City Slug

tamarac

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

33321

Employer Phone

9547202444

Employer Number of Employees

4

Employer Year Commenced Business

2012

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Mildred Collazo

Employer Contact Address 1

5863 N University Dr. Suite A102

Employer Contact Address 2

Employer Contact City

Tamarac

Employer Contact State/Province

FLORIDA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

33321

Employer Contact Phone

5612944796

Employer Contact Email

promisingdentalcare@gmail.com

Agent Attorney Name

MARINA F VEIGA

Agent Attorney Firm Name

Law Office of Shayne J. Epstein, PA

Agent Attorney Phone

9547811994

Agent Attorney Address 1

1359 E SAMPLE RD

Agent Attorney Address 2

Agent Attorney City

POMPANO BEACH

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

33064

Agent Attorney Email

perm@theepsteingroup.org

PW Track Number

10021061114360

PW SOC Code

31-9091

PW SOC Title

Dental Assistants

PW Skill Level

Level III

PW Wage

40248.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-07-27

PW Expiration Date

2022-06-30

Wage Offer From

19.35

Wage Offer To

0.00

Average Salary

19.35

Wage Unit of Pay

Hour

Worksite Address 1

5863 N University Dr

Worksite Address 2

Suite A102

Worksite City

Tamarac

Worksite City Slug

tamarac

Worksite State

FLORIDA

Worksite Postal Code

33321

Job Title

Dental Assistant

Job Title Slug

dental-assistant

Minimum Education

High School

Major Field of Study

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

Certificate as a Registered Dental Assistant RDAbr XRay Certification Preferred

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

2021-03-26

SWA Job Order End Date

2021-04-27

Sunday Edition Newspaper

Y

First Newspaper Name

SunSentinel

First Advertisement Start Date

2021-05-16

Second Newspaper Ad Name

SunSentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-05-23

Employer Website From Date

2022-01-01 10:54:20

Employer Website To Date

2022-01-01 10:54:20

Professional Organization Ad From Date

2022-01-01 10:54:20

Professional Organization Advertisement To Date

2022-01-01 10:54:20

Job Search Website From Date

2022-01-01 10:54:20

Job Search Website To Date

2022-01-01 10:54:20

Employee Referral Program From Date

2022-01-01 10:54:20

Employee Referral Program To Date

2022-01-01 10:54:20

Local Ethnic Paper From Date

2022-01-01 10:54:20

Local Ethnic Paper To Date

2022-01-01 10:54:20

Radio/TV Ad From Date

2022-01-01 10:54:20

Radio/TV Ad To Date

2022-01-01 10:54:20

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

VENEZUELA

Foreign Worker Birth Country

VENEZUELA

Class of Admission

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL DEGREE

Foreign Worker Years of Education Completed

1991

Foreign Worker Institution of Education

U.E COLEGIO SANTA MARIANA DE JESUS

Foreign Worker Education Institution Address 1

CARRETERA EL MOJAN

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MARACAIBO

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

VENEZUELA

Foreign Worker Education Institution Postal Code

4005

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

MARINA F VEIGA

Preparer Title

ATTORNEY

Preparer Email

mveiga@theepsteingroup.orr

Employer Information Declaration Name

MILDRED COLLAZO

Employer Information Declaration Title

MGRM DENTIST