All Details of Green Card Application:

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Case Number: A-21223-30139

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21223-30139

Case Status

Certified-Expired

Received Date

2021-08-13

Decision Date

2022-02-09

Refile

N

Original File Date

2022-01-01 10:54:52

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

TRUST DENTAL LAB

Employer Name Slug

trust-dental-lab

Employer Address 1

1015 W. newport center dr

Employer Address 2

suite 104

Employer City

Deerfield beach

Employer City Slug

deerfield-beach

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

33442

Employer Phone

561-440-7000

Employer Number of Employees

2

Employer Year Commenced Business

2019

NAICS Code

339116

FW Ownership Interest

N

Employer Contact Name

HISHAM ALBATARNI

Employer Contact Address 1

1015 W. newport center dr

Employer Contact Address 2

suite 104

Employer Contact City

Deerfield beach

Employer Contact State/Province

FLORIDA TRUST DENTAL LAB

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

33442

Employer Contact Phone

9178543401

Employer Contact Email

trustdentallabfl@gmail.com

Agent Attorney Name

Robert S Kleinman

Agent Attorney Firm Name

Robert S Kleinman PA

Agent Attorney Phone

5616991793

Agent Attorney Address 1

1701 W. Hillsboro Blvd, Suite 207

Agent Attorney Address 2

Agent Attorney City

Deerfield Beach

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

33442

Agent Attorney Email

sergiomunguba@gmail.com

PW Track Number

P10021014013208

PW SOC Code

43-6014

PW SOC Title

Administrative Assistant

PW Skill Level

Level III

PW Wage

37107.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-24

PW Expiration Date

2021-08-22

Wage Offer From

37107.00

Wage Offer To

0.00

Average Salary

37107.00

Wage Unit of Pay

Year

Worksite Address 1

1015 W Newport Center Dr

Worksite Address 2

Worksite City

Deerfield Beach

Worksite City Slug

deerfield-beach

Worksite State

FLORIDA

Worksite Postal Code

33442

Job Title

Administrative Assistant

Job Title Slug

administrative-assistant

Minimum Education

None

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

24

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

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Required 2 years of exp.

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

2021-04-27

SWA Job Order End Date

2021-05-27

Sunday Edition Newspaper

Y

First Newspaper Name

SunSentinel

First Advertisement Start Date

2021-05-30

Second Newspaper Ad Name

SunSentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-06-06

Employer Website From Date

2022-01-01 10:54:52

Employer Website To Date

2022-01-01 10:54:52

Professional Organization Ad From Date

2022-01-01 10:54:52

Professional Organization Advertisement To Date

2022-01-01 10:54:52

Job Search Website From Date

2022-01-01 10:54:52

Job Search Website To Date

2022-01-01 10:54:52

Employee Referral Program From Date

2022-01-01 10:54:52

Employee Referral Program To Date

2022-01-01 10:54:52

Local Ethnic Paper From Date

2022-01-01 10:54:52

Local Ethnic Paper To Date

2022-01-01 10:54:52

Radio/TV Ad From Date

2022-01-01 10:54:52

Radio/TV Ad To Date

2022-01-01 10:54:52

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BRAZIL

Foreign Worker Birth Country

BRAZIL

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

Robert S Kleinman

Preparer Title

ATTORNEY

Preparer Email

sergiomunguba@gmail.com

Employer Information Declaration Name

HISHAM ALBATARINI

Employer Information Declaration Title

PRESIDENT