All Details of Green Card Application:

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Case Number: A-21203-21294

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21203-21294

Case Status

Certified-Expired

Received Date

2021-09-17

Decision Date

2022-03-21

Refile

N

Original File Date

2022-01-01 11:07:48

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Midwest Dental Sheboygan Inc

Employer Name Slug

midwest-dental-sheboygan-inc

Employer Address 1

680 Hehli Way

Employer Address 2

Employer City

Mondovi

Employer City Slug

mondovi

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54755

Employer Phone

7152259126

Employer Number of Employees

579

Employer Year Commenced Business

1982

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Stephanie Morgan

Employer Contact Address 1

680 Hehli Way

Employer Contact Address 2

Employer Contact City

Mondovi

Employer Contact State/Province

WISCONSIN 391398925

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54755

Employer Contact Phone

7152259126

Employer Contact Email

smorgan@midwest-dental.com

Agent Attorney Name

Tiffany C Wu

Agent Attorney Firm Name

FRAGOMEN, DEL REY, BERNSEN LOEWY, LLP

Agent Attorney Phone

9492610209

Agent Attorney Address 1

Fragomen, Del Rey, Bernsen Lowey, LLP

Agent Attorney Address 2

18401 Von Karmen Avenue, Suite 255

Agent Attorney City

Irvine

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

92612

Agent Attorney Email

tchang@fragomen.com

PW Track Number

P10020219755379

PW SOC Code

29-1021

PW SOC Title

DENTISTS, GENERAL

PW Skill Level

Level I

PW Wage

133432.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-01-13

PW Expiration Date

2021-06-30

Wage Offer From

192000.00

Wage Offer To

0.00

Average Salary

192000.00

Wage Unit of Pay

Year

Worksite Address 1

1714 N. RANDALL AVE

Worksite Address 2

Worksite City

JANESVILLE

Worksite City Slug

janesville

Worksite State

WISCONSIN

Worksite Postal Code

53545

Job Title

DENTIST

Job Title Slug

dentist

Minimum Education

Other

Major Field of Study

DENTISTRY

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

Active State Dental License and Active CPR Registration.

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

2021-04-20

SWA Job Order End Date

2021-05-25

Sunday Edition Newspaper

Y

First Newspaper Name

WISCONSIN STATE JOURNAL

First Advertisement Start Date

2021-05-02

Second Newspaper Ad Name

WISCONSIN STATE JOURNAL

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-05-09

Employer Website From Date

2021-04-28

Employer Website To Date

2021-05-12

Professional Organization Ad From Date

2022-01-01 11:07:48

Professional Organization Advertisement To Date

2022-01-01 11:07:48

Job Search Website From Date

2022-01-01 11:07:48

Job Search Website To Date

2022-01-01 11:07:48

Employee Referral Program From Date

2021-04-28

Employee Referral Program To Date

2021-05-12

Local Ethnic Paper From Date

2021-05-05

Local Ethnic Paper To Date

2021-05-05

Radio/TV Ad From Date

2022-01-01 11:07:48

Radio/TV Ad To Date

2022-01-01 11:07:48

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

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTISTRY

Foreign Worker Years of Education Completed

2018

Foreign Worker Institution of Education

RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY

Foreign Worker Education Institution Address 1

65 BERGEN STREET

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NEWARK

Foreign Worker Education Institution State/Province

NJ

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

7103

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

TIFFANY C WU

Preparer Title

ASSOCIATE

Preparer Email

TCHANG@FRAGOMEN.COM

Employer Information Declaration Name

KRISTIN ARMENTA

Employer Information Declaration Title

SR MANAGER, RECRUITMENT OPERATIONS