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Case Number: A-21275-53258

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21275-53258

Case Status

Certified

Received Date

2021-10-02

Decision Date

2022-04-13

Refile

N

Original File Date

2022-01-01 11:15:49

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

K and R Pizza LLC

Employer Name Slug

k-and-r-pizza-llc

Employer Address 1

Little Caesars

Employer Address 2

2364 South Main Street

Employer City

Rice Lake

Employer City Slug

rice-lake

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54868

Employer Phone

7152059098

Employer Number of Employees

11

Employer Year Commenced Business

2014

NAICS Code

722513

FW Ownership Interest

N

Employer Contact Name

Kevin Segebrecht

Employer Contact Address 1

2464 South Main Street

Employer Contact Address 2

Employer Contact City

Rice Lake

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54868

Employer Contact Phone

7157190345

Employer Contact Email

littlecaesars.ricelake@yahoo.com

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

P10020197717280

PW SOC Code

35-2011

PW SOC Title

Cooks, Fast Food

PW Skill Level

Level I

PW Wage

18512.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-12-15

PW Expiration Date

2021-06-30

Wage Offer From

18512.00

Wage Offer To

0.00

Average Salary

18512.00

Wage Unit of Pay

Year

Worksite Address 1

2464 South Main Street

Worksite Address 2

Worksite City

Rice Lake

Worksite City Slug

rice-lake

Worksite State

WISCONSIN

Worksite Postal Code

54868

Job Title

Crew Members

Job Title Slug

crew-members

Minimum Education

None

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

N

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

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

2021-05-05

SWA Job Order End Date

2021-06-10

Sunday Edition Newspaper

Y

First Newspaper Name

Leader Telegram

First Advertisement Start Date

2021-04-18

Second Newspaper Ad Name

Leader Telegram

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-25

Employer Website From Date

2022-01-01 11:15:49

Employer Website To Date

2022-01-01 11:15:49

Professional Organization Ad From Date

2022-01-01 11:15:49

Professional Organization Advertisement To Date

2022-01-01 11:15:49

Job Search Website From Date

2022-01-01 11:15:49

Job Search Website To Date

2022-01-01 11:15:49

Employee Referral Program From Date

2022-01-01 11:15:49

Employee Referral Program To Date

2022-01-01 11:15:49

Local Ethnic Paper From Date

2022-01-01 11:15:49

Local Ethnic Paper To Date

2022-01-01 11:15:49

Radio/TV Ad From Date

2022-01-01 11:15:49

Radio/TV Ad To Date

2022-01-01 11:15:49

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/A

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

Kevin Segebrecht

Employer Information Declaration Title

Owner