All Details of Green Card Application:

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Case Number: A-21238-36627

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21238-36627

Case Status

Certified

Received Date

2021-08-26

Decision Date

2022-05-09

Refile

N

Original File Date

2022-01-01 11:25:29

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Magdalena PotaczekKozik

Employer Name Slug

magdalena-potaczekkozik

Employer Address 1

1116 N Meadow Ln

Employer Address 2

Employer City

MOUNT PROSPECT

Employer City Slug

mount-prospect

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

60056-1023

Employer Phone

7736190390

Employer Number of Employees

1

Employer Year Commenced Business

2020

NAICS Code

81411

FW Ownership Interest

N

Employer Contact Name

Magdalena Potaczek-Kozik

Employer Contact Address 1

1116 N Meadow Ln

Employer Contact Address 2

Employer Contact City

Mount Prospect

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60056

Employer Contact Phone

7736190390

Employer Contact Email

Mpotac1@hotmail.com

Agent Attorney Name

Justin R Burton

Agent Attorney Firm Name

Kriezelman Burton Associates, LLC

Agent Attorney Phone

(312) 332-2550

Agent Attorney Address 1

200 W Adams St

Agent Attorney Address 2

Ste 2211

Agent Attorney City

Chicago

Agent Attorney State/Province

ILLINOIS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

60606

Agent Attorney Email

gov@krilaw.com

PW Track Number

P10020252809347

PW SOC Code

39-9011

PW SOC Title

Nannies

PW Skill Level

Level I

PW Wage

19531.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-02-11

PW Expiration Date

2021-06-30

Wage Offer From

19531.00

Wage Offer To

0.00

Average Salary

19531.00

Wage Unit of Pay

Year

Worksite Address 1

1116 N Meadow Ln

Worksite Address 2

Worksite City

Mount Prospect

Worksite City Slug

mount-prospect

Worksite State

ILLINOIS

Worksite Postal Code

60056

Job Title

Nanny

Job Title Slug

nanny

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

12

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

Must be CPR Certified.

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

2021-05-27

SWA Job Order End Date

2021-06-28

Sunday Edition Newspaper

Y

First Newspaper Name

Chicago SunTimes

First Advertisement Start Date

2021-04-04

Second Newspaper Ad Name

Chicago SunTimes

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-04-11

Employer Website From Date

2022-01-01 11:25:29

Employer Website To Date

2022-01-01 11:25:29

Professional Organization Ad From Date

2022-01-01 11:25:29

Professional Organization Advertisement To Date

2022-01-01 11:25:29

Job Search Website From Date

2022-01-01 11:25:29

Job Search Website To Date

2022-01-01 11:25:29

Employee Referral Program From Date

2022-01-01 11:25:29

Employee Referral Program To Date

2022-01-01 11:25:29

Local Ethnic Paper From Date

2022-01-01 11:25:29

Local Ethnic Paper To Date

2022-01-01 11:25:29

Radio/TV Ad From Date

2022-01-01 11:25:29

Radio/TV Ad To Date

2022-01-01 11:25:29

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

POLAND

Foreign Worker Birth Country

POLAND

Class of Admission

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL DIPLOMA

Foreign Worker Years of Education Completed

2005

Foreign Worker Institution of Education

VOCATIONAL EDUCATION CENTER

Foreign Worker Education Institution Address 1

1 KWIATKOWSKIEGO

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

STALOWA WOLA

Foreign Worker Education Institution State/Province

PODKARPACIE

Foreign Worker Education Institution Country

POLAND

Foreign Worker Education Institution Postal Code

37450

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Justin R Burton

Preparer Title

Attorney

Preparer Email

gov@krilaw.com

Employer Information Declaration Name

Magdalena PotaczekKozik

Employer Information Declaration Title

Owner