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Case Number: A-21287-58538

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21287-58538

Case Status

Certified

Received Date

2021-11-30

Decision Date

2022-05-19

Refile

N

Original File Date

2022-01-01 11:30:33

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Optim Dental 1 LLC

Employer Name Slug

optim-dental-1-llc

Employer Address 1

3359 S US Hwy 41

Employer Address 2

Employer City

Terre Haute

Employer City Slug

terre-haute

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

47802

Employer Phone

8129139529

Employer Number of Employees

2

Employer Year Commenced Business

2017

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Srinivas Durshanapalli

Employer Contact Address 1

3359 S US Hwy 41

Employer Contact Address 2

Employer Contact City

Terre Haute

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

47802

Employer Contact Phone

8129139529

Employer Contact Email

terrehaute@optimdentalcare.com

Agent Attorney Name

Ramakrishna R Vegesna

Agent Attorney Firm Name

Vegesna and Vemuru Associates LLC

Agent Attorney Phone

4109757575

Agent Attorney Address 1

2785 Rock Brook Drive

Agent Attorney Address 2

Suite 204

Agent Attorney City

Lewisville

Agent Attorney State/Province

TEXAS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

75067

Agent Attorney Email

kris@immiservice.com

PW Track Number

P10021057104649

PW SOC Code

29-1021

PW SOC Title

Associate Dentist

PW Skill Level

Level I

PW Wage

79310.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-07-21

PW Expiration Date

2022-06-30

Wage Offer From

120000.00

Wage Offer To

0.00

Average Salary

120000.00

Wage Unit of Pay

Year

Worksite Address 1

3359 S US Highway 41

Worksite Address 2

Worksite City

Terre Haute

Worksite City Slug

terre-haute

Worksite State

INDIANA

Worksite Postal Code

47802

Job Title

Associate Dentist

Job Title Slug

associate-dentist

Minimum Education

Other

Major Field of Study

Dental Surgery

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

State License to practice.

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

2021-07-09

SWA Job Order End Date

2021-08-08

Sunday Edition Newspaper

Y

First Newspaper Name

The Indianapolis Star Indystar.com

First Advertisement Start Date

2021-06-06

Second Newspaper Ad Name

The Indianapolis Star Indystar.com

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-06-13

Employer Website From Date

2021-06-07

Employer Website To Date

2021-07-06

Professional Organization Ad From Date

2022-01-01 11:30:33

Professional Organization Advertisement To Date

2022-01-01 11:30:33

Job Search Website From Date

2021-06-07

Job Search Website To Date

2021-07-06

Employee Referral Program From Date

2022-01-01 11:30:33

Employee Referral Program To Date

2022-01-01 11:30:33

Local Ethnic Paper From Date

2022-01-01 11:30:33

Local Ethnic Paper To Date

2022-01-01 11:30:33

Radio/TV Ad From Date

2022-01-01 11:30:33

Radio/TV Ad To Date

2022-01-01 11:30:33

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

DENTAL SURGERY

Foreign Worker Years of Education Completed

2010

Foreign Worker Institution of Education

NEW YORK UNIVERSITY

Foreign Worker Education Institution Address 1

345 E 24TH ST

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NEW YORK

Foreign Worker Education Institution State/Province

NY

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

10010

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Ramakrishna R Vegesna

Preparer Title

Attorney at Law

Preparer Email

kris@immiservice.com

Employer Information Declaration Name

Srinivas R Durshanapalli

Employer Information Declaration Title

President