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Case Number: A-21285-57373

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21285-57373

Case Status

Certified

Received Date

2021-10-21

Decision Date

2022-07-22

Refile

N

Original File Date

2022-01-01 11:46:07

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Family Care Dental Group, Ltd.

Employer Name Slug

family-care-dental-group-ltd

Employer Address 1

3143 W. Devon Ave.

Employer Address 2

Employer City

Chicago

Employer City Slug

chicago

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

60659

Employer Phone

773-465-2922

Employer Number of Employees

5

Employer Year Commenced Business

1983

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Mark Mkrdichian

Employer Contact Address 1

3143 W. Devon Ave.

Employer Contact Address 2

Employer Contact City

Chicago

Employer Contact State/Province

ILLINOIS Family Care Dental Group, Ltd.

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

60659

Employer Contact Phone

7734652922

Employer Contact Email

mnm1984@sbcglobal.net

Agent Attorney Name

Agnieszka E Debicki

Agent Attorney Firm Name

Debicki Law Group, LTD

Agent Attorney Phone

8473986500

Agent Attorney Address 1

832 E Rand Road

Agent Attorney Address 2

Suite 15

Agent Attorney City

Mount Prospect

Agent Attorney State/Province

ILLINOIS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

60056

Agent Attorney Email

agnes@debickilaw.com

PW Track Number

P10021011005508

PW SOC Code

31-9091

PW SOC Title

Dental Assistants

PW Skill Level

Level I

PW Wage

31429.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-20

PW Expiration Date

2021-08-18

Wage Offer From

31429.00

Wage Offer To

0.00

Average Salary

31429.00

Wage Unit of Pay

Year

Worksite Address 1

3143 W. Devon Ave.

Worksite Address 2

Worksite City

Chicago

Worksite City Slug

chicago

Worksite State

ILLINOIS

Worksite Postal Code

60659

Job Title

Dental Assistant

Job Title Slug

dental-assistant

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

4

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

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

2021-06-28

SWA Job Order End Date

2021-07-31

Sunday Edition Newspaper

Y

First Newspaper Name

Chicago SunTimes

First Advertisement Start Date

2021-06-20

Second Newspaper Ad Name

Chicago SunTimes

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-06-27

Employer Website From Date

2022-01-01 11:46:07

Employer Website To Date

2022-01-01 11:46:07

Professional Organization Ad From Date

2022-01-01 11:46:07

Professional Organization Advertisement To Date

2022-01-01 11:46:07

Job Search Website From Date

2022-01-01 11:46:07

Job Search Website To Date

2022-01-01 11:46:07

Employee Referral Program From Date

2022-01-01 11:46:07

Employee Referral Program To Date

2022-01-01 11:46:07

Local Ethnic Paper From Date

2022-01-01 11:46:07

Local Ethnic Paper To Date

2022-01-01 11:46:07

Radio/TV Ad From Date

2022-01-01 11:46:07

Radio/TV Ad To Date

2022-01-01 11:46:07

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

J-1

Foreign Worker Education

High School

Foreign Worker Information: Major

GENERAL HIGH SCHOOL CURRICULUM

Foreign Worker Years of Education Completed

1999

Foreign Worker Institution of Education

ZESPOL SZKOL OGOLNAKSZTALCACYCH NR. 2

Foreign Worker Education Institution Address 1

OS. TEATRALNE 33

Foreign Worker Education Institution Address 2

KRAKOW

Foreign Worker Education Institution City

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

POLAND

Foreign Worker Education Institution Postal Code

31-948

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Agnieszka E Debicki

Preparer Title

Attorney

Preparer Email

agnes@debickilaw.com

Employer Information Declaration Name

Mark Mkrdichian

Employer Information Declaration Title

Owner