Fiscal Year

2020

Case Number

A-20104-42182

Case Status

Withdrawn

Received Date

2020-04-13

Decision Date

2020-06-25

Refile

N

Original File Date

2020-01-01 19:59:29

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Coos County Family Health Services

Employer Name Slug

coos-county-family-health-services

Employer Address 1

54 Willow Street

Employer Address 2

Employer City

Berlin

Employer City Slug

berlin

Employer State

NEW HAMPSHIRE

Employer State Slug

new-hampshire

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

3570

Employer Phone

603-752-3669

Employer Number of Employees

128

Employer Year Commenced Business

1974

NAICS Code

621498

FW Ownership Interest

N

Employer Contact Name

Nicole LUKASZEWSKI

Employer Contact Address 1

54 Willow Street

Employer Contact Address 2

Employer Contact City

Berlin

Employer Contact State/Province

NEW HAMPSHIRE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

3570

Employer Contact Phone

603-752-3669 x4035 4035

Employer Contact Email

nlukaszewski@ccfhs.org

Agent Attorney Name

Steven L Winer

Agent Attorney Firm Name

Orr Reno P.A.

Agent Attorney Phone

603-223-9152

Agent Attorney Address 1

45 S. Main Street, PO Box 3550

Agent Attorney Address 2

Agent Attorney City

Concord

Agent Attorney State/Province

NEW HAMPSHIRE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

03302-3550

Agent Attorney Email

rvermette@orr-reno.com

PW Track Number

P10019360217234

PW SOC Code

29-1062

PW SOC Title

Family Medicine Physician

PW Skill Level

Level I

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-03

PW Expiration Date

2020-07-02

Wage Offer From

240000.00

Wage Offer To

0.00

Average Salary

240000.00

Wage Unit of Pay

Year

Worksite Address 1

2 Broadway Street

Worksite Address 2

Worksite City

Gorham

Worksite City Slug

gorham

Worksite State

NEW HAMPSHIRE

Worksite Postal Code

3581

Job Title

Family Medicine Physician

Job Title Slug

family-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

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

Completion of family medicine residency, board certified or eligible with American Board of Family Medicine, eligible for New Hampshire medical license

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

2020-01-23

SWA Job Order End Date

2020-02-22

Sunday Edition Newspaper

Y

First Newspaper Name

Union LeaderNew Hampshire Sunday News

First Advertisement Start Date

2020-01-26

Second Newspaper Ad Name

Union LeaderNew Hampshire Sunday News

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-02-02

Employer Website From Date

2020-01-10

Employer Website To Date

2020-02-24

Professional Organization Ad From Date

2020-02-20

Professional Organization Advertisement To Date

2020-02-26

Job Search Website From Date

2020-01-26

Job Search Website To Date

2020-02-24

Employee Referral Program From Date

2020-01-01 19:59:29

Employee Referral Program To Date

2020-01-01 19:59:29

Local Ethnic Paper From Date

2020-01-01 19:59:29

Local Ethnic Paper To Date

2020-01-01 19:59:29

Radio/TV Ad From Date

2020-01-01 19:59:29

Radio/TV Ad To Date

2020-01-01 19:59:29

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

EGYPT

Foreign Worker Birth Country

LIBYA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

1989

Foreign Worker Institution of Education

UNIVERSITY OF ALEXANDRIA

Foreign Worker Education Institution Address 1

FACULTY OF MEDICINE

Foreign Worker Education Institution Address 2

CHAMPOLLION STREET

Foreign Worker Education Institution City

ALEXANDRIA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

EGYPT

Foreign Worker Education Institution Postal Code

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

Steven L Winer

Preparer Title

Attorney

Preparer Email

rvermette@orr-reno.com

Employer Information Declaration Name

Nicole LUKASZEWSKI

Employer Information Declaration Title

HR Director