Fiscal Year

2020

Case Number

A-19254-56702

Case Status

Certified-Expired

Received Date

2019-10-21

Decision Date

2020-03-17

Refile

N

Original File Date

2020-01-01 07:58:19

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

FRANKLIN MEDICAL GROUP, PC

Employer Name Slug

franklin-medical-group-pc

Employer Address 1

56 FRANKLIN STREET

Employer Address 2

Employer City

WATERBURY

Employer City Slug

waterbury

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6706

Employer Phone

203-709-6000

Employer Number of Employees

401

Employer Year Commenced Business

1996

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Daniele M Howe

Employer Contact Address 1

1109 Granby Road

Employer Contact Address 2

Employer Contact City

Chicopee

Employer Contact State/Province

MASSACHUSETTS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

1020

Employer Contact Phone

(855) 894-5590

Employer Contact Email

dhowe@riverbendmedical.com

Agent Attorney Name

Andrew L Wizner

Agent Attorney Firm Name

Leete, Kosto Wizner, LLP

Agent Attorney Phone

(860) 249-8100

Agent Attorney Address 1

999 Asylum Avenue

Agent Attorney Address 2

Suite 202

Agent Attorney City

Hartford

Agent Attorney State/Province

CONNECTICUT

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

06105-2475

Agent Attorney Email

awizner@lkwvisa.com

PW Track Number

P10019057469717

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-06-06

PW Expiration Date

2019-09-04

Wage Offer From

300887.00

Wage Offer To

0.00

Average Salary

300887.00

Wage Unit of Pay

Year

Worksite Address 1

56 Franklin Street

Worksite Address 2

Worksite City

Waterbury

Worksite City Slug

waterbury

Worksite State

CONNECTICUT

Worksite Postal Code

6706

Job Title

Primary Care Physician, Internal Medicine

Job Title Slug

primary-care-physician-internal-medicine

Minimum Education

Other

Major Field of Study

Medicine

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

Must be Board Certified or Board Eligible in Internal Medicine; and Licensed or eligible for Licensure to practice Medicine in Connecticut. Note to Boxes H.1.H.2. Employee may be assigned to work in three different locations of the Employer in Waterbury, Connecticut 56 Franklin Street, Waterbury, CT 06706; 1981 East Main Street, Waterbury, CT 06705; and 133 Scovill Street, Waterbury, CT 06706. Note to Box F.1.F.5. The 1981 East Main Street, Waterbury, CT and 133 Scovill Street, Waterbury, CT work sites were included as additional work locations in Form ETA 9141. Prevailing Wage Determination amount is same for all locations, which are in the same countytownship area and MSA.

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

2019-06-19

SWA Job Order End Date

2019-07-22

Sunday Edition Newspaper

Y

First Newspaper Name

The Sunday Republican

First Advertisement Start Date

2019-07-21

Second Newspaper Ad Name

The Sunday Republican

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-07-28

Employer Website From Date

2020-01-01 07:58:19

Employer Website To Date

2020-01-01 07:58:19

Professional Organization Ad From Date

2020-01-01 07:58:19

Professional Organization Advertisement To Date

2020-01-01 07:58:19

Job Search Website From Date

2019-06-19

Job Search Website To Date

2019-06-27

Employee Referral Program From Date

2020-01-01 07:58:19

Employee Referral Program To Date

2020-01-01 07:58:19

Local Ethnic Paper From Date

2019-07-25

Local Ethnic Paper To Date

2019-07-25

Radio/TV Ad From Date

2019-07-29

Radio/TV Ad To Date

2019-07-31

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

TRINITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

TRINITY COLLEGE ROAD RIBISHI VC0100

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KINGSTOWN

Foreign Worker Education Institution State/Province

RIBISHI DISTRICT

Foreign Worker Education Institution Country

SAINT VINCENT AND THE GRENADINES

Foreign Worker Education Institution Postal Code

VC0100

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

Andrew L Wizner

Preparer Title

Attorney

Preparer Email

awizner@lkwvisa.com

Employer Information Declaration Name

Steven M Anderson

Employer Information Declaration Title

Executive Director