Fiscal Year

2020

Case Number

A-19305-78138

Case Status

Certified

Received Date

2019-11-06

Decision Date

2020-04-03

Refile

N

Original File Date

2020-01-01 08:14:07

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

ST. DOMINIC HOSPITAL MEDICINE, LLC

Employer Name Slug

st-dominic-hospital-medicine-llc

Employer Address 1

969 LAKELAND DRIVE

Employer Address 2

Employer City

JACKSON

Employer City Slug

jackson

Employer State

MISSISSIPPI

Employer State Slug

mississippi

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

39216

Employer Phone

6012008007

Employer Number of Employees

55

Employer Year Commenced Business

2016

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Stephanie Tapp

Employer Contact Address 1

969 Lakeland Drive

Employer Contact Address 2

Employer Contact City

Jackson

Employer Contact State/Province

MISSISSIPPI

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

39216

Employer Contact Phone

6012008007

Employer Contact Email

STapp@stdom.com

Agent Attorney Name

Brian T Bruner

Agent Attorney Firm Name

Bruner Law Group, PLLC

Agent Attorney Phone

612-205-5494

Agent Attorney Address 1

5125 County Road 101

Agent Attorney Address 2

Suite 106

Agent Attorney City

Minnetonka

Agent Attorney State/Province

MINNESOTA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

55345

Agent Attorney Email

bbruner@brunerlawgroup.com

PW Track Number

P20019102233585

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

102544.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-07-26

PW Expiration Date

2020-06-30

Wage Offer From

245000.00

Wage Offer To

0.00

Average Salary

245000.00

Wage Unit of Pay

Year

Worksite Address 1

969 Lakeland Drive

Worksite Address 2

Worksite City

Jackson

Worksite City Slug

jackson

Worksite State

MISSISSIPPI

Worksite Postal Code

39216

Job Title

Hospitalist (Internist)

Job Title Slug

hospitalist-internist

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

MD or Foreign Equivalent; Completion of Internal Medicine Residency Program; BE or BC in Internal Medicine; and possess or be eligible for a Mississippi 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

2019-08-23

SWA Job Order End Date

2019-09-24

Sunday Edition Newspaper

Y

First Newspaper Name

The Clarion Ledger

First Advertisement Start Date

2019-09-01

Second Newspaper Ad Name

The Clarion Ledger

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-09-08

Employer Website From Date

2020-01-01 08:14:07

Employer Website To Date

2020-01-01 08:14:07

Professional Organization Ad From Date

2019-09-24

Professional Organization Advertisement To Date

2019-09-24

Job Search Website From Date

2019-09-20

Job Search Website To Date

2019-09-27

Employee Referral Program From Date

2020-01-01 08:14:07

Employee Referral Program To Date

2020-01-01 08:14:07

Local Ethnic Paper From Date

2020-01-01 08:14:07

Local Ethnic Paper To Date

2020-01-01 08:14:07

Radio/TV Ad From Date

2020-01-01 08:14:07

Radio/TV Ad To Date

2020-01-01 08:14:07

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

NIGERIA

Foreign Worker Birth Country

NIGERIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

UNIVERSITY OF BENIN TEACHING HOSPITAL

Foreign Worker Education Institution Address 1

UGBOWOLAGOS ROAD

Foreign Worker Education Institution Address 2

USELU

Foreign Worker Education Institution City

BENIN CITY

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

NIGERIA

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

BRIAN T BRUNER

Preparer Title

ATTORNEY

Preparer Email

bbruner@brunerlawgroup.com

Employer Information Declaration Name

WILLIAM MORGAN

Employer Information Declaration Title

PRESIDENT