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Case Number: A-19347-95507

Fiscal year: 2020

Fiscal Year

2020

Case Number

A-19347-95507

Case Status

Certified

Received Date

2019-12-30

Decision Date

2020-05-07

Refile

N

Original File Date

2020-01-01 08:24:38

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

CRUSADERS CENTRAL CLINIC ASSOCIATION

Employer Name Slug

crusaders-central-clinic-association

Employer Address 1

1200 WEST STATE STREET

Employer Address 2

Employer City

ROCKFORD

Employer City Slug

rockford

Employer State

ILLINOIS

Employer State Slug

illinois

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

61102

Employer Phone

(815) 490-1600

Employer Number of Employees

307

Employer Year Commenced Business

1972

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

PeggyAnne Davenport

Employer Contact Address 1

1200 WEST STATE STREET

Employer Contact Address 2

Employer Contact City

ROCKFORD

Employer Contact State/Province

ILLINOIS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

61102

Employer Contact Phone

(815) 490-1600

Employer Contact Email

pdavenport@crusaderhealth.org

Agent Attorney Name

JAN M PEDERSON

Agent Attorney Firm Name

MAGGIO KATTAR

Agent Attorney Phone

2024830053

Agent Attorney Address 1

1800 Massachusetts Ave NW

Agent Attorney Address 2

Suite 300

Agent Attorney City

Washington

Agent Attorney State/Province

DISTRICT OF COLUMBIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

20036

Agent Attorney Email

jan@maggio-kattar.com

PW Track Number

P10019200024656

PW SOC Code

29-1062

PW SOC Title

FAMILY MEDICINE PHYSICIAN

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-11-12

PW Expiration Date

2020-06-30

Wage Offer From

208000.00

Wage Offer To

0.00

Average Salary

208000.00

Wage Unit of Pay

Year

Worksite Address 1

1200 WEST STATE STREET

Worksite Address 2

Worksite City

ROCKFORD

Worksite City Slug

rockford

Worksite State

ILLINOIS

Worksite Postal Code

61102

Job Title

FAMILY MEDICINE PHYSICIAN

Job Title Slug

family-medicine-physician

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 HAVE M.D. DEGREE OR FOREIGN DEGREE EQUIVALENT; BEBC IN FAMILY MEDICINE; FULL AND UNRESTRICTED IL 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

2019-08-22

SWA Job Order End Date

2019-09-25

Sunday Edition Newspaper

Y

First Newspaper Name

ROCKFORD REGISTER STAR

First Advertisement Start Date

2019-07-28

Second Newspaper Ad Name

ROCKFORD REGISTER STAR

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-08-04

Employer Website From Date

2020-01-01 08:24:38

Employer Website To Date

2020-01-01 08:24:38

Professional Organization Ad From Date

2020-01-01 08:24:38

Professional Organization Advertisement To Date

2020-01-01 08:24:38

Job Search Website From Date

2019-07-31

Job Search Website To Date

2019-08-06

Employee Referral Program From Date

2020-01-01 08:24:38

Employee Referral Program To Date

2020-01-01 08:24:38

Local Ethnic Paper From Date

2019-07-31

Local Ethnic Paper To Date

2019-07-31

Radio/TV Ad From Date

2019-08-03

Radio/TV Ad To Date

2019-08-04

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2007

Foreign Worker Institution of Education

GURU GOBIND SIGNH MEDICAL COLLEGE, FARIDKOT

Foreign Worker Education Institution Address 1

SADIQ ROAD

Foreign Worker Education Institution Address 2

BAZIGAR BASTI

Foreign Worker Education Institution City

FARIDKOT

Foreign Worker Education Institution State/Province

PUNJAB

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

151203

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

JAN M PEDERSON

Preparer Title

ATTORNEY

Preparer Email

jan@maggio-kattar.com

Employer Information Declaration Name

GORDON EGGERS

Employer Information Declaration Title

PRESIDENT AND CEO