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Case Number: A-20219-85591

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20219-85591

Case Status

Certified-Expired

Received Date

2020-08-06

Decision Date

2021-03-18

Refile

N

Original File Date

2021-01-01 09:07:24

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Mose and Garrison Siskin Memorial Foundation Inc.

Employer Name Slug

mose-and-garrison-siskin-memorial-foundation-inc

Employer Address 1

1101 Carter Street

Employer Address 2

Employer City

Chattanooga

Employer City Slug

chattanooga

Employer State

TENNESSEE

Employer State Slug

tennessee

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

37402

Employer Phone

4236481700

Employer Number of Employees

160

Employer Year Commenced Business

1950

NAICS Code

624110

FW Ownership Interest

N

Employer Contact Name

Derek Bullard

Employer Contact Address 1

1101 Carter Street

Employer Contact Address 2

Employer Contact City

Chattanooga

Employer Contact State/Province

TENNESSEE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

37402

Employer Contact Phone

4236481700

Employer Contact Email

wendy.bennett@siskin.org

Agent Attorney Name

Charles H Wintersteen

Agent Attorney Firm Name

Wintersteen Law Group

Agent Attorney Phone

3125660301

Agent Attorney Address 1

53 W. Jackson Blvd.

Agent Attorney Address 2

Suite 809

Agent Attorney City

Chicago

Agent Attorney State/Province

ILLINOIS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

60604

Agent Attorney Email

mof@charleswintersteen.com

PW Track Number

P10020017260479

PW SOC Code

29-1065

PW SOC Title

Pediatricians, General

PW Skill Level

Level II

PW Wage

160597.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-04-15

PW Expiration Date

2020-07-14

Wage Offer From

220000.00

Wage Offer To

0.00

Average Salary

220000.00

Wage Unit of Pay

Year

Worksite Address 1

1101 Carter Street

Worksite Address 2

Worksite City

Chattanooga

Worksite City Slug

chattanooga

Worksite State

TENNESSEE

Worksite Postal Code

37402

Job Title

Developmental Pediatrician

Job Title Slug

developmental-pediatrician

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

Physician license or eligible for licensure in the State of Tennessee; completion of 36month fellowship in developmentalbehavioral pediatrics

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

2020-05-05

SWA Job Order End Date

2020-06-08

Sunday Edition Newspaper

Y

First Newspaper Name

Chattanooga Times Free Press

First Advertisement Start Date

2020-05-10

Second Newspaper Ad Name

Chattanooga Times Free Press

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-17

Employer Website From Date

2020-05-26

Employer Website To Date

2020-06-10

Professional Organization Ad From Date

2020-06-02

Professional Organization Advertisement To Date

2020-06-08

Job Search Website From Date

2020-05-04

Job Search Website To Date

2020-05-20

Employee Referral Program From Date

2021-01-01 09:07:24

Employee Referral Program To Date

2021-01-01 09:07:24

Local Ethnic Paper From Date

2021-01-01 09:07:24

Local Ethnic Paper To Date

2021-01-01 09:07:24

Radio/TV Ad From Date

2021-01-01 09:07:24

Radio/TV Ad To Date

2021-01-01 09:07:24

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PERU

Foreign Worker Birth Country

PERU

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

UNIVERSIDAD PERUANA CAYETANO HEREDIA

Foreign Worker Education Institution Address 1

AV. HONORIO DELGADO 430, URB INGENIERA, DISTRITO DE SAN MARTIN DE PORRES

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LIMA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

PERU

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Krystal A Bickford

Preparer Title

Attorney

Preparer Email

kab@charleswintersteen.com

Employer Information Declaration Name

Derek Bullard

Employer Information Declaration Title

President and CEO