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Case Number: A-21011-40813

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21011-40813

Case Status

Certified

Received Date

2021-01-20

Decision Date

2021-06-29

Refile

N

Original File Date

2021-01-01 09:44:06

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Holzer Clinic, LLC

Employer Name Slug

holzer-clinic-llc

Employer Address 1

90 Jackson Pike

Employer Address 2

Employer City

Gallipolis

Employer City Slug

gallipolis

Employer State

OHIO

Employer State Slug

ohio

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

45631

Employer Phone

7404463263

Employer Number of Employees

200

Employer Year Commenced Business

2012

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Mandy D Siders

Employer Contact Address 1

90 Jackson Pike

Employer Contact Address 2

Employer Contact City

Gallipolis

Employer Contact State/Province

OHIO

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

45631

Employer Contact Phone

7404463263

Employer Contact Email

msiders@holzer.org

Agent Attorney Name

Matthew W Hoyt

Agent Attorney Firm Name

BakerHostetler LLP

Agent Attorney Phone

6144622650

Agent Attorney Address 1

200 Civic Center Drive

Agent Attorney Address 2

Ste. 1200

Agent Attorney City

Columbus

Agent Attorney State/Province

OHIO

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

43215

Agent Attorney Email

mhoyt@bakerlaw.com

PW Track Number

P10020212744144

PW SOC Code

29-1071

PW SOC Title

Physician Assistants

PW Skill Level

Level I

PW Wage

72717.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-01-07

PW Expiration Date

2021-06-30

Wage Offer From

93912.00

Wage Offer To

0.00

Average Salary

93912.00

Wage Unit of Pay

Year

Worksite Address 1

2131 East State Street

Worksite Address 2

Worksite City

Athens

Worksite City Slug

athens

Worksite State

OHIO

Worksite Postal Code

45701

Job Title

Physician Assistant

Job Title Slug

physician-assistant

Minimum Education

Master's

Major Field of Study

Physician Assistant Studies

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

Y

Accept Alternative Major Field of Study

Related field

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

Board certification through NCCPA, Physician Assistant Ohio licensure, DEA certification scheduled IIV controlled substances, and BLS.

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

2020-07-30

SWA Job Order End Date

2020-09-13

Sunday Edition Newspaper

Y

First Newspaper Name

The HeraldDispatch

First Advertisement Start Date

2020-11-22

Second Newspaper Ad Name

The HeraldDispatch

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-11-29

Employer Website From Date

2021-01-01 09:44:06

Employer Website To Date

2021-01-01 09:44:06

Professional Organization Ad From Date

2021-01-01 09:44:06

Professional Organization Advertisement To Date

2021-01-01 09:44:06

Job Search Website From Date

2020-11-17

Job Search Website To Date

2020-12-01

Employee Referral Program From Date

2021-01-01 09:44:06

Employee Referral Program To Date

2021-01-01 09:44:06

Local Ethnic Paper From Date

2020-11-25

Local Ethnic Paper To Date

2020-11-25

Radio/TV Ad From Date

2021-01-18

Radio/TV Ad To Date

2021-01-18

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

THAILAND

Foreign Worker Birth Country

THAILAND

Class of Admission

H-1B

Foreign Worker Education

Master's

Foreign Worker Information: Major

PHYSICIAN ASSISTANT STUDIES

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

UNIVERSITY OF KENTUCKY

Foreign Worker Education Institution Address 1

900 SOUTH LIMESTONE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LEXINGTON

Foreign Worker Education Institution State/Province

KY

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

40508

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

Matthew W Hoyt

Preparer Title

Attorney

Preparer Email

mhoyt@bakerlaw.com

Employer Information Declaration Name

Mandy D Siders

Employer Information Declaration Title

Physician Practice Integ., Ret. Locum Recruit.