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Case Number: A-21036-49498

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21036-49498

Case Status

Certified

Received Date

2021-02-10

Decision Date

2021-07-21

Refile

N

Original File Date

2021-01-01 09:51:46

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

CITIZENS MEMORIAL HOSPITAL

Employer Name Slug

citizens-memorial-hospital

Employer Address 1

1500 N OAKLAND AVENUE

Employer Address 2

Employer City

BOLIVAR

Employer City Slug

bolivar

Employer State

MISSOURI MO

Employer State Slug

missouri-mo

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

65613

Employer Phone

4173266000

Employer Number of Employees

1300

Employer Year Commenced Business

1982

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Donna Shelby

Employer Contact Address 1

1500 N Oakland Avenue

Employer Contact Address 2

Employer Contact City

Bolivar

Employer Contact State/Province

MISSOURI MO

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

65613

Employer Contact Phone

4173286273

Employer Contact Email

donna.shelby@citizensmemorial.com

Agent Attorney Name

Bradley A Sandler

Agent Attorney Firm Name

Agent Attorney Phone

3147193006

Agent Attorney Address 1

Stinson LLP

Agent Attorney Address 2

7700 Forsyth Boulevard Suite 1100

Agent Attorney City

St. Louis

Agent Attorney State/Province

MISSOURI MO

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

63105

Agent Attorney Email

brad.sandler@stinson.com

PW Track Number

P-100-20225-764

PW SOC Code

29-1063

PW SOC Title

Internists, general

PW Skill Level

Level I

PW Wage

137010.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-01-19

PW Expiration Date

2021-06-30

Wage Offer From

208000.00

Wage Offer To

300000.00

Average Salary

254000.00

Wage Unit of Pay

Year

Worksite Address 1

322 East Hospital Road

Worksite Address 2

Worksite City

El Dorado Springs

Worksite City Slug

el-dorado-springs

Worksite State

MISSOURI

Worksite Postal Code

64744

Job Title

Physician

Job Title Slug

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

M.D. or professional equivalent degreebr Eligibility for Missouri physicians licensebr BCBE in Internal Medicine

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

2020-08-17

SWA Job Order End Date

2020-10-15

Sunday Edition Newspaper

Y

First Newspaper Name

Springfield News Leader

First Advertisement Start Date

2021-01-03

Second Newspaper Ad Name

Springfield News Leader

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-01-10

Employer Website From Date

2020-08-17

Employer Website To Date

2020-10-06

Professional Organization Ad From Date

2021-01-01 09:51:46

Professional Organization Advertisement To Date

2021-01-01 09:51:46

Job Search Website From Date

2020-08-14

Job Search Website To Date

2020-09-08

Employee Referral Program From Date

2021-01-01 09:51:46

Employee Referral Program To Date

2021-01-01 09:51:46

Local Ethnic Paper From Date

2020-08-20

Local Ethnic Paper To Date

2020-08-20

Radio/TV Ad From Date

2021-01-01 09:51:46

Radio/TV Ad To Date

2021-01-01 09:51:46

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BOLIVIA

Foreign Worker Birth Country

BOLIVIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

UNIVERSIDAD NUESTRA SENORA DE LA PAZ, FACULTAD DE MEDICINA

Foreign Worker Education Institution Address 1

CALLE PRESBITERO MEDINA #2412 SOPOCACHI

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LA PAZ

Foreign Worker Education Institution State/Province

LA PAZ

Foreign Worker Education Institution Country

BOLIVIA

Foreign Worker Education Institution Postal Code

5995

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

Bradley A Sandler

Preparer Title

Attorney

Preparer Email

brad.sandler@stinson.com

Employer Information Declaration Name

Gary Fulbright

Employer Information Declaration Title

Chief Executive Officer