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Case Number: A-21090-68994

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21090-68994

Case Status

Certified

Received Date

2021-04-08

Decision Date

2021-08-27

Refile

N

Original File Date

2021-01-01 10:05:42

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

ASHTABULA COUNTY MEDICAL CENTER

Employer Name Slug

ashtabula-county-medical-center

Employer Address 1

2420 LAKE AVENUE

Employer Address 2

Employer City

ASHTABULA

Employer City Slug

ashtabula

Employer State

OHIO

Employer State Slug

ohio

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

44004

Employer Phone

440-997-6519

Employer Number of Employees

990

Employer Year Commenced Business

1902

NAICS Code

62211

FW Ownership Interest

N

Employer Contact Name

Janet D Vettel

Employer Contact Address 1

2420 Lake Avenue

Employer Contact Address 2

Employer Contact City

Ashtabula

Employer Contact State/Province

OHIO

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

44004

Employer Contact Phone

440-997-6731

Employer Contact Email

janet.vettel@acmchealth.org

Agent Attorney Name

Margaret W Wong

Agent Attorney Firm Name

Margaret W. Wong Associates LLC

Agent Attorney Phone

2165669908

Agent Attorney Address 1

3150 Chester Avenue

Agent Attorney Address 2

Agent Attorney City

Cleveland

Agent Attorney State/Province

OHIO

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

44114

Agent Attorney Email

francisf@imwong.com

PW Track Number

P10020294882981

PW SOC Code

29-1062

PW SOC Title

Family and General Practitioners

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-15

PW Expiration Date

2021-06-30

Wage Offer From

250000.00

Wage Offer To

275000.00

Average Salary

262500.00

Wage Unit of Pay

Year

Worksite Address 1

2259 Lake Avenue

Worksite Address 2

Worksite City

Ashtabula

Worksite City Slug

ashtabula

Worksite State

OHIO

Worksite Postal Code

44004

Job Title

Physician, Family Practice

Job Title Slug

physician-family-practice

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

Doctor of Medicine degree or equivalent. BCBE in Family Medicine. Valid Ohio State 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

2021-01-29

SWA Job Order End Date

2021-02-28

Sunday Edition Newspaper

Y

First Newspaper Name

Cleveland Plain Dealer

First Advertisement Start Date

2021-01-31

Second Newspaper Ad Name

Cleveland Plain Dealer

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-02-07

Employer Website From Date

2021-02-17

Employer Website To Date

2021-03-05

Professional Organization Ad From Date

2021-01-01 10:05:42

Professional Organization Advertisement To Date

2021-01-01 10:05:42

Job Search Website From Date

2021-01-31

Job Search Website To Date

2021-02-07

Employee Referral Program From Date

2021-01-01 10:05:42

Employee Referral Program To Date

2021-01-01 10:05:42

Local Ethnic Paper From Date

2021-01-30

Local Ethnic Paper To Date

2021-02-06

Radio/TV Ad From Date

2021-01-01 10:05:42

Radio/TV Ad To Date

2021-01-01 10:05:42

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

2011

Foreign Worker Institution of Education

UNIVERSITY OF LAGOS

Foreign Worker Education Institution Address 1

UNIVERSITY ROAD LAGOS MAINLAND AKOKA, YABA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LAGOS

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

Margaret W Wong

Preparer Title

Attorney

Preparer Email

francisf@imwong.com

Employer Information Declaration Name

Michael J HABOWSKI

Employer Information Declaration Title

CEO President