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Case Number: A-21082-65528

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-21082-65528

Case Status

Certified

Received Date

2021-04-13

Decision Date

2021-08-30

Refile

N

Original File Date

2021-01-01 10:06:06

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

AZ Inpatient Medicine Associates

Employer Name Slug

az-inpatient-medicine-associates

Employer Address 1

7383 E. Tanque Verde Road

Employer Address 2

Employer City

Tucson

Employer City Slug

tucson

Employer State

ARIZONA

Employer State Slug

arizona

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

85715

Employer Phone

5205701263

Employer Number of Employees

7

Employer Year Commenced Business

2004

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Catherine C Pensak

Employer Contact Address 1

7383 E. Tanque Verde Road

Employer Contact Address 2

Employer Contact City

Tucson

Employer Contact State/Province

ARIZONA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

85715

Employer Contact Phone

5205701263

Employer Contact Email

aim.Cathy.Pensak@outlook.com

Agent Attorney Name

Rachel I Bus

Agent Attorney Firm Name

Law Offices of Brelje and Associates, P.c.

Agent Attorney Phone

6235365750

Agent Attorney Address 1

Law Offices of Brelje and Associates, P.C.

Agent Attorney Address 2

3080 North Litchfield Road

Agent Attorney City

Goodyear

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

85395

Agent Attorney Email

rbus@breljelaw.com

PW Track Number

P10020126544627

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-08-20

PW Expiration Date

2021-06-30

Wage Offer From

208000.00

Wage Offer To

0.00

Average Salary

208000.00

Wage Unit of Pay

Year

Worksite Address 1

5301 E Grant Road

Worksite Address 2

Worksite City

Tucson

Worksite City Slug

tucson

Worksite State

ARIZONA

Worksite Postal Code

85712

Job Title

Hospitalist

Job Title Slug

hospitalist

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

Eligible for AZ state medical license; Board Certified or Eligible BCE in Internal or Family 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

2020-10-16

SWA Job Order End Date

2020-11-22

Sunday Edition Newspaper

Y

First Newspaper Name

Daily Star

First Advertisement Start Date

2020-12-13

Second Newspaper Ad Name

Daily Star

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-20

Employer Website From Date

2021-01-01 10:06:06

Employer Website To Date

2021-01-01 10:06:06

Professional Organization Ad From Date

2021-03-16

Professional Organization Advertisement To Date

2021-03-16

Job Search Website From Date

2020-12-15

Job Search Website To Date

2020-12-31

Employee Referral Program From Date

2021-01-01 10:06:06

Employee Referral Program To Date

2021-01-01 10:06:06

Local Ethnic Paper From Date

2020-12-16

Local Ethnic Paper To Date

2020-12-16

Radio/TV Ad From Date

2021-01-01 10:06:06

Radio/TV Ad To Date

2021-01-01 10:06:06

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

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

2008

Foreign Worker Institution of Education

C.U. SHAH MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

DUDHREJ RD, LAXMINARAYAN SOCIETY

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SURENDRANAGAR

Foreign Worker Education Institution State/Province

GUJARAT

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

363001

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

Rachel I Bus

Preparer Title

Attorney

Preparer Email

rbus@breljelaw.com

Employer Information Declaration Name

Simon Paul

Employer Information Declaration Title

Medical Director