All Details of Green Card Application:

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Case Number: A-21167-02328

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21167-02328

Case Status

Certified-Expired

Received Date

2021-06-29

Decision Date

2021-12-13

Refile

N

Original File Date

2022-01-01 10:35:47

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

St Joseph Hospital

Employer Name Slug

st-joseph-hospital

Employer Address 1

360 Broadway

Employer Address 2

Employer City

Bangor

Employer City Slug

bangor

Employer State

MAINE

Employer State Slug

maine

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

4401

Employer Phone

2079071000

Employer Number of Employees

800

Employer Year Commenced Business

1947

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

David J Koffman

Employer Contact Address 1

360 Broadway

Employer Contact Address 2

Employer Contact City

Bangor

Employer Contact State/Province

MAINE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

4401

Employer Contact Phone

2079071300

Employer Contact Email

david.koffman@sjhhealth.com

Agent Attorney Name

Matthew S Raynes

Agent Attorney Firm Name

Eaton Peabody

Agent Attorney Phone

207-947-0111

Agent Attorney Address 1

PO Box 1210

Agent Attorney Address 2

Agent Attorney City

Bangor

Agent Attorney State/Province

MAINE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

44021210

Agent Attorney Email

mraynes@eatonpeabody.com

PW Track Number

P10020140584531

PW SOC Code

29-1067

PW SOC Title

Surgeons

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-09-03

PW Expiration Date

2021-06-30

Wage Offer From

380000.00

Wage Offer To

0.00

Average Salary

380000.00

Wage Unit of Pay

Year

Worksite Address 1

360 Broadway

Worksite Address 2

Worksite City

Bangor

Worksite City Slug

bangor

Worksite State

MAINE

Worksite Postal Code

4401

Job Title

Physician (General Surgery)

Job Title Slug

physician-general-surgery

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

Requires Maine Physicians license or immediate eligibility for same, and Board certifiedBoard eligible by the American Board of Surgery.

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

2021-03-19

SWA Job Order End Date

2021-04-21

Sunday Edition Newspaper

Y

First Newspaper Name

Maine Sunday Telegram

First Advertisement Start Date

2021-03-21

Second Newspaper Ad Name

Maine Sunday Telegram

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-03-28

Employer Website From Date

2021-03-17

Employer Website To Date

2021-04-16

Professional Organization Ad From Date

2021-03-23

Professional Organization Advertisement To Date

2021-04-21

Job Search Website From Date

2021-03-08

Job Search Website To Date

2021-04-05

Employee Referral Program From Date

2022-01-01 10:35:47

Employee Referral Program To Date

2022-01-01 10:35:47

Local Ethnic Paper From Date

2022-01-01 10:35:47

Local Ethnic Paper To Date

2022-01-01 10:35:47

Radio/TV Ad From Date

2022-01-01 10:35:47

Radio/TV Ad To Date

2022-01-01 10:35:47

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

COLOMBIA

Foreign Worker Birth Country

COLOMBIA

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

UNIVERSIDAD CES SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

THE INSTITUTE OF HEALTH SCIENCES

Foreign Worker Education Institution Address 2

CALLE 10 A NO. 22 04

Foreign Worker Education Institution City

MEDELLIN

Foreign Worker Education Institution State/Province

ANTIOQUIA

Foreign Worker Education Institution Country

COLOMBIA

Foreign Worker Education Institution Postal Code

4440555

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 S Raynes

Preparer Title

Attorney

Preparer Email

mraynes@eatonpeabody.com

Employer Information Declaration Name

David J Koffman, MD

Employer Information Declaration Title

Vice President of Medical Affairs