Fiscal Year

2022

Case Number

A-21188-13105

Case Status

Certified-Expired

Received Date

2021-09-14

Decision Date

2022-03-10

Refile

N

Original File Date

2022-01-01 11:04:23

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BELLIN MEMORIAL HOSPITAL, INC.

Employer Name Slug

bellin-memorial-hospital-inc

Employer Address 1

744 SOUTH WEBSTER AVE

Employer Address 2

Employer City

GREEN BAY

Employer City Slug

green-bay

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54301

Employer Phone

920-433-3500

Employer Number of Employees

4400

Employer Year Commenced Business

1983

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Sharon A Leitzke

Employer Contact Address 1

744 South Webster Ave

Employer Contact Address 2

Employer Contact City

Green Bay

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54301

Employer Contact Phone

920-445-7246

Employer Contact Email

sharon.leitzke@bellin.org

Agent Attorney Name

Brian T Bruner

Agent Attorney Firm Name

Bruner Law Group, PLLC

Agent Attorney Phone

612-205-5494

Agent Attorney Address 1

5125 County Road 101, Suite 106

Agent Attorney Address 2

Agent Attorney City

Minnetonka

Agent Attorney State/Province

MINNESOTA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

55345

Agent Attorney Email

bbruner@brunerlawgroup.com

PW Track Number

P10021042072188

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-06-30

PW Expiration Date

2021-09-28

Wage Offer From

575000.00

Wage Offer To

0.00

Average Salary

575000.00

Wage Unit of Pay

Year

Worksite Address 1

744 S. Webster Avenue

Worksite Address 2

Worksite City

Green Bay

Worksite City Slug

green-bay

Worksite State

WISCONSIN

Worksite Postal Code

54301

Job Title

Medical Oncologist

Job Title Slug

medical-oncologist

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

MD or foreign equivalent; Completion of Internal Medicine Residency Program; BC in Internal Medicine; Completion of Medical Oncology Fellowship Program; BE or BC in Medical Oncology; and Possess or be eligible for Wisconsin 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

2021-05-26

SWA Job Order End Date

2021-06-25

Sunday Edition Newspaper

Y

First Newspaper Name

Green Bay Press Gazette

First Advertisement Start Date

2021-05-30

Second Newspaper Ad Name

Green Bay Press Gazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-06-06

Employer Website From Date

2022-01-01 11:04:23

Employer Website To Date

2022-01-01 11:04:23

Professional Organization Ad From Date

2021-06-22

Professional Organization Advertisement To Date

2021-06-29

Job Search Website From Date

2021-06-18

Job Search Website To Date

2021-07-02

Employee Referral Program From Date

2022-01-01 11:04:23

Employee Referral Program To Date

2022-01-01 11:04:23

Local Ethnic Paper From Date

2022-01-01 11:04:23

Local Ethnic Paper To Date

2022-01-01 11:04:23

Radio/TV Ad From Date

2022-01-01 11:04:23

Radio/TV Ad To Date

2022-01-01 11:04:23

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

RUSSIA

Foreign Worker Birth Country

AZERBAIJAN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

PAVLOV STATE MEDICAL UNIVERSITY OF SAINT PETERSBURG

Foreign Worker Education Institution Address 1

ULITSA LVA TOLSTOGO, 68

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SAINTPETERSBURG

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

RUSSIA

Foreign Worker Education Institution Postal Code

197022

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

Brian T Bruner

Preparer Title

PartnerLead Engagement Attorney

Preparer Email

bbruner@brunerlawgroup.com

Employer Information Declaration Name

Peter G Vandenhouten

Employer Information Declaration Title

Senior VicePresident, General Counsel