All Details of Green Card Application:

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Case Number: A-21252-41959

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21252-41959

Case Status

Certified

Received Date

2021-10-16

Decision Date

2022-04-29

Refile

N

Original File Date

2022-01-01 11:22:28

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

JEFFERSON HOSPITAL ASSOCIATION, INC. DBA JEFFERSON REGIONAL MEDICAL CENTER

Employer Name Slug

jefferson-hospital-association-inc-dba-jefferson-regional-medical-center

Employer Address 1

1600 WEST 40TH AVENUE

Employer Address 2

Employer City

PINE BLUFF

Employer City Slug

pine-bluff

Employer State

ARKANSAS

Employer State Slug

arkansas

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

71603

Employer Phone

870-541-7100

Employer Number of Employees

1576

Employer Year Commenced Business

1908

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Layton D Anderson

Employer Contact Address 1

1600 West 40th Avenue

Employer Contact Address 2

Employer Contact City

Pine Bluff

Employer Contact State/Province

ARKANSAS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

71603

Employer Contact Phone

870-541-7679

Employer Contact Email

andersonla@jrmc.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

350 Highway 7

Agent Attorney Address 2

Suite 140

Agent Attorney City

Excelsior

Agent Attorney State/Province

MINNESOTA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

55331

Agent Attorney Email

bbruner@brunerlawgroup.com

PW Track Number

P10021050088126

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level II

PW Wage

84157.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-07-13

PW Expiration Date

2022-06-30

Wage Offer From

500000.00

Wage Offer To

0.00

Average Salary

500000.00

Wage Unit of Pay

Year

Worksite Address 1

1609 W. 40th Avenue

Worksite Address 2

Suite 202

Worksite City

Pine Bluff

Worksite City Slug

pine-bluff

Worksite State

ARKANSAS

Worksite Postal Code

71603

Job Title

Gastroenterologist

Job Title Slug

gastroenterologist

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

Medical Degree or Foreign Equivalent; Completion of Internal Medicine Residency Program; BC in Internal Medicine; Completion of Gastroenterology Fellowship Program; BE or BC in Gastroenterology; and Possess or be Eligible for an Arkansas 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

2021-07-20

SWA Job Order End Date

2021-08-20

Sunday Edition Newspaper

Y

First Newspaper Name

Pine Bluff Commercial

First Advertisement Start Date

2021-07-04

Second Newspaper Ad Name

Pine Bluff Commercial

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-07-11

Employer Website From Date

2022-01-01 11:22:28

Employer Website To Date

2022-01-01 11:22:28

Professional Organization Ad From Date

2021-07-27

Professional Organization Advertisement To Date

2021-07-27

Job Search Website From Date

2021-07-23

Job Search Website To Date

2021-07-30

Employee Referral Program From Date

2022-01-01 11:22:28

Employee Referral Program To Date

2022-01-01 11:22:28

Local Ethnic Paper From Date

2022-01-01 11:22:28

Local Ethnic Paper To Date

2022-01-01 11:22:28

Radio/TV Ad From Date

2022-01-01 11:22:28

Radio/TV Ad To Date

2022-01-01 11:22:28

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SAUDI ARABIA

Foreign Worker Birth Country

SAUDI ARABIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

KING FAISAL UNIVERSITY

Foreign Worker Education Institution Address 1

COLLEGE OF MEDICINE

Foreign Worker Education Institution Address 2

6569 KING FAISAL RD.

Foreign Worker Education Institution City

DAMMAM

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SAUDI ARABIA

Foreign Worker Education Institution Postal Code

34212

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

Brian Thomas

Employer Information Declaration Title

President and Chief Executive Officer