All Details of Green Card Application:

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Case Number: A-21280-55400

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21280-55400

Case Status

Certified

Received Date

2021-10-12

Decision Date

2022-05-05

Refile

N

Original File Date

2022-01-01 11:24:47

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

STORMONTVAIL HEALTHCARE

Employer Name Slug

stormontvail-healthcare

Employer Address 1

1500 S.W. 10TH AVE

Employer Address 2

Employer City

TOPEKA

Employer City Slug

topeka

Employer State

KANSAS

Employer State Slug

kansas

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

66604

Employer Phone

785-354-6000

Employer Number of Employees

5244

Employer Year Commenced Business

1884

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Kevin Dishman

Employer Contact Address 1

1500 S.W. 10th Ave

Employer Contact Address 2

Employer Contact City

Topeka

Employer Contact State/Province

KANSAS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

66604

Employer Contact Phone

785-354-6000 5355

Employer Contact Email

mlechner@stormontvail.org

Agent Attorney Name

Donald D Berner

Agent Attorney Firm Name

Foulston Siefkin LLP

Agent Attorney Phone

3162919738

Agent Attorney Address 1

1551 N Waterfront Pkwy, Ste. 100

Agent Attorney Address 2

Suite 100

Agent Attorney City

Wichita

Agent Attorney State/Province

KANSAS

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

672064466

Agent Attorney Email

dberner@foulston.com

PW Track Number

P10020295884254

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

58261.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-03-16

PW Expiration Date

2021-06-30

Wage Offer From

305000.00

Wage Offer To

0.00

Average Salary

305000.00

Wage Unit of Pay

Year

Worksite Address 1

1500 SW 10th Ave

Worksite Address 2

Worksite City

Topeka

Worksite City Slug

topeka

Worksite State

KANSAS

Worksite Postal Code

66604

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

Kansas medical license or eligible for Kansas medical license. Board certified or board eligible in Internal 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

2021-05-28

SWA Job Order End Date

2021-06-27

Sunday Edition Newspaper

Y

First Newspaper Name

Topeka Capital Journal

First Advertisement Start Date

2021-06-06

Second Newspaper Ad Name

Topeka Capital Journal

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-06-13

Employer Website From Date

2021-06-02

Employer Website To Date

2021-07-23

Professional Organization Ad From Date

2022-01-01 11:24:47

Professional Organization Advertisement To Date

2022-01-01 11:24:47

Job Search Website From Date

2021-06-06

Job Search Website To Date

2021-07-08

Employee Referral Program From Date

2022-01-01 11:24:47

Employee Referral Program To Date

2022-01-01 11:24:47

Local Ethnic Paper From Date

2022-01-01 11:24:47

Local Ethnic Paper To Date

2022-01-01 11:24:47

Radio/TV Ad From Date

2021-06-05

Radio/TV Ad To Date

2021-06-05

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

JORDAN

Foreign Worker Birth Country

JORDAN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

JORDAN UNIVERSITY OF SCIENCE AND TECHNOLOGY

Foreign Worker Education Institution Address 1

AR RAMTHA 3030

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ARRAMTHA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

JORDAN

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Donald D Berner

Preparer Title

Attorney

Preparer Email

dberner@foulston.com

Employer Information Declaration Name

Kevin Dishman, MD

Employer Information Declaration Title

Senior VP and Chief Medical Officer