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Case Number: A-21238-36552

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-21238-36552

Case Status

Certified

Received Date

2021-10-20

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

BRISTOL HOSPITAL MULTISPECIALTY GROUP, INC

Employer Name Slug

bristol-hospital-multispecialty-group-inc

Employer Address 1

32 VALLEY STREET

Employer Address 2

LEVEL D

Employer City

BRISTOL

Employer City Slug

bristol

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6010

Employer Phone

(860) 585-3469

Employer Number of Employees

205

Employer Year Commenced Business

2011

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Traci Brown

Employer Contact Address 1

41 Brewster Road

Employer Contact Address 2

Employer Contact City

Bristol

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6010

Employer Contact Phone

860-585-3133

Employer Contact Email

Tbrown@bristolhospital.org

Agent Attorney Name

JAN M PEDERSON

Agent Attorney Firm Name

ATTORNEY

Agent Attorney Phone

2405830003

Agent Attorney Address 1

6931 Arlington Road

Agent Attorney Address 2

Suite 450

Agent Attorney City

Bethesda

Agent Attorney State/Province

MARYLAND

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

20814

Agent Attorney Email

jan@wcslaw.com

PW Track Number

P10021112250288

PW SOC Code

29-1069

PW SOC Title

Urologist

PW Skill Level

Level I

PW Wage

61526.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-09-28

PW Expiration Date

2022-06-30

Wage Offer From

452000.00

Wage Offer To

0.00

Average Salary

452000.00

Wage Unit of Pay

Year

Worksite Address 1

15 RIVERSIDE AVENUE 41 BREWSTER ROAD

Worksite Address 2

Worksite City

BRISTOL

Worksite City Slug

bristol

Worksite State

CONNECTICUT

Worksite Postal Code

6010

Job Title

UROLOGIST

Job Title Slug

urologist

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

MUST HAVE M.D. OR FOREIGN DEGREE EQUIVALENT; BEBC IN UROLOGY AND HAVE A FULL AND UNRESTRICTED CT 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

2021-07-13

SWA Job Order End Date

2021-08-15

Sunday Edition Newspaper

Y

First Newspaper Name

HARTFORD COURANT

First Advertisement Start Date

2021-07-25

Second Newspaper Ad Name

HARTFORD COURANT

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-08-01

Employer Website From Date

2022-01-01 11:24:47

Employer Website To Date

2022-01-01 11:24:47

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

2021-07-30

Job Search Website To Date

2021-08-03

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

2021-07-29

Local Ethnic Paper To Date

2021-07-29

Radio/TV Ad From Date

2021-09-16

Radio/TV Ad To Date

2021-09-17

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

GERMANY

Foreign Worker Birth Country

GERMANY

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

UNIVERSITY OF HAMBURG

Foreign Worker Education Institution Address 1

MARTINISTRASSE 52

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

HAMBURG

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

GERMANY

Foreign Worker Education Institution Postal Code

20457

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

JAN PEDERSON

Preparer Title

ATTORNEY

Preparer Email

jan@wcslaw.com

Employer Information Declaration Name

EDWARD HENRY

Employer Information Declaration Title

EXECUTIVE DIRECTOR