ADVANCED FOOT AND ANKLE CLINIC, PC

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Company Details

Legal Name:	ADVANCED FOOT AND ANKLE CLINIC, PC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	January 29th 1999
Expiration date:	31 Jan 2026
UBI Number:	601 929 632
ZIP code:	99336
City:	Kennewick
County:	BENTON
Home State:	WASHINGTON
Principal Office Street Address:	7301 W. DESCHUTES AVE #C, KENNEWICK, WA, 99336, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$15,638

Contact Details

E-Mail:	CARTER173@HOTMAIL.COM
Phone Number:	+1 509-585-3622

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
TRAVIS S CARTER DPM	Registered Agent	3730 PLAZA WAY STE 6500, KENNEWICK, WA, 99338-2718, UNITED STATES

Key Officers & Management

Name	Role
TRAVIS CARTER	Governing Person
REBECCA CARTER	Governing Person

National Provider Identifier

NPI Number:

1720137904

Link:

View on NPI website

Authorized Person:

Name:

TRAVIS S CARTER

Role:

OWNER

Phone:

5095853622

Taxonomy:

Selected Taxonomy:

213ES0103X - Foot & Ankle Surgery Podiatrist

Is Primary:

No

Selected Taxonomy:

213ES0103X - Foot & Ankle Surgery Podiatrist

Is Primary:

Yes

Contacts:

Phone:

+1 509-585-3622

Fax:

5095853624

Form 5500 Series

Employer Identification Number (EIN):

911956227

Plan Year:

2023

Number Of Participants:

3

Sponsor's telephone number:

5095853622

File:

Plan Year:

2022

Number Of Participants:

5

Sponsor's telephone number:

5095853622

File:

Plan Year:

2021

Number Of Participants:

5

Sponsor's telephone number:

5095853622

File:

Plan Year:

2020

Number Of Participants:

5

Sponsor's telephone number:

5095853622

File:

Plan Year:

2019

Number Of Participants:

5

Sponsor's telephone number:

5095853622

File:

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$53,797.42

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$53,797.42

Race:

White

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$54,348.66

Servicing Lender:

Banner Bank

Use of Proceeds:

Payroll: $47,610.72
Utilities: $806.96
Mortgage Interest: $5,379.74

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