BELLINGHAM FOOT CLINIC, INC. P. S.

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Company Details

Legal Name:	BELLINGHAM FOOT CLINIC, INC. P. S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	September 19th 1979
Expiration date:	30 Sep 2025
UBI Number:	600 342 762
ZIP code:	98225
City:	Bellingham
County:	WHATCOM
Home State:	WASHINGTON
Principal Office Street Address:	520 BIRCHWOOD AVE #A, BELLINGHAM, WA, 98225, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$17,464

Contact Details

E-Mail:	MANAGER@BHAMFAC.COM
Phone Number:	+1 360-734-3668

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
NATHAN LARSON DPM	Registered Agent	520 BIRCHWOOD AVE STE A, BELLINGHAM, WA, 98225-1700, UNITED STATES

Key Officers & Management

Name	Role
JENNIFER LARSON	Governing Person
NATHAN LARSON	Governing Person

National Provider Identifier

NPI Number:

1982703583

Certification Date:

2023-09-06

Link:

View on NPI website

Authorized Person:

Name:

NATHAN LARSON

Role:

OWNER

Phone:

2083051661

Taxonomy:

Selected Taxonomy:

213E00000X - Podiatrist

Is Primary:

Yes

Contacts:

Phone:

+1 360-734-3668

Fax:

3606768941

Form 5500 Series

Employer Identification Number (EIN):

911082447

Plan Year:

2014

Number Of Participants:

4

Sponsor's telephone number:

3607343668

File:

Plan Administrator / Signatory:

RICHARD L SKUDLARICK(Plan administrator) RICHARD L SKUDLARICK(Employer/plan sponsor)

Plan Year:

2013

Number Of Participants:

4

Sponsor's telephone number:

3607343668

File:

Plan Administrator / Signatory:

RICHARD L SKUDLARICK(Plan administrator) RICHARD L SKUDLARICK(Employer/plan sponsor)

Plan Year:

2012

Number Of Participants:

4

Sponsor's telephone number:

3607343668

File:

Plan Administrator / Signatory:

RICHARD L SKUDLARICK(Plan administrator) RICHARD L SKUDLARICK(Employer/plan sponsor)

Plan Year:

2012

Number Of Participants:

4

Sponsor's telephone number:

3607343668

Plan Administrator / Signatory:

RICHARD L SKUDLARICK(Plan administrator) RICHARD L SKUDLARICK(Employer/plan sponsor)

Plan Year:

2011

Number Of Participants:

4

Sponsor's telephone number:

3607343668

File:

Plan Administrator / Signatory:

RICHARD L SKUDLARICK(Plan administrator) RICHARD L SKUDLARICK(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:

9

Initial Approval Amount:

$61,700

Date Approved:

2020-04-12

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$61,700

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$62,480.97

Servicing Lender:

Whatcom Educational CU

Use of Proceeds:

Payroll: $61,700

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