BLAKE DAVIS PLLC

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Company Details

Legal Name:	BLAKE DAVIS PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 23rd 2015
Expiration date:	31 Dec 2025
UBI Number:	603 573 211
ZIP code:	98034
City:	Kirkland
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	12819 120TH AVE NE, SUITE H, KIRKLAND, WA, 98034-3002, UNITED STATES
Principal Office Mailing Address:	8457 MIDLAND RD, MEDINA, WA, 98039-5337, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$13,209

Contact Details

E-Mail:	BLAKEDAVIS32@GMAIL.COM
Phone Number:	+1 425-821-0808

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
BLAKE DAVIS	Registered Agent	12819 120TH AVE NE, SUITE H, KIRKLAND, WA, 98034-3002, UNITED STATES

Key Officers & Management

Name	Role	Address
BLAKE DAVIS	Governing Person	5753 NE 62ND ST, SEATTLE, WA, 98115, UNITED STATES

National Provider Identifier

NPI Number:

1780367771

Certification Date:

2023-08-08

Link:

View on NPI website

Authorized Person:

Name:

TAMI HANIGAN

Role:

OPERATIONS DIRECTOR

Phone:

4258210808

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 425-821-0808

Form 5500 Series

Employer Identification Number (EIN):

811128163

Plan Year:

2023

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

2067555542

File:

Plan Year:

2022

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

2067555542

File:

Plan Administrator / Signatory:

BLAKE DAVIS(Plan administrator)

Plan Year:

2021

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

2067555542

File:

Plan Administrator / Signatory:

BLAKE DAVIS(Plan administrator)

Plan Year:

2020

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2067555542

File:

Plan Administrator / Signatory:

BLAKE DAVIS(Plan administrator)

Plan Year:

2019

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

2067555542

File:

Plan Administrator / Signatory:

BLAKE DAVIS(Plan administrator)

Paycheck Protection Program

Jobs Reported:

7

Initial Approval Amount:

$78,795

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$78,795

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$79,628.28

Servicing Lender:

Customers Bank

Use of Proceeds:

Payroll: $78,795

Related by address

8457 MIDLAND RD, MEDINA, WA, 98039-5337, UNITED STATES

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