CAMILLE VANDEVANTER, D.D.S., M.S.D., P.S.

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Company Details

Legal Name:	CAMILLE VANDEVANTER, D.D.S., M.S.D., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	June 15th 2004
Date of Dissolution:	December 21st 2023
Expiration date:	30 Jun 2024
UBI Number:	602 404 122
ZIP code:	98003
City:	Federal Way
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	33507 9TH AVE S, BLDG G, FEDERAL WAY, WA, 98003, UNITED STATES
Principal Office Mailing Address:	12520 33RD STREET CT E, EDGEWOOD, WA, 98372-2462, UNITED STATES

Contact Details

E-Mail:	DUTCH.VANDEVANTER@GMAIL.COM
Phone Number:	+1 253-370-5859

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
CAMILLE VANDEVANTER , D.D.S., M.S.D., P.S.	Registered Agent	33507 9TH AVE S, BLDG G, FEDERAL WAY, WA, 98003-6397, UNITED STATES

Key Officers & Management

Name	Role	Address
CAMILLE VANDEVANTER	Governing Person	33507 - 9TH AVE S, BLDG G, FEDERAL WAY, WA, 98003, UNITED STATES
DONALD VANDEVANTER	Governing Person	12520 33RD STREET CT E, EDGEWOOD, WA, 98372, UNITED STATES

Form 5500 Series

Employer Identification Number (EIN):

201091649

Plan Year:

2022

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

2536617228

File:

Plan Administrator / Signatory:

CAMILLE VANDEVANTER(Plan administrator)

Plan Year:

2022

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

2536617228

File:

Plan Administrator / Signatory:

CAMILLE VANDEVANTER(Plan administrator)

Plan Year:

2021

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

2536617228

File:

Plan Administrator / Signatory:

CAMILLE VANDEVANTER(Plan administrator)

Plan Year:

2020

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2536617228

File:

Plan Year:

2019

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2536617228

File:

Paycheck Protection Program

Jobs Reported:

10

Initial Approval Amount:

$103,500

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$103,500

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$104,150.87

Servicing Lender:

KeyBank National Association

Use of Proceeds:

Payroll: $103,500

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