CASON FREDERICK LATKA CULBERSON, D.D.S., P.L.L.C.

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Company Details

Legal Name:	CASON FREDERICK LATKA CULBERSON, D.D.S., P.L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 17th 2002
Expiration date:	31 Jul 2026
UBI Number:	602 220 302
ZIP code:	98012
City:	Bothell
County:	SNOHOMISH
Home State:	WASHINGTON
Principal Office Street Address:	16030 BOTHELL EVERETT HWY, MILL CREEK, WA, 98012-1741, UNITED STATES
Principal Office Mailing Address:	8555 SW APPLE WAY STE 310, PORTLAND, OR, 97225-1777, UNITED STATES

Contact Details

E-Mail:	SHVAL@MOSAICDENTALCOLLECTIVE.COM
Phone Number:	+1 888-656-8498

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
STEVEN HVAL	Registered Agent	915 BROADWAY ST STE 100, VANCOUVER, WA, 98660-3287, UNITED STATES

Key Officers & Management

Name	Role
JAGDEV HEIR MD DMD	Governing Person
ROSS AUSTIN DDS	Governing Person

Form 5500 Series

Employer Identification Number (EIN):

320027503

Plan Year:

2022

Number Of Participants:

7

Plan Name:

CASH BALANCE

Sponsor's telephone number:

4254814974

File:

Plan Year:

2021

Number Of Participants:

13

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

4254814974

File:

Plan Year:

2021

Number Of Participants:

17

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

4254814974

File:

Plan Year:

2021

Number Of Participants:

9

Plan Name:

CASH BALANCE

Sponsor's telephone number:

4254814974

File:

Plan Year:

2020

Number Of Participants:

9

Plan Name:

CASH BALANCE

Sponsor's telephone number:

4254814974

File:

Paycheck Protection Program

Jobs Reported:

10

Initial Approval Amount:

$152,863

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$152,863

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$154,136.16

Servicing Lender:

T Bank, National Association

Use of Proceeds:

Payroll: $152,863

Jobs Reported:

10

Initial Approval Amount:

$143,912

Date Approved:

2021-02-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$143,912

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$144,830.67

Servicing Lender:

T Bank, National Association

Use of Proceeds:

Payroll: $143,911

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