CHYMIYMATTYMD, LLC

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Company Details

Legal Name:	CHYMIYMATTYMD, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 29th 2015
Expiration date:	31 Jul 2025
UBI Number:	603 528 942
ZIP code:	98370
City:	Poulsbo
County:	KITSAP
Home State:	WASHINGTON
Principal Office Street Address:	19036 FRONT ST NE, POULSBO, WA, 98370-7354, UNITED STATES
Principal Office Mailing Address:	PO BOX 2940, POULSBO, WA, 98370-2940, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$26,970

Contact Details

E-Mail:

DAWN@WESTSOUNDLEGAL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
KITSAP CORPORATE SERVICES, INC.	Registered Agent

Key Officers & Management

Name	Role
LAUREN BONIFIELD	Governing Person
ANDREA CHYMII MD	Governing Person
MARIE MATTY MD	Governing Person

National Provider Identifier

NPI Number:

1982073235

Certification Date:

2024-07-27

Link:

View on NPI website

Authorized Person:

Name:

DR. MARIE ELAINE MATTY

Role:

PRESIDENT

Phone:

3609790569

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-979-0569

Fax:

8778059505

Form 5500 Series

Employer Identification Number (EIN):

474836029

Plan Year:

2023

Number Of Participants:

8

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3609790569

File:

Plan Administrator / Signatory:

ANDREA CHYMIY(Plan administrator) ANDREA CHYMIY(Employer/plan sponsor)

Plan Year:

2022

Number Of Participants:

7

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3609790569

File:

Plan Administrator / Signatory:

ANDREA CHYMIY(Plan administrator) ANDREA CHYMIY(Employer/plan sponsor)

Plan Year:

2021

Number Of Participants:

5

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3609790569

File:

Plan Administrator / Signatory:

ANDREA CHYMIY(Plan administrator) ANDREA CHYMIY(Employer/plan sponsor)

Plan Year:

2020

Number Of Participants:

5

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3609790569

File:

Plan Administrator / Signatory:

ANDREA CHYMIY, MD(Plan administrator) ANDREA CHYMIY, MD(Employer/plan sponsor)

Plan Year:

2019

Number Of Participants:

6

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3609790569

File:

Plan Administrator / Signatory:

ANDREA CHYMIY(Plan administrator) ANDREA CHYMIY(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:

7

Initial Approval Amount:

$104,630.69

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$104,630.69

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$105,720

Servicing Lender:

Kitsap CU

Use of Proceeds:

Payroll: $104,630.69

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