CLOVER PARK ADULT FAMILY HOME, LLC

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Company Details

Legal Name:	CLOVER PARK ADULT FAMILY HOME, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	February 24th 2015
Expiration date:	28 Feb 2026
UBI Number:	603 479 632
ZIP code:	98499
City:	Lakewood
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	11308 CLOVER PARK DR SW, LAKEWOOD, WA, 98499-1230, UNITED STATES

Contact Details

E-Mail:	GNKIBUNYI2020@GMAIL.COM
Phone Number:	+1 206-412-8389

Nature of Business

ADULT FAMILY HOME

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Registered Agent Information

Name	Role	Address
GEORGE KIBUNYI	Registered Agent	11308 CLOVER PARK DR SW, LAKEWOOD, WA, 98499-1230, UNITED STATES

Key Officers & Management

Name	Role	Address
GEORGE KIBUNYI	Governing Person	11308 CLOVER PARK DR SW, LAKEWOOD, WA, 98499, UNITED STATES

Form 5500 Series

Employer Identification Number (EIN):

473228009

Plan Year:

2024

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

2064128389

File:

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Plan Year:

2023

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

2064128389

File:

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Plan Year:

2022

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

2064128389

File:

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Plan Year:

2021

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

2064128389

File:

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Plan Year:

2020

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

2064128389

File:

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Paycheck Protection Program

Jobs Reported:

2

Initial Approval Amount:

$18,375

Date Approved:

2021-02-05

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$18,375

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$18,475.04

Servicing Lender:

Itria Ventures LLC

Use of Proceeds:

Payroll: $18,372
Utilities: $1

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