CORNERSTONE PRIMARY CARE, PLLC

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Company Details

Legal Name:	CORNERSTONE PRIMARY CARE, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	October 21st 2015
Expiration date:	31 Oct 2025
UBI Number:	603 552 908
ZIP code:	98055
City:	Renton
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	17900 TALBOT RD S #102, RENTON, WA, 98055, UNITED STATES
Principal Office Mailing Address:	4624 193RD AVE SE, ISSAQUAH, WA, 98027-9365, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$20,911

Contact Details

E-Mail:	ADMIN@CORNERSTONEPRIMARYCARE.COM
Phone Number:	+1 206-669-7430

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
CORNERSTONE PRIMARY CARE, PLLC	Registered Agent

Key Officers & Management

Name	Role	Address
GARY KATO	Governing Person	-
CRAIG MCGORAN	Governing Person	-
DR CRAIG MCGORAN	EXECUTOR	3716 WALNUT AVE SW, SEATTLE, WA, 98116, UNITED STATES

National Provider Identifier

NPI Number:

1841681707

Link:

View on NPI website

Authorized Person:

Name:

DR. JOHN MAYENO

Role:

MEMBER

Phone:

4252559310

Taxonomy:

Selected Taxonomy:

261QH0100X - Health Service Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 425-255-9310

Form 5500 Series

Employer Identification Number (EIN):

475387865

Plan Year:

2023

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

4252559310

File:

Plan Administrator / Signatory:

SARAH MCGORAN(Plan administrator)

Plan Year:

2022

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

4252559310

File:

Plan Administrator / Signatory:

SHARI MAYENO(Plan administrator)

Plan Year:

2021

Number Of Participants:

18

Plan Name:

401(K)

Sponsor's telephone number:

4252559310

File:

Plan Administrator / Signatory:

SHARI MAYENO(Plan administrator)

Plan Year:

2020

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

4252559310

File:

Plan Administrator / Signatory:

SHARI MAYENO(Plan administrator)

Plan Year:

2019

Number Of Participants:

17

Plan Name:

401(K)

Sponsor's telephone number:

4252559310

File:

Plan Administrator / Signatory:

SHARI MAYENO(Plan administrator)

Paycheck Protection Program

Jobs Reported:

14

Initial Approval Amount:

$119,375

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$119,375

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$120,892.53

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $119,375

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