DAVID K. CHAN, D.M.D., P.S.

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Company Details

Legal Name:	DAVID K. CHAN, D.M.D., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	September 20th 2001
Date of Dissolution:	January 4th 2016
Expiration date:	30 Sep 2015
UBI Number:	602 150 749

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Registered Agent Information

Name	Role	Address
DAVID K CHAN DMD	Registered Agent	4402 NW SENECA CT, CAMAS, WA, 98607, UNITED STATES

Key Officers & Management

Name	Role	Address
DAVID CHAN	Governing Person	4402 NW SENECA CT, CAMAS, WA, 98607, UNITED STATES

Form 5500 Series

Employer Identification Number (EIN):

912149151

Plan Year:

2014

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's DBA Name:

NORTHWEST SMILE DESIGNS

Sponsor's telephone number:

3606001828

File:

Plan Administrator / Signatory:

DAVID CHAN(Plan administrator) DAVID CHAN(Employer/plan sponsor)

Plan Year:

2013

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's DBA Name:

NORTHWEST SMILE DESIGNS

Sponsor's telephone number:

3608851206

File:

Plan Administrator / Signatory:

DAVID CHAN(Plan administrator)

Plan Year:

2012

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's DBA Name:

NORTHWEST SMILE DESIGNS

Sponsor's telephone number:

3608851206

File:

Plan Administrator / Signatory:

DAVID CHAN(Plan administrator)

Plan Year:

2011

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's DBA Name:

NORTHWEST SMILE DESIGNS

Sponsor's telephone number:

3608851206

File:

Plan Administrator / Signatory:

DAVID CHAN(Plan administrator)

Plan Year:

2010

Number Of Participants:

0

Plan Name:

401(K)

Sponsor's DBA Name:

NORTHWEST SMILE DESIGNS

Sponsor's telephone number:

3608851206

File:

Plan Administrator / Signatory:

DAVID CHAN(Plan administrator)

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