EAST FORK DENTAL, LLC

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Company Details

Legal Name:	EAST FORK DENTAL, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 6th 2018
Expiration date:	31 Dec 2025
UBI Number:	604 372 641
ZIP code:	98604
City:	Battle Ground
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	15 SW 20TH AVE, BATTLE GROUND, WA, 98604-3133, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$98,426

Contact Details

E-Mail:	KROSE001@HOTMAIL.COM
Phone Number:	+1 360-687-5665

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
KARL ROSE	Registered Agent	15 SW 20TH AVE, BATTLE GROUND, WA, 98604-3133, UNITED STATES

Key Officers & Management

Name	Role	Address
DOUGLAS ALEXANDER	Executor	PO BOX 470, SALEM, OR, 97308-0470, UNITED STATES
JOHN KOSKI	Governing Person	-
KARL ROSE	Governing Person	-

National Provider Identifier

NPI Number:

1578034526

Link:

View on NPI website

Authorized Person:

Name:

DR. KARL ROSE

Role:

OWNER

Phone:

3606876556

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 360-687-5665

Form 5500 Series

Employer Identification Number (EIN):

832739850

Plan Year:

2024

Number Of Participants:

27

Plan Name:

401(K)

Sponsor's telephone number:

3606875665

File:

Plan Administrator / Signatory:

KARL ROSE(Plan administrator)

Plan Year:

2023

Number Of Participants:

26

Plan Name:

401(K)

Sponsor's telephone number:

3606875665

File:

Plan Administrator / Signatory:

KARL ROSE(Plan administrator)

Plan Year:

2022

Number Of Participants:

33

Plan Name:

401(K)

Sponsor's telephone number:

3606875665

File:

Plan Administrator / Signatory:

KARL ROSE(Plan administrator)

Plan Year:

2021

Number Of Participants:

28

Plan Name:

401(K)

Sponsor's telephone number:

3606875665

File:

Plan Administrator / Signatory:

KARL ROSE(Plan administrator)

Plan Year:

2020

Number Of Participants:

26

Plan Name:

401(K)

Sponsor's telephone number:

3606875665

File:

Plan Administrator / Signatory:

KARL ROSE(Plan administrator)

Paycheck Protection Program

Jobs Reported:

18

Initial Approval Amount:

$120,180

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$120,180

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$121,141.44

Servicing Lender:

Riverview Bank

Use of Proceeds:

Payroll: $120,180

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