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EASTSIDE MEDICAL GROUP LLC

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Company Details

Legal Name: EASTSIDE MEDICAL GROUP LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 4th 2011
Expiration date: 31 Aug 2025
UBI Number: 603 086 190
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1301 4TH AVE NW STE 201, SUITE 201, ISSAQUAH, WA, 98027, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $106,192

Contact Details

E-Mail: KROSSI@EASTSIDESURGERYCENTER.COM
Phone Number: +1 425-270-3713

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KASIA ROSSI Registered Agent 1301 4TH AVE NW STE 201, ISSAQUAH, WA, 98027-9371, UNITED STATES

Key Officers & Management

Name Role
ROBERT HOWIE Governing Person
KALLE KANG Governing Person

Unique Entity ID

Unique Entity ID:
CVDNJ7DQUHE1
UEI Expiration Date:
2026-06-09

Business Information

Doing Business As:
EASTSIDE MEDICAL GROUP
URL:
www.eastsidesurgerycenter.com
Division Name:
EASTSIDE MEDICAL GROUP LLC
Activation Date:
2025-06-11
Initial Registration Date:
2023-08-10

National Provider Identifier

NPI Number:
1750709358
Link:
View on NPI website

Authorized Person:

Name:
ROBERT HOWIE
Role:
TREASURER
Phone:
4258379720

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 425-270-3713
Fax:
4252957557

Form 5500 Series

Employer Identification Number (EIN):
451231126
Plan Year:
2023
Number Of Participants:
36
Plan Name:
401(K)
Sponsor's telephone number:
4252703713
File:
View File
Plan Administrator / Signatory:
MAKSIM KOSOBUTSKY(Plan administrator)
Plan Year:
2022
Number Of Participants:
36
Plan Name:
401(K)
Sponsor's telephone number:
4252703713
File:
View File
Plan Administrator / Signatory:
KASIA ROSSI(Plan administrator)
Plan Year:
2021
Number Of Participants:
27
Plan Name:
401(K)
Sponsor's telephone number:
4252703713
File:
View File
Plan Administrator / Signatory:
KASIA ROSSI(Plan administrator)
Plan Year:
2020
Number Of Participants:
24
Plan Name:
401(K)
Sponsor's telephone number:
4252703713
File:
View File
Plan Administrator / Signatory:
KASIA ROSSI(Plan administrator)
Plan Year:
2019
Number Of Participants:
25
Plan Name:
401(K)
Sponsor's telephone number:
4252703713
File:
View File
Plan Administrator / Signatory:
KASIA ROSSI(Plan administrator)

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$249,901
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$249,901
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$251,893.36
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $249,901
Jobs Reported:
20
Initial Approval Amount:
$230,615
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$230,615
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$231,745.96
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $230,614
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