ELLINGSEN-PAXTON, D.D.S., P.S. .

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Company Details

Legal Name:	ELLINGSEN-PAXTON, D.D.S., P.S. .
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	February 29th 1996
Date of Dissolution:	February 25th 2023
Expiration date:	28 Feb 2023
UBI Number:	601 693 579
ZIP code:	99206
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	12109 E BROADWAY AVE STE B, SPOKANE VLY, WA, 99206-6133, UNITED STATES

Contact Details

E-Mail:	TONI@EPORTHO.COM
Phone Number:	+1 509-926-0570

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
RANDALL & DANSKIN PS	Registered Agent	601 W RIVERSIDE #1500, SPOKANE, WA, 99201-0000, UNITED STATES

Key Officers & Management

Name	Role
RICHARD ELLINGSEN	Governing Person
DIANE PAXTON	Governing Person

National Provider Identifier

NPI Number:

1558446278

Link:

View on NPI website

Authorized Person:

Name:

DR. RICHARD C ELLINGSEN

Role:

PRESIDENT

Phone:

5099260570

Taxonomy:

Selected Taxonomy:

1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist

Is Primary:

No

Selected Taxonomy:

1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist

Is Primary:

No

Selected Taxonomy:

1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 509-926-0570

Fax:

5099219163

Form 5500 Series

Employer Identification Number (EIN):

911712441

Plan Year:

2022

Number Of Participants:

18

Plan Name:

401(K)

Sponsor's telephone number:

5099260591

File:

Plan Year:

2021

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

5099260591

File:

Plan Year:

2020

Number Of Participants:

18

Plan Name:

401(K)

Sponsor's telephone number:

5099260591

File:

Plan Year:

2019

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

5099260591

File:

Plan Year:

2018

Number Of Participants:

21

Plan Name:

401(K)

Sponsor's telephone number:

5099260591

File:

Paycheck Protection Program

Jobs Reported:

18

Initial Approval Amount:

$176,947

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$176,947

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$178,036.57

Servicing Lender:

U.S. Bank, National Association

Use of Proceeds:

Payroll: $176,947

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