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EVERGREEN EMERGENCY SERVICES, P.S.

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Company Details

Legal Name: EVERGREEN EMERGENCY SERVICES, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 23rd 2001
Expiration date: 31 Oct 2025
UBI Number: 602 157 226
ZIP code: 98034
City: Kirkland
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 12040 NE 128TH ST, KIRKLAND, WA, 98034-3013, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 2399, KIRKLAND, WA, 98083-2399, UNITED STATES

Contact Details

E-Mail: ANGELA@EVERGREENEMERGENCYSERVICES.COM
Phone Number: +1 206-550-5253

Nature of Business

Other Services

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Registered Agent Information

Name Role
WKG, INC. Registered Agent

Key Officers & Management

Name Role
KEVIN HANSON Governing Person
BRYAN MACWILLIAMS Governing Person
BRAD YOUNGGREN Governing Person
CHAD BENTSEN Governing Person
MICHELLE HOLM Governing Person
CHAD CRYSTAL Governing Person

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
ANGELA STEWART
Last Update Date:
2024-12-05
Naics Primary:
622110

Self-Certification:

For Profit Organization

Unique Entity ID

Unique Entity ID:
L7AEBCQ39EM5
CAGE Code:
0KQ95
UEI Expiration Date:
2025-12-02

Business Information

Activation Date:
2024-12-04
Initial Registration Date:
2024-11-22

National Provider Identifier

NPI Number:
1619912524
Certification Date:
2020-11-20

Authorized Person:

Name:
DR. CHAD CRYSTAL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
912149865
Plan Year:
2009
Number Of Participants:
28
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
JACK K. HANDLEY, MD(Plan administrator)

Paycheck Protection Program

Jobs Reported:
75
Initial Approval Amount:
$1,617,952
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,617,952
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,632,890.35
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $1,617,952
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