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EVERGREEN FAMILY EYE CARE, PLLC

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Company Details

Legal Name: EVERGREEN FAMILY EYE CARE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 16th 2018
Date of Dissolution: March 3rd 2022
Expiration date: 31 Oct 2021
UBI Number: 604 346 259
ZIP code: 98502
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1420 6TH AVE SW, OLYMPIA, WA, 98502-5357, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $2,522

Contact Details

E-Mail: DRSEVERGREEN@GMAIL.COM
Phone Number: +1 617-645-5708

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DEREK STURTEVANT Registered Agent 1420 6TH AVE SW, OLYMPIA, WA, 98502-5357, UNITED STATES

Key Officers & Management

Name Role Address
DEREK STURTEVANT Executor 1420 6TH AVE SW, OLYMPIA, WA, 98502-5357, UNITED STATES
DEREK STURTEVANT Governing Person 1420 6TH AVE SW, OLYMPIA, WA, 98502-5357, UNITED STATES

National Provider Identifier

NPI Number:
1477022002
Certification Date:
2020-10-15

Authorized Person:

Name:
DEREK STURTEVANT
Role:
OPTOMETRIST
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
3604008068

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$20,762.5
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,762.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,910.72
Servicing Lender:
TwinStar Credit Union
Use of Proceeds:
Payroll: $20,762.5
Jobs Reported:
1
Initial Approval Amount:
$20,761.67
Date Approved:
2021-02-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,761.67
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,874.71
Servicing Lender:
TwinStar Credit Union
Use of Proceeds:
Payroll: $20,761.67
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