EVERGREEN NEUROLOGY & NEURODIAGNOSTICS, PLLC

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Company Details

Legal Name:	EVERGREEN NEUROLOGY & NEURODIAGNOSTICS, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	August 8th 2002
Expiration date:	31 Aug 2025
UBI Number:	602 225 984
ZIP code:	98034
City:	Kirkland
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	13107 121ST WAY NE, KIRKLAND, WA, 98034-3051, UNITED STATES

Contact Details

E-Mail:	KELLYBNEURO@GMAIL.COM
Phone Number:	+1 425-658-3324

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
ROMAN L KUTSY	Registered Agent	13107 121ST WAY NE, KIRKLAND, WA, 98034-3051, UNITED STATES

Key Officers & Management

Name	Role	Address
ROMAN KUTSY	Governing Person	7828 NE 8TH ST, MEDINA, WA, 98039-4711, UNITED STATES

Form 5500 Series

Employer Identification Number (EIN):

753075949

Plan Year:

2014

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

4255052200

File:

Plan Year:

2013

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

4255052200

File:

Plan Year:

2012

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

4252595121

File:

Plan Administrator / Signatory:

ROMAN KUTSY(Plan administrator) ROMAN KUTSY(Employer/plan sponsor)

Plan Year:

2011

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

4252595121

File:

Plan Administrator / Signatory:

ROMAN KUTSY(Plan administrator) ROMAN KUTSY(Employer/plan sponsor)

Plan Year:

2010

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

4252595121

File:

Plan Administrator / Signatory:

ROMAN KUTSY(Plan administrator) ROMAN KUTSY(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:

2

Initial Approval Amount:

$6,152

Date Approved:

2020-05-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$6,152

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$6,213.18

Servicing Lender:

WebBank

Use of Proceeds:

Payroll: $6,152

Jobs Reported:

2

Initial Approval Amount:

$3,453

Date Approved:

2021-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$3,453

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$3,470.97

Servicing Lender:

Customers Bank

Use of Proceeds:

Payroll: $3,453

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