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FAMILY DERMATOLOGY CO. P.C.

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Company Details

Legal Name: FAMILY DERMATOLOGY CO. P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 18th 2011
Expiration date: 31 Aug 2025
UBI Number: 603 137 655
ZIP code: 98277
City: Oak Harbor
County: ISLAND
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 275 SE CABOT DR STE A3, OAK HARBOR, WA, 98277-3740, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $92,345

Contact Details

E-Mail: MANAGER@FAMILYDERMCO.COM
Phone Number: +1 360-682-5024

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
MPBA SERVICE COMPANY LLC Registered Agent

Key Officers & Management

Name Role
REESE BLIEK Governing Person
REBECCA BLIEK Governing Person

National Provider Identifier

NPI Number:
1275816910
Certification Date:
2021-04-01

Authorized Person:

Name:
REESE BLIEK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3606825749

Form 5500 Series

Employer Identification Number (EIN):
453033959
Plan Year:
2022
Number Of Participants:
20
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
26
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2020
Number Of Participants:
20
Plan Name:
401(K)
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
21
Initial Approval Amount:
$196,587
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$196,587
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$199,468.48
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $196,587
Jobs Reported:
19
Initial Approval Amount:
$196,587
Date Approved:
2021-02-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$196,587
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$199,069.92
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $196,585
Utilities: $1
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