FAMILY MEDICINE OF GRAYS HARBOR, P.L.L.C.

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Company Details

Legal Name:	FAMILY MEDICINE OF GRAYS HARBOR, P.L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 17th 1997
Expiration date:	31 Dec 2025
UBI Number:	601 838 812
ZIP code:	98520
City:	Aberdeen
County:	GRAYS HARBOR
Home State:	WASHINGTON
Principal Office Street Address:	1020 ANDERSON DR STE 203, ABERDEEN, WA, 98520-1055, UNITED STATES
Principal Office Mailing Address:	1020 ANDERSON DR, SUITE 203, ABERDEEN, WA, 98520-1055, UNITED STATES

Contact Details

E-Mail:

FAMMED@TSS.NET

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
HAGEN & BATES P.S.	Registered Agent	316 E 1ST ST, ABERDEEN, WA, 98520-5220, UNITED STATES

Key Officers & Management

Name	Role
JOHN BAUSHER MD, PHD, P.S.	Governing Person
VALENTINE MEDICAL GROUP, PS	Governing Person
THREE RIVERS HEALTHCARE PLLC	Governing Person
FISHER FAMILY MEDICINE, P.S.	Governing Person

Form 5500 Series

Employer Identification Number (EIN):

911876431

Plan Year:

2021

Number Of Participants:

32

Plan Name:

401(K)

Sponsor's telephone number:

3605336063

File:

Plan Administrator / Signatory:

GORDON M GLASGOW(Plan administrator)

Plan Year:

2020

Number Of Participants:

29

Plan Name:

401(K)

Sponsor's telephone number:

3605336063

File:

Plan Administrator / Signatory:

GORDON M GLASGOW(Plan administrator)

Plan Year:

2019

Number Of Participants:

24

Plan Name:

401(K)

Sponsor's telephone number:

3605336063

File:

Plan Administrator / Signatory:

GORDON M GLASGOW(Plan administrator)

Plan Year:

2018

Number Of Participants:

26

Plan Name:

401(K)

Sponsor's telephone number:

3605336063

Plan Administrator / Signatory:

JOHN C. BAUSHER(Plan administrator)

Plan Year:

2017

Number Of Participants:

25

Plan Name:

401(K)

Sponsor's telephone number:

3605336063

File:

Plan Administrator / Signatory:

JOHN C. BAUSHER(Plan administrator)

Paycheck Protection Program

Jobs Reported:

17

Initial Approval Amount:

$170,100

Date Approved:

2020-04-08

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$150,900

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$152,785.22

Servicing Lender:

Timberland Bank

Use of Proceeds:

Payroll: $150,900

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