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FLOYD D. SMITH, MD, INTERNAL MEDICINE PS

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Company Details

Legal Name: FLOYD D. SMITH, MD, INTERNAL MEDICINE PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 6th 2014
Expiration date: 31 Oct 2025
UBI Number: 603 441 700
ZIP code: 98531
City: Centralia
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1611 KRESKY AVE STE 112, CENTRALIA, WA, 98531-8982, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 868, CENTRALIA, WA, 98531-0868, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $23,743

Contact Details

E-Mail: LIZDSMITH10@GMAIL.COM
Phone Number: +1 360-330-2023

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
FLOYD SMITH Registered Agent 1611 KRESKY AVE STE 112, CENTRALIA, WA, 98531-8982, UNITED STATES

Key Officers & Management

Name Role
FLOYD SMITH Governing Person

National Provider Identifier

NPI Number:
1932597077

Authorized Person:

Name:
DR. FLOYD D. SMITH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3606231585

Form 5500 Series

Employer Identification Number (EIN):
472034129
Plan Year:
2023
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ELIZABETH SMITH(Plan administrator)
Plan Year:
2022
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ELIZABETH SMITH(Plan administrator)
Plan Year:
2021
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ELIZABETH SMITH(Plan administrator)
Plan Year:
2020
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2019
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$98,700
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$98,700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$99,386.84
Servicing Lender:
Security State Bank
Use of Proceeds:
Payroll: $98,700
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