G. GLENN BUCHANAN, D.D.S. III, PLLC

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Company Details

Legal Name:	G. GLENN BUCHANAN, D.D.S. III, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	June 9th 2005
Date of Dissolution:	May 11th 2022
Expiration date:	30 Jun 2022
UBI Number:	602 510 724
ZIP code:	98038
City:	Maple Valley
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	27439 SE 216TH ST, MAPLE VALLEY, WA, 98038-6637, UNITED STATES
Principal Office Mailing Address:	PO BOX 33790, SEATTLE, WA, 98133-0790, UNITED STATES

Contact Details

E-Mail:

CONTACT@ELIZABETHCPA.ONLINE

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
ELIZABETH WHITEMAN, CPA, INC.	Registered Agent	15338 INTERLAKE AVE N, SHORELINE, WA, 98133-6244, UNITED STATES

Key Officers & Management

Name	Role	Address
G BUCHANAN	Governing Person	-
G GLENN BUCHANAN	EXECUTOR	700 5TH AVENUE STE 1616, SEATTLE, WA, 98104, UNITED STATES

National Provider Identifier

NPI Number:

1487088803

Link:

View on NPI website

Authorized Person:

Name:

MONICA M MULLIGAN

Role:

CLINIC DIRECTOR

Phone:

2069233684

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 206-923-3684

Form 5500 Series

Employer Identification Number (EIN):

202986977

Plan Year:

2020

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

2069233684

File:

Plan Administrator / Signatory:

SOFIYA DZHALOVSKIY(Plan administrator)

Plan Year:

2020

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

2069233684

File:

Plan Administrator / Signatory:

SOFIYA DZHALOVSKIY(Plan administrator)

Plan Year:

2019

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

2069233684

File:

Plan Administrator / Signatory:

SOFIYA DZHALOVSKIY(Plan administrator)

Plan Year:

2018

Number Of Participants:

13

Sponsor's telephone number:

2069233684

File:

Plan Administrator / Signatory:

SOFIYA DZHALOVSKIY(Plan administrator)

Plan Year:

2017

Number Of Participants:

12

Sponsor's telephone number:

2069233684

File:

Plan Administrator / Signatory:

SOFIYA DZHALOVSKIY(Plan administrator)

Paycheck Protection Program

Jobs Reported:

14

Initial Approval Amount:

$205,649.5

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$205,649.5

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$206,674.93

Servicing Lender:

Umpqua Bank

Use of Proceeds:

Payroll: $205,649.5

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