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GOICHI SHIOTSU, D.D.S., P.S.

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Company Details

Legal Name: GOICHI SHIOTSU, D.D.S., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 29th 2001
Expiration date: 31 May 2026
UBI Number: 602 123 995
ZIP code: 98040
City: Mercer Island
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2825 80TH AVE SE STE 3, MERCER ISLAND, WA, 98040-2977, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $101,671

Contact Details

E-Mail: GOICHISHIOTSU@ME.COM
Phone Number: +1 206-232-3600

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
H&F SERVICES, INC. Registered Agent 1 N TACOMA AVE STE 300, TACOMA, WA, 98403-3131, UNITED STATES

Key Officers & Management

Name Role
GOICHI SHIOTSU Governing Person

National Provider Identifier

NPI Number:
1649724220
Link:
View on NPI website

Authorized Person:

Name:
DR. GOICHI SHIOTSU
Role:
PRESIDENT
Phone:
2062323600

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 206-232-3600
Fax:
2062753025

Form 5500 Series

Employer Identification Number (EIN):
912131640
Plan Year:
2023
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
4254542570
File:
View File
Plan Administrator / Signatory:
GOICHI SHIOTSU, D.D.S.(Plan administrator)
Plan Year:
2022
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
4254542570
File:
View File
Plan Administrator / Signatory:
GOICHI SHIOTSU, D.D.S.(Plan administrator)
Plan Year:
2021
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
4254542570
File:
View File
Plan Administrator / Signatory:
GOICHI SHIOTSU, D.D.S.(Plan administrator)
Plan Year:
2020
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
4254542570
File:
View File
Plan Administrator / Signatory:
GOICHI SHIOTSU, D.D.S.(Plan administrator)
Plan Year:
2019
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
4254542570
File:
View File
Plan Administrator / Signatory:
GOICHI SHIOTSU, D.D.S.(Plan administrator)

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$139,100
Date Approved:
2021-02-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$139,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$140,087.04
Servicing Lender:
First-Citizens Bank & Trust Company
Use of Proceeds:
Payroll: $139,098
Utilities: $1
Jobs Reported:
8
Initial Approval Amount:
$111,100
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$111,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$111,786.36
Servicing Lender:
First-Citizens Bank & Trust Company
Use of Proceeds:
Payroll: $111,100
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