HACKNEY FAMILY DENTISTRY PLLC

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Company Details

Legal Name:	HACKNEY FAMILY DENTISTRY PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	October 15th 2008
Expiration date:	31 Oct 2025
UBI Number:	602 872 187
ZIP code:	98584
City:	Shelton
County:	MASON
Home State:	WASHINGTON
Principal Office Street Address:	1051 SE STATE ROUTE 3, SHELTON, WA, 98584, UNITED STATES
Principal Office Mailing Address:	PO BOX 398, SHELTON, WA, 98584, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$296,854

Contact Details

E-Mail:	THACKNEY13@HOTMAIL.COM
Phone Number:	+1 360-426-1676

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
TRAVIS HACKNEY DDS	Registered Agent	1051 SE STATE RT 3, SHELTON, WA, 98584-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
KYLE HACKNEY	Governing Person	-
TRAVIS HACKNEY	Governing Person	-
TRAVIS HACKNEY DDS	EXECUTOR	1051 SE STATE ROUTE 3, SHELTON, WA, 98584, UNITED STATES

National Provider Identifier

NPI Number:

1891934550

Link:

View on NPI website

Authorized Person:

Name:

DR. KYLE HOUSTON HACKNEY

Role:

PARTNER/DENTIST

Phone:

3604261676

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-426-1676

Fax:

3604274304

Fax:

3604274303

Form 5500 Series

Employer Identification Number (EIN):

263718496

Plan Year:

2024

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

3608684523

File:

Plan Year:

2023

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

3608684523

File:

Plan Year:

2023

Number Of Participants:

11

Plan Name:

CASH BALANCE

Sponsor's telephone number:

3608684523

File:

Plan Year:

2022

Number Of Participants:

11

Plan Name:

CASH BALANCE

Sponsor's telephone number:

3608684523

File:

Plan Administrator / Signatory:

KYLE H. HACKNEY, DDS(Plan administrator)

Plan Year:

2022

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

3608684523

File:

Paycheck Protection Program

Jobs Reported:

12

Initial Approval Amount:

$180,812

Date Approved:

2021-01-22

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$180,812

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$181,761.26

Servicing Lender:

Peninsula Community FCU

Use of Proceeds:

Payroll: $180,812

Jobs Reported:

16

Initial Approval Amount:

$180,812

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$180,812

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$181,914.93

Servicing Lender:

Peninsula Community FCU

Use of Proceeds:

Payroll: $135,609
Rent: $45,203

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