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HEALTHSOURCE OF FEDERAL WAY, INC

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Company Details

Legal Name: HEALTHSOURCE OF FEDERAL WAY, INC
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 2nd 2023
Date of Dissolution: January 19th 2024
Expiration date: 28 Feb 2024
UBI Number: 605 025 743
Supporting healthcare providers fighting with COVID-19: $1,518

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Registered Agent Information

Name Role Address
JAY BAKER Registered Agent 7405 152ND ST E, PUYALLUP, WA, 98375-7105, UNITED STATES

Key Officers & Management

Name Role Address
JAY BAKER Incorporator 7405 152ND ST E, PUYALLUP, WA, 98375-7105, UNITED STATES

National Provider Identifier

NPI Number:
1700091469
Link:
View on NPI website

Authorized Person:

Name:
DR. JAY M BAKER
Role:
PRESIDENT
Phone:
2538742100

Taxonomy:

Selected Taxonomy:
111NR0400X - Rehabilitation Chiropractor
Is Primary:
Yes

Contacts:

Phone:
+1 253-874-2100
Fax:
2538742104

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$29,149
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$29,149
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$29,252.02
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $29,147
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$22,500
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$22,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$22,644.25
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $22,500
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