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J. BLAKE PERKINS, D.D.S., P.S.

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Company Details

Legal Name: J. BLAKE PERKINS, D.D.S., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 12th 2002
Expiration date: 31 Aug 2025
UBI Number: 602 226 562
ZIP code: 98684
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 811 NE 112TH AVE STE 100, SUITE 100, VANCOUVER, WA, 98684-5115, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $43,169

Contact Details

E-Mail: DRBLAKE@MYNEWIMAGE.NET
Phone Number: +1 360-604-7151

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
J BLAKE PERKINS Registered Agent 811 NE 112TH AVE STE 100, VANCOUVER, WA, 98684-5115, UNITED STATES

Key Officers & Management

Name Role Address
JUSTIN PERKINS Governing Person 811 NE 112TH AVE, SUITE 100, VANCOUVER, WA, 98684, UNITED STATES

National Provider Identifier

NPI Number:
1568912426

Authorized Person:

Name:
DR. JUSTIN BLAKE PERKINS
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
3605974562

Form 5500 Series

Employer Identification Number (EIN):
731654609
Plan Year:
2019
Number Of Participants:
0
Sponsor's DBA Name:
NEW IMAGE COSMETIC AND FAMILY DENTISTRY 401K PLAN
Sponsor's telephone number:
Plan Administrator / Signatory:
JUSTIN PERKINS(Plan administrator)

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$169,823
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$169,823
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$171,949.28
Servicing Lender:
Lewis & Clark Bank
Use of Proceeds:
Payroll: $127,367
Utilities: $11,456
Rent: $25,000
Healthcare: $6000
Jobs Reported:
17
Initial Approval Amount:
$169,823
Date Approved:
2021-01-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$169,823
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$170,972.21
Servicing Lender:
Lewis & Clark Bank
Use of Proceeds:
Payroll: $169,821
Utilities: $1
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