J. MARK BURNETT, D.D.S., P.S.

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Company Details

Legal Name:	J. MARK BURNETT, D.D.S., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	December 12th 1986
Date of Dissolution:	May 3rd 2023
Expiration date:	31 Dec 2022
UBI Number:	600 299 670
ZIP code:	98466
City:	Tacoma
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	2603 BRIDGEPORT WAY W STE I, UNIVERSITY PL, WA, 98466-4724, UNITED STATES
Principal Office Mailing Address:	67 RAFT ISLAND DR NW, GIG HARBOR, WA, 98335, UNITED STATES

Contact Details

E-Mail:	JMBURNETT8@AOL.COM
Phone Number:	+1 253-565-1181

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
EDWARD R LINDSTROM ESQ	Registered Agent	7350 CIRQUE DR W STE 102, UNIVERSITY PL, WA, 98467-2241, UNITED STATES

Key Officers & Management

Name	Role
J MARK BURNETT DDS	Governing Person
PATRICIA BURNETT	Governing Person

National Provider Identifier

NPI Number:

1679679674

Link:

View on NPI website

Authorized Person:

Name:

J MARK BURNETT

Role:

DENTIST

Phone:

2535651181

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 253-565-1181

Form 5500 Series

Employer Identification Number (EIN):

911044623

Plan Year:

2024

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

2535651181

File:

Plan Year:

2023

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

2535651181

File:

Plan Year:

2022

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

2535651181

File:

Plan Year:

2021

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

2535651181

File:

Plan Year:

2020

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

2535651181

File:

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$47,832

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$47,832

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$48,329.98

Servicing Lender:

Heritage Bank

Use of Proceeds:

Payroll: $47,832

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