KEVIN XU, D.D.S., M.S., P.S., INC.

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Company Details

Legal Name:	KEVIN XU, D.D.S., M.S., P.S., INC.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	December 17th 1997
Date of Dissolution:	February 11th 2022
Expiration date:	31 Dec 2021
UBI Number:	601 838 760
ZIP code:	98498
City:	Lakewood
County:	PIERCE
Home State:	WASHINGTON
Principal Office Street Address:	8911 WELLER RD SW, LAKEWOOD, WA, 98498-5967, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$180,106

Contact Details

E-Mail:	SUSAN_X_YANG@YAHOO.COM
Phone Number:	+1 253-307-3644

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
XUE-MEI SUSAN XU	Registered Agent	8911 WELLER RD SW, LAKEWOOD, WA, 98498-0000, UNITED STATES

Key Officers & Management

Name	Role
XUEMEI XU	Governing Person
SHAOFAN XU	Governing Person

National Provider Identifier

NPI Number:

1578823852

Link:

View on NPI website

Authorized Person:

Name:

DR. KEVIN XU

Role:

DENTIST/OWNER

Phone:

2534732166

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 253-473-2166

Fax:

2534732167

Form 5500 Series

Employer Identification Number (EIN):

911870461

Plan Year:

2020

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

2534732166

File:

Plan Year:

2020

Number Of Participants:

11

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2535668186

File:

Plan Year:

2019

Number Of Participants:

11

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2534732166

File:

Plan Year:

2019

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

2534732166

File:

Plan Year:

2018

Number Of Participants:

10

Plan Name:

CASH BALANCE

Sponsor's telephone number:

2534732166

File:

Paycheck Protection Program

Jobs Reported:

15

Initial Approval Amount:

$221,220

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$221,220

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$222,547.32

Servicing Lender:

U.S. Bank, National Association

Use of Proceeds:

Payroll: $221,220

Labor Condition Applications

Case Number:

I-200-09322-749537

Job Title:

DENTIST

SOC (ONET/OES) code:

29-1029.99

SOC (ONET/OES) occupation title:

Dentists, All Other Specialists

Begin Date:

2010-04-01

End Date:

2013-03-31

Employment and Wage Information

Address:

TACOMA, WA

Wage Rate Paid to Nonimmigrant Workers:

$70

Prevailing Wage Rate:

$69.21

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