KIM & CERVANTES-KIM DDS, PLLC

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Company Details

Legal Name:	KIM & CERVANTES-KIM DDS, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 14th 2012
Expiration date:	31 Dec 2025
UBI Number:	603 259 990
ZIP code:	98119
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	945 ELLIOTT AVE W STE 212, SEATTLE, WA, 98119-3645, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$28,857

Contact Details

E-Mail:

RA@LASHER.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
EUGENE W. WONG	Registered Agent	601 UNION ST STE 2600, SEATTLE, WA, 98101-4000, UNITED STATES

Key Officers & Management

Name	Role	Address
JOHN KIM	Governing Person	945 ELLIOTT AVE W #212, SEATTLE, WA, 98119-3645, UNITED STATES
MISTY CERVANTES-KIM	Governing Person	945 ELLIOTT AVE W #212, SEATTLE, WA, 98119-3645, UNITED STATES

National Provider Identifier

NPI Number:

1730789082

Certification Date:

2020-10-27

Link:

View on NPI website

Authorized Person:

Name:

MISTY CERVANTES-KIM

Role:

OWNER/DENTIST

Phone:

2068127957

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 206-812-7957

Fax:

2068129506

Form 5500 Series

Employer Identification Number (EIN):

461615270

Plan Year:

2023

Number Of Participants:

13

Sponsor's telephone number:

2069137024

File:

Plan Year:

2022

Number Of Participants:

11

Sponsor's telephone number:

2069137024

File:

Plan Year:

2021

Number Of Participants:

11

Sponsor's telephone number:

2069137024

File:

Plan Year:

2020

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

2069137024

File:

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Plan Year:

2019

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

2069137024

File:

Plan Administrator / Signatory:

EDWARD ROJAS(Plan administrator)

Paycheck Protection Program

Jobs Reported:

11

Initial Approval Amount:

$150,959.37

Date Approved:

2020-04-08

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$150,959.37

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$151,839.3

Servicing Lender:

Umpqua Bank

Use of Proceeds:

Payroll: $150,959.37

Jobs Reported:

11

Initial Approval Amount:

$142,432

Date Approved:

2021-01-22

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$142,432

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$143,079.77

Servicing Lender:

Umpqua Bank

Use of Proceeds:

Payroll: $142,430
Utilities: $1

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