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KITSAP PHYSICAL THERAPY AND SPORTS CLINIC, P.S. INC.

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Company Details

Legal Name: KITSAP PHYSICAL THERAPY AND SPORTS CLINIC, P.S. INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 15th 1998
Expiration date: 31 Dec 2025
UBI Number: 601 919 122
ZIP code: 98383
City: Silverdale
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2400 NW MYHRE RD STE 101, SILVERDALE, WA, 98383-7672, UNITED STATES

Contact Details

E-Mail: DAVEDAMON@KITSAPPT.COM
Phone Number: +1 360-598-3764

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role
LINCOLN MILLER, PLLC Registered Agent

Key Officers & Management

Name Role
DAVID DAMON Governing Person
JAREL BAKKE Governing Person
SCOTT RICHARDS Governing Person
JOHN MCKEEVER Governing Person
HAYLEY SIEGENTHALER Governing Person
SHANNON WHITE Governing Person

National Provider Identifier

NPI Number:
1104592518
Certification Date:
2021-08-17

Authorized Person:

Name:
SUMMER ZUMWALT
Role:
HRD
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
911940669
Plan Year:
2023
Number Of Participants:
147
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2018
Number Of Participants:
115
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2017
Number Of Participants:
108
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2017
Number Of Participants:
108
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2011
Number Of Participants:
78
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
JACKIE FOSS(Plan administrator) JACKIE FOSS(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:
111
Initial Approval Amount:
$1,582,000
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,582,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,592,965.64
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $1,582,000
Jobs Reported:
159
Initial Approval Amount:
$500,000
Date Approved:
2021-02-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$500,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$504,506.85
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $499,997
Utilities: $1
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