LACEY MEDICAL CLINIC, P.S.

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Company Details

Legal Name:	LACEY MEDICAL CLINIC, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	October 1st 1990
Expiration date:	31 Oct 2025
UBI Number:	601 276 259
ZIP code:	98513
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	7817 ATCHINSON DR SE, OLYMPIA, WA, 98513-5367, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$41,576

Contact Details

E-Mail:	RONALDKRAUSS@COMCAST.NET
Phone Number:	+1 360-438-0394

Nature of Business

Health Care, Social Assistance & Service Organization, MEDICAL CLINIC

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Registered Agent Information

Name	Role	Address
RONALD C KRAUSS MD	Registered Agent	5602 RUDDELL RD, LACEY, WA, 98503-0000, UNITED STATES

Key Officers & Management

Name	Role
RONALD KRAUSS	Governing Person

National Provider Identifier

NPI Number:

1558464974

Link:

View on NPI website

Authorized Person:

Name:

MR. RONALD CHARLES KRAUSS

Role:

PRESIDENT

Phone:

3604380394

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-438-0394

Fax:

3604930824

Form 5500 Series

Employer Identification Number (EIN):

911525481

Plan Year:

2024

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's DBA Name:

LACEY MEDICAL CLINIC

Sponsor's telephone number:

3609999924

File:

Plan Administrator / Signatory:

RONALD KRAUSS(Plan administrator) RONALD KRAUSS(Employer/plan sponsor)

Plan Year:

2023

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's DBA Name:

LACEY MEDICAL CLINIC

Sponsor's telephone number:

3609999924

File:

Plan Administrator / Signatory:

RONALD KRAUSS(Plan administrator) RONALD KRAUSS(Employer/plan sponsor)

Plan Year:

2022

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3609999924

File:

Plan Administrator / Signatory:

RONALD KRAUSS(Plan administrator)

Plan Year:

2021

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3604380394

File:

Plan Year:

2020

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

3604380394

File:

Paycheck Protection Program

Jobs Reported:

9

Initial Approval Amount:

$86,700

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$86,700

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Veteran

Forgiveness Amount:

$87,519.49

Servicing Lender:

Timberland Bank

Use of Proceeds:

Payroll: $86,700

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