MARK A. FREEMAN JEFFREY A. SHORT PLLC

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Company Details

Legal Name:	MARK A. FREEMAN JEFFREY A. SHORT PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	January 29th 1999
Date of Dissolution:	January 5th 2022
Expiration date:	31 Jan 2022
UBI Number:	601 929 095
ZIP code:	98101
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	509 OLIVE WAY STE 1511, SEATTLE, WA, 98101-1749, UNITED STATES

Contact Details

E-Mail:	DRFREEMAN@EASEATTLE.COM
Phone Number:	+1 206-621-9730

Nature of Business

Health Care, Social Assistance & Service Organization

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Key Officers & Management

Name	Role	Address
JEFFREY SHORT	Governing Person	509 OLIVE WAY, SUITE 1511, SEATTLE, WA, 98101, UNITED STATES
MARK FREEMAN	Governing Person	509 OLIVE WAY, SUITE 1511, SEATTLE, WA, 98101, UNITED STATES

National Provider Identifier

NPI Number:

1174600464

Link:

View on NPI website

Authorized Person:

Name:

MARK A FREEMAN

Role:

OWNER

Phone:

2066219730

Taxonomy:

Selected Taxonomy:

1223E0200X - Endodontist

Is Primary:

Yes

Contacts:

Phone:

+1 206-621-9730

Fax:

2066217053

Form 5500 Series

Employer Identification Number (EIN):

911987754

Plan Year:

2020

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

2066219730

File:

Plan Administrator / Signatory:

JOAN T. FREEMAN(Plan administrator) JEFFREY A. SHORT(Employer/plan sponsor)

Plan Year:

2020

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

2066219730

File:

Plan Administrator / Signatory:

JOAN T. FREEMAN(Plan administrator) JEFFREY A. SHORT(Employer/plan sponsor)

Plan Year:

2019

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

2066219730

File:

Plan Administrator / Signatory:

JOAN T. FREEMAN(Plan administrator) JEFFREY A. SHORT(Employer/plan sponsor)

Plan Year:

2018

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

2066219730

File:

Plan Administrator / Signatory:

JOAN T. FREEMAN(Plan administrator) JEFFREY A. SHORT(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

2066219730

File:

Plan Administrator / Signatory:

JOAN T. FREEMAN(Plan administrator) JEFFREY A. SHORT(Employer/plan sponsor)

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