MEDNIC, P.C.

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Company Details

Legal Name:	MEDNIC, P.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 2nd 1999
Expiration date:	31 Dec 2025
UBI Number:	601 996 622
ZIP code:	98660
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	912 MAIN ST, VANCOUVER, WA, 98660-3136, UNITED STATES
Principal Office Mailing Address:	1805 NE BLAIR RD., CAMAS WA,, CAMAS, WA, 98607, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$19,858

Contact Details

E-Mail:	LINDAEYEDOC@LIVE.COM
Phone Number:	+1 360-772-1905

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
LINDA MEDESKI NICACIO	Registered Agent	912 MAIN ST, VANCOUVER, WA, 98660-0000, UNITED STATES

Key Officers & Management

Name	Role
ROBERT NICACIO	Governing Person
LINDA MEDESKI NICACIO	Governing Person

National Provider Identifier

NPI Number:

1588822548

Link:

View on NPI website

Authorized Person:

Name:

DR. LINDA R. MEDESKI-NICACIO

Role:

PRESIDENT

Phone:

3606946541

Taxonomy:

Selected Taxonomy:

152W00000X - Optometrist

Is Primary:

No

Selected Taxonomy:

152W00000X - Optometrist

Is Primary:

Yes

Contacts:

Phone:

+1 360-694-6541

Fax:

3606962578

Phone:

+1 360-834-2063

Fax:

3608345375

Form 5500 Series

Employer Identification Number (EIN):

912010517

Plan Year:

2024

Number Of Participants:

10

Sponsor's telephone number:

3606946541

File:

Plan Administrator / Signatory:

LINDA MEDESKI-NICACIO(Plan administrator)

Plan Year:

2023

Number Of Participants:

7

Sponsor's telephone number:

3606946541

File:

Plan Administrator / Signatory:

LINDA MEDESKI-NICACIO(Plan administrator)

Plan Year:

2022

Number Of Participants:

7

Sponsor's telephone number:

3606946541

File:

Plan Administrator / Signatory:

LINDA MEDESKI-NICACIO(Plan administrator)

Plan Year:

2021

Number Of Participants:

8

Sponsor's telephone number:

3606946541

File:

Plan Administrator / Signatory:

LINDA MEDESKI-NICACIO(Plan administrator)

Plan Year:

2020

Number Of Participants:

8

Sponsor's telephone number:

3606946541

File:

Plan Administrator / Signatory:

LINDA MEDESKI-NICACIO(Plan administrator)

Paycheck Protection Program

Jobs Reported:

11

Initial Approval Amount:

$94,123

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$94,123

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$94,950.77

Servicing Lender:

Loan Source Incorporated

Use of Proceeds:

Payroll: $94,123

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