MICHAEL R. KELSON, D.D.S., PLLC

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Company Details

Legal Name:	MICHAEL R. KELSON, D.D.S., PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	April 25th 2002
Expiration date:	30 Apr 2026
UBI Number:	602 201 012
ZIP code:	98501
City:	Olympia
County:	THURSTON
Home State:	ALASKA
Principal Office Street Address:	927 SURREY TRACE DR SE, TUMWATER, AK, 98501, UNITED STATES
Principal Office Mailing Address:	927 SURREY TRACE DR SE, TUMWATER, WA, 98501-8623, UNITED STATES

Contact Details

E-Mail:	JUST4JANNIE@YAHOO.COM
Phone Number:	+1 360-705-1612

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
MICHAEL R. KELSON, D.D.S., PLLC	Registered Agent

Key Officers & Management

Name	Role	Address
MICHAEL KELSON	Governing Person	3624 ENSIGN RD NE, OLYMPIA, WA, 98506-5074, UNITED STATES

National Provider Identifier

NPI Number:

1699989749

Link:

View on NPI website

Authorized Person:

Name:

DR. MICHAEL ROSS KELSON

Role:

MEMBER

Phone:

3609235412

Taxonomy:

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

Yes

Contacts:

Phone:

+1 360-923-5412

Form 5500 Series

Employer Identification Number (EIN):

911683476

Plan Year:

2015

Number Of Participants:

17

Sponsor's telephone number:

3607051612

File:

Plan Administrator / Signatory:

JANIS KELSON(Plan administrator)

Plan Year:

2014

Number Of Participants:

7

Sponsor's telephone number:

3607051612

File:

Plan Administrator / Signatory:

JANIS KELSON(Plan administrator)

Plan Year:

2013

Number Of Participants:

7

Sponsor's telephone number:

3607051612

File:

Plan Administrator / Signatory:

JANIS KELSON(Plan administrator)

Plan Year:

2012

Number Of Participants:

7

Sponsor's DBA Name:

DBA OLYMPIA ORAL AND MAXILLO-FACIAL

Sponsor's telephone number:

3607051612

File:

Plan Administrator / Signatory:

JANIS KELSON(Plan administrator)

Plan Year:

2011

Number Of Participants:

7

Sponsor's DBA Name:

DBA OLYMPIA ORAL AND MAXILLO-FACIAL

Sponsor's telephone number:

3607051612

Plan Administrator / Signatory:

JANIS KELSON(Plan administrator)

Paycheck Protection Program

Jobs Reported:

8

Initial Approval Amount:

$103,700

Date Approved:

2020-04-16

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$103,700

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$104,290.95

Servicing Lender:

Timberland Bank

Use of Proceeds:

Payroll: $103,700

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