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  5. MOSAIC REHABILITATION, INC.

MOSAIC REHABILITATION, INC.

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Company Details

Legal Name: MOSAIC REHABILITATION, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 20th 2007
Date of Dissolution: August 3rd 2020
Expiration date: 31 Mar 2020
UBI Number: 602 707 712
ZIP code: 98005
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 13010 NE 20TH ST, SUITE 200, BELLEVUE, WA, 98005-2034, UNITED STATES

Contact Details

E-Mail: ADUFFIELD@MOSAICREHAB.COM
Phone Number: +1 425-644-6328

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ANDREA DUFFIELD Registered Agent 13627 116TH AVE. NE, KIRKLAND, WA, 98034, UNITED STATES

Key Officers & Management

Name Role Address
ANDREA DUFFIELD Governing Person 13627 116TH AVE NE, KIRKLAND, WA, 98034-2104, UNITED STATES
SHANE ISLEY Governing Person 13627 116TH AVE NE, KIRKLAND, WA, 98034, UNITED STATES

Links between entities

Type:
Headquarter of
Company Number:
10015779
State:
ALASKA
ALASKA profile:
MOSAIC REHABILITATION, INC. (AK)

National Provider Identifier

NPI Number:
1972790947
Link:
View on NPI website

Authorized Person:

Name:
ANDREA LUPUL SIMS
Role:
PRESIDENT
Phone:
4256446328

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Phone:
+1 425-644-6328
Fax:
4256446295

Form 5500 Series

Employer Identification Number (EIN):
208627356
Plan Year:
2020
Number Of Participants:
58
Sponsor's telephone number:
2063312956
File:
View File
Plan Administrator / Signatory:
ANDREA L DUFFIELD(Plan administrator) ANDREA L DUFFIELD(Employer/plan sponsor)
Plan Year:
2019
Number Of Participants:
103
Sponsor's telephone number:
2063312956
File:
View File
Plan Administrator / Signatory:
ANDREA DUFFIELD(Plan administrator)
Plan Year:
2018
Number Of Participants:
119
Sponsor's telephone number:
4256446328
File:
View File
Plan Administrator / Signatory:
ANDREA DUFFIELD(Plan administrator)
Plan Year:
2017
Number Of Participants:
119
Sponsor's telephone number:
4256446328
File:
View File
Plan Administrator / Signatory:
OLGA KOZAREZOVA(Plan administrator)
Plan Year:
2016
Number Of Participants:
108
Sponsor's telephone number:
4256446328
File:
View File
Plan Administrator / Signatory:
OLGA KOZAREZOVA(Plan administrator)

Trademarks

Serial Number:
77617995
Mark:
BLUEPRINTS
Status:
Registration cancelled because registrant did not file an acceptable d...
Mark Type:
Service Mark
Application Filing Date:
2008-11-19
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
BLUEPRINTS
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Providing emotional counseling and emotional support services for troubled and at-risk youth and their families
First Use:
2008-10-01
International Classes:
045 - Primary Class
Class Status:
SECTION 8 - CANCELLED

Labor Condition Applications

Case Number:
I-200-15078-488758
Program:
H-1B
Job Title:
OCCUPATIONAL THERAPIST
SOC (ONET/OES) code:
29-1122
SOC (ONET/OES) occupation title:
OCCUPATIONAL THERAPISTS
Begin Date:
2015-09-18
End Date:
2018-09-17

Employment and Wage Information

Address:
BELLEVUE, KING, WA, 98005
Wage Rate Paid to Nonimmigrant Workers:
$90,000
Per:
Year
Prevailing Wage Rate:
$89,710
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