NATURAL MEDICINES & FAMILY PRACTICE, INC.

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Company Details

Legal Name:	NATURAL MEDICINES & FAMILY PRACTICE, INC.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFIT CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	August 29th 2000
Date of Dissolution:	January 3rd 2020
Expiration date:	31 Aug 2019
UBI Number:	602 063 155
ZIP code:	98503
City:	Lacey
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	700 SLEATER KINNEY RD SE STE B-124, LACEY, WA, 98503, UNITED STATES

Contact Details

E-Mail:	VJSPARKS@GMAIL.COM
Phone Number:	+1 360-943-5892

Nature of Business

Retail

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Registered Agent Information

Name	Role	Address
DAVID OVERTON	Registered Agent	700 SLEATER KINNEY RD SE STE B-124, LACEY, WA, 98503-1150, UNITED STATES

Key Officers & Management

Name	Role	Address
DAVID OVERTON	Governing Person	1315 RUDDELL RD SE, LACEY, WA, 98503, UNITED STATES
VALERIE SPARKS	Governing Person	1315 RUDDELL RD SE, LACEY, WA, 98503, UNITED STATES

National Provider Identifier

NPI Number:

1336486489

Link:

View on NPI website

Authorized Person:

Name:

DAVID OVERTON

Role:

PRESIDENT

Phone:

3603578054

Taxonomy:

Selected Taxonomy:

363AM0700X - Medical Physician Assistant

Is Primary:

Yes

Contacts:

Phone:

+1 360-357-8054

Form 5500 Series

Employer Identification Number (EIN):

912074097

Plan Year:

2012

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

3603578054

File:

Plan Administrator / Signatory:

VALERIE SPARKS(Plan administrator)

Plan Year:

2012

Number Of Participants:

1

Sponsor's telephone number:

3603578054

File:

Plan Administrator / Signatory:

VALERIE SPARKS(Plan administrator)

Plan Year:

2011

Number Of Participants:

1

Sponsor's telephone number:

3603578054

File:

Plan Administrator / Signatory:

DAVID OVERTON(Plan administrator) DAVID OVERTON(Employer/plan sponsor)

Plan Year:

2010

Number Of Participants:

2

Sponsor's telephone number:

3603578054

File:

Plan Administrator / Signatory:

VALERIE SPARKS(Plan administrator)

Plan Year:

2010

Number Of Participants:

2

Sponsor's telephone number:

3603578054

Plan Administrator / Signatory:

VALERIE SPARKS(Plan administrator) DAVID OVERTON(Employer/plan sponsor)

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