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  5. NORTH OLYMPIC HEALTHCARE NETWORK

NORTH OLYMPIC HEALTHCARE NETWORK

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Company Details

Legal Name: NORTH OLYMPIC HEALTHCARE NETWORK
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 30th 2014
Expiration date: 31 Jul 2025
UBI Number: 603 424 555
ZIP code: 98362
City: Port Angeles
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 240 W FRONT ST, PORT ANGELES, WA, 98362-2609, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $700,316

Contact Details

E-Mail: EBRADLEY@NOHN-PA.ORG
Phone Number: +1 360-452-7891

Nature of Business

Charitable, EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, LITERARY AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, INCLUDING BUT NOT LIMITED TO THE FOLLOWING: (A) TO SERVE THE PRIMARY MEDICAL NEEDS OF RESIDENTS OF CLALLAM COUNTY, WASHINGTON; AND (B) TO OPERATE A FEDERALLY QUALIFIED HEALTH CENTER THAT WILL PROVIDE HIGH-QUALITY PRIMARY CARE THROUGH A PATIENT-CENTERED MEDICAL HOME MODEL INCLUDING MENTAL HEALTH CARE AND DENTAL SERVICES.

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Registered Agent Information

Name Role Address
PATRICK IRWIN Registered Agent 106 N LAUREL ST, PORT ANGELES, WA, 98362-2611, UNITED STATES

Key Officers & Management

Name Role
WILLIAM BACCUS Governing Person
JOANNE (JODY) MOSS Governing Person
DAVID CHANCE Governing Person
STACY RITCHIE Governing Person
THOMAS SANFORD Governing Person
JANET LUCAS Governing Person
ALLISON MAHANEY Governing Person
RUTH KUCH Governing Person
SUZY AMES Governing Person
JENNIFER SWANSON Governing Person

Unique Entity ID

Unique Entity ID:
M9K5UL3NLA46
CAGE Code:
76GV7
UEI Expiration Date:
2025-07-10

Business Information

Activation Date:
2024-07-10
Initial Registration Date:
2014-07-30

Commercial and government entity program

CAGE number:
76GV7
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-08
CAGE Expiration:
2030-07-08
SAM Expiration:
2026-07-03
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
MICHAEL MAXWELL
Corporate URL:
https://nohn-pa.org

National Provider Identifier

NPI Number:
1679354195
Certification Date:
2023-10-10
Link:
View on NPI website

Authorized Person:

Name:
MINH DANG
Role:
PHARMACIST
Phone:
3604527891

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 360-912-6783
Fax:
3604774134

Form 5500 Series

Employer Identification Number (EIN):
471444061
Plan Year:
2019
Number Of Participants:
102
Plan Name:
401(K)
Sponsor's telephone number:
3604527891
File:
View File
Plan Administrator / Signatory:
LYDIA MCHUGH(Plan administrator)
Plan Year:
2018
Number Of Participants:
71
Plan Name:
401(K)
Sponsor's telephone number:
3604527891
File:
View File
Plan Administrator / Signatory:
LYDIA MCHUGH(Plan administrator) LYDIA MCHUGH(Employer/plan sponsor)
Plan Year:
2017
Number Of Participants:
69
Plan Name:
401(K)
Sponsor's telephone number:
3604527891
File:
View File
Plan Administrator / Signatory:
CINDY HOAGLAND(Plan administrator) CINDY HOAGLAND(Employer/plan sponsor)
Plan Year:
2016
Number Of Participants:
49
Plan Name:
401(K)
Sponsor's telephone number:
3604527891
File:
View File
Plan Administrator / Signatory:
CINDY HOAGLAND(Plan administrator) CINDY HOAGLAND(Employer/plan sponsor)
Plan Year:
2015
Number Of Participants:
28
Plan Name:
401(K)
Sponsor's telephone number:
3604527891
File:
View File
Plan Administrator / Signatory:
CINDY HOAGLAND(Plan administrator) CINDY HOAGLAND(Employer/plan sponsor)

Tax Exempt

Employer Identification Number (EIN):
47-1444061
In Care Of Name:
% BEAU J BROWN
Ruling Date:
2015-07
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

Copies of Returns

Return Type:
990
Tax Period:
202305
Link:
Download 990
Return Type:
990
Tax Period:
202205
Link:
Download 990
Return Type:
990
Tax Period:
202005
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
117
Initial Approval Amount:
$1,257,375
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,257,375
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,267,227.31
Servicing Lender:
First Fed Bank
Use of Proceeds:
Payroll: $1,257,375

Motor Carrier Census

Carrier Operation:
Intrastate Hazmat
Phone:
(360) 452-7891
Fax:
(360) 452-8087
Email:
TREID@NOHN-PA.ORG
Add Date:
2021-11-03
Operation Classification:
Private(Property)
power Units:
1
Drivers:
1
Inspections:
0
FMCSA Link:
View on FMCSA website

Trademarks

Serial Number:
97137257
Mark:
CARING FOR YOU. CARING ABOUT YOU. ALL OF YOU.
Status:
Abandoned because the applicant failed to respond or filed a late resp...
Mark Type:
Service Mark
Application Filing Date:
2021-11-22
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
CARING FOR YOU. CARING ABOUT YOU. ALL OF YOU.
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Medical care
First Use:
2015-09-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE
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