OLYMPIA OBSTETRICS & GYNECOLOGY, PLLC

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Company Details

Legal Name:	OLYMPIA OBSTETRICS & GYNECOLOGY, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	April 25th 2005
Date of Dissolution:	October 24th 2024
Expiration date:	30 Apr 2025
UBI Number:	602 496 002
ZIP code:	98506
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	615 LILLY RD NE STE 200, OLYMPIA, WA, 98506-5137, UNITED STATES
Principal Office Mailing Address:	PO BOX 1008, OLYMPIA, WA, 98507, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$206,300

Contact Details

E-Mail:	DCANNON@OLYMPIAOB.COM
Phone Number:	+1 360-259-8334

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
BEAN, GENTRY, WHEELER & PETERNELL, PLLC	Registered Agent	910 LAKERIDGE WAY SW, OLYMPIA, WA, 98502-0000, UNITED STATES

Key Officers & Management

Name	Role
LAURIE SORENSON	Governing Person
DARREL BELL	Governing Person
ANITA CHIN	Governing Person

National Provider Identifier

NPI Number:

1922045848

Certification Date:

2022-11-16

Link:

View on NPI website

Authorized Person:

Name:

LAURIE T SORENSON

Role:

PARTNER

Phone:

3604138413

Taxonomy:

Selected Taxonomy:

207V00000X - Obstetrics & Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-413-8413

Fax:

3604138879

Fax:

3604137143

Form 5500 Series

Employer Identification Number (EIN):

753189228

Plan Year:

2023

Number Of Participants:

69

Plan Name:

401(K)

Sponsor's telephone number:

3604138413

File:

Plan Administrator / Signatory:

DARREL BELL(Plan administrator)

Plan Year:

2023

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

3604138413

File:

Plan Administrator / Signatory:

DARREL BELL(Plan administrator)

Plan Year:

2022

Number Of Participants:

66

Plan Name:

401(K)

Sponsor's telephone number:

3604138413

File:

Plan Administrator / Signatory:

DARREL BELL(Plan administrator)

Plan Year:

2021

Number Of Participants:

68

Plan Name:

401(K)

Sponsor's telephone number:

3604138413

File:

Plan Administrator / Signatory:

DARREL BELL(Plan administrator)

Plan Year:

2020

Number Of Participants:

63

Plan Name:

401(K)

Sponsor's telephone number:

3604138413

File:

Plan Administrator / Signatory:

DARREL BELL(Plan administrator)

Paycheck Protection Program

Jobs Reported:

43

Initial Approval Amount:

$704,000

Date Approved:

2020-04-07

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$656,200

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$663,211.45

Servicing Lender:

Timberland Bank

Use of Proceeds:

Payroll: $656,200

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