OLYMPIC INTERNAL MEDICINE, INC., P.S.

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Company Details

Legal Name:	OLYMPIC INTERNAL MEDICINE, INC., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	April 23rd 2009
Expiration date:	30 Apr 2026
UBI Number:	602 922 378
ZIP code:	98310
City:	Bremerton
County:	KITSAP
Home State:	WASHINGTON
Principal Office Street Address:	2620 WHEATON WAY, BREMERTON, WA, 98310-3319, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$150,515

Contact Details

E-Mail:	JFREY@OLYMPICINTERNALMED.COM
Phone Number:	+1 360-377-3923

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
GARY J GRETCH MD	Registered Agent	2620 WHEATON WAY, BREMERTON, WA, 98310-3319, UNITED STATES

Key Officers & Management

Name	Role	Address
MICHAEL STEELE	Governing Person	2620 WHEATON WAY, BREMERTON, WA, 98310, UNITED STATES
GARY GRETCH	Governing Person	2620 WHEATON WAY, BREMERTON, WA, 98310, UNITED STATES
MAJOR GROSS	Governing Person	2620 WHEATON WAY, BREMERTON, WA, 98310, UNITED STATES
FREDERICK DORE	Governing Person	2620 WHEATON WAY, BREMERTON, WA, 98310, UNITED STATES

National Provider Identifier

NPI Number:

1861624876

Link:

View on NPI website

Authorized Person:

Name:

MS. JENNIFER ANN FREY

Role:

PRACTICE ADMINISTRATOR

Phone:

3603773923

Taxonomy:

Selected Taxonomy:

207RI0200X - Infectious Disease Physician

Is Primary:

No

Selected Taxonomy:

207RR0500X - Rheumatology Physician

Is Primary:

No

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-377-3923

Fax:

3603734988

Form 5500 Series

Employer Identification Number (EIN):

270179138

Plan Year:

2023

Number Of Participants:

35

Plan Name:

401(K)

Sponsor's telephone number:

3603773923

File:

Plan Year:

2022

Number Of Participants:

38

Plan Name:

401(K)

Sponsor's telephone number:

3603773923

File:

Plan Year:

2021

Number Of Participants:

38

Plan Name:

401(K)

Sponsor's telephone number:

3603773923

File:

Plan Year:

2020

Number Of Participants:

34

Plan Name:

401(K)

Sponsor's telephone number:

3603773923

File:

Plan Year:

2019

Number Of Participants:

36

Plan Name:

401(K)

Sponsor's telephone number:

3603773923

File:

Paycheck Protection Program

Jobs Reported:

31

Initial Approval Amount:

$379,812

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$379,812

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$383,346.36

Servicing Lender:

Kitsap Bank

Use of Proceeds:

Payroll: $379,812

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