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OLYMPIC PENINSULA COMMUNITY CLINIC

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Company Details

Legal Name: OLYMPIC PENINSULA COMMUNITY CLINIC
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 7th 2001
Expiration date: 31 Dec 2025
UBI Number: 602 166 835
FEIN Number: 01-0590704
Purpose: IMPROVING QUALITY OF LIFE FOR PEOPLE IN THE OLYMPIC PENINSULA COMMUNITY BY PROVIDING INCREASED ACCESS TO HEALTH AND WELLNESS SERVICES FOR THE UNDERSERVED.
ZIP code: 98362
City: Port Angeles
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 819 GEORGIANA ST, PORT ANGELES, WA, 98362-3511, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 639, PORT ANGELES, WA, 98362-0114, UNITED STATES

Contact Details

E-Mail: INFO@OPCCLINIC.ORG
Phone Number: +1 360-457-4431

Nature of Business

Charitable, FREE/CHARITABLE CLINIC

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Registered Agent Information

Name Role Address
T SCOTT BRANDON Registered Agent 1210 S O ST, PORT ANGELES, WA, 98363-1215, UNITED STATES

Key Officers & Management

Name Role Address
GERALD B STEPHANZ JR. MD Governing Person -
T. SCOTT BRANDON Governing Person -
BONNIE BULACH Governing Person -
T BRANDON CEO 819 GEORGIANA ST, PORT ANGELES, WA, 98362-3511, UNITED STATES

Unique Entity ID

Unique Entity ID:
JBZTLND5CJ79
CAGE Code:
07T20
UEI Expiration Date:
2025-10-24

Business Information

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

Commercial and government entity program

CAGE number:
5XH83
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-10
CAGE Expiration:
2024-04-04

Contact Information

POC:
T SCOTT BRANDON

Form 5500 Series

Employer Identification Number (EIN):
010590704
Plan Year:
2024
Number Of Participants:
22
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2022
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE RIMER(Plan administrator)
Plan Year:
2021
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE RIMER(Plan administrator)
Plan Year:
2020
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CAROL HO(Plan administrator)

History

Type Old value New value Date of change
Name change VOLUNTEERS IN MEDICINE OF THE OLYMPICS OLYMPIC PENINSULA COMMUNITY CLINIC 2018-10-01

Tax Exempt

Employer Identification Number (EIN):
01-0590704
In Care Of Name:
% CLINIC MANAGER
Ruling Date:
2002-03
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)

Copies of Returns

Return Type:
990
Tax Period:
202212
Link:
Return Type:
990
Tax Period:
202112
Link:
Return Type:
990
Tax Period:
202012
Link:

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$53,725
Date Approved:
2020-07-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,725
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$54,357.92
Servicing Lender:
First Fed Bank
Use of Proceeds:
Payroll: $53,725

Charity/Fundraiser/Trust

Registration Number:
1122970
Type:
CHARITABLE ORGANIZATION
Status:
Active
Renewal Date:
2025-11-30

Financial History

Fiscal Begin Date:
2023-01-01
Fiscal End Date:
2023-12-31
Begin Assets:
$1,307,161.00
Revenue:
$2,538,349.00
Program Services:
$2,432,581.00
Expenses:
$2,513,081.00
End Assets:
$1,327,692.00
% To Program Services:
97%
Fiscal Begin Date:
2022-01-01
Fiscal End Date:
2022-12-31
Begin Assets:
$1,430,215.00
Revenue:
$1,576,790.00
Program Services:
$1,610,671.00
Expenses:
$1,658,152.00
End Assets:
$1,307,161.00
% To Program Services:
97%
Fiscal Begin Date:
2021-01-01
Fiscal End Date:
2021-12-31
Begin Assets:
$522,445.00
Revenue:
$1,711,076.00
Program Services:
$1,032,766.00
Expenses:
$1,061,547.00
End Assets:
$1,430,215.00
% To Program Services:
97%
Fiscal Begin Date:
2020-01-01
Fiscal End Date:
2020-12-31
Begin Assets:
$318,337.00
Revenue:
$551,078.00
Program Services:
$617,503.00
Expenses:
$617,503.00
End Assets:
$522,445.00
% To Program Services:
100%
Fiscal Begin Date:
2019-01-01
Fiscal End Date:
2019-12-31
Begin Assets:
$348,183.00
Revenue:
$629,099.00
Program Services:
$580,196.00
Expenses:
$658,945.00
End Assets:
$318,337.00
% To Program Services:
88%
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