PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC

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Company Details

Legal Name:	PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	January 28th 2015
Expiration date:	31 Jan 2026
UBI Number:	603 472 537
ZIP code:	98225
City:	Bellingham
County:	WHATCOM
Home State:	WASHINGTON
Principal Office Street Address:	3232 SQUALICUM PKWY, BELLINGHAM, WA, 98225-1932, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$179,094

Contact Details

E-Mail:	TSCROCKER@PACIFICNORTHWESTUROLOGY.COM
Phone Number:	+1 360-733-1331

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role
PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC	Registered Agent

Key Officers & Management

Name	Role
SEAN O'KEEFE	Governing Person
DANIEL REZNICEK	Governing Person
DANIEL ROETER	Governing Person

National Provider Identifier

NPI Number:

1952852873

Link:

View on NPI website

Authorized Person:

Name:

REANNA D FURNARI

Role:

ADMINISTRATOR

Phone:

3607337687

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-733-7687

Fax:

3607347687

Form 5500 Series

Employer Identification Number (EIN):

473036836

Plan Year:

2020

Number Of Participants:

18

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607337687

File:

Plan Year:

2019

Number Of Participants:

17

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607337687

File:

Plan Year:

2018

Number Of Participants:

21

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607337687

File:

Plan Year:

2017

Number Of Participants:

18

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607337687

File:

Plan Year:

2016

Number Of Participants:

20

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607337687

File:

Plan Administrator / Signatory:

REANNA FURNARI(Plan administrator)

Paycheck Protection Program

Jobs Reported:

33

Initial Approval Amount:

$380,000

Date Approved:

2020-04-07

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$380,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$383,705

Servicing Lender:

Peoples Bank

Use of Proceeds:

Payroll: $380,000

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