PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC

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Company Details

Legal Name:	PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	September 11th 1998
Date of Dissolution:	February 3rd 2018
Expiration date:	30 Sep 2017
UBI Number:	601 900 616
ZIP code:	98506
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	200 LILLY RD NE STE C2, OLYMPIA, WA, 98506, UNITED STATES

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Registered Agent Information

Name	Role	Address
WILLIAM NEAL	Registered Agent	200 LILLY RD NE STE C2, OLYMPIA, WA, 98506-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
WILLIAM NEAL	Governing Person	200 LILLY RD NE C-2, OLYMPIA, WA, 98506, UNITED STATES
LISA NEAL	Governing Person	-

National Provider Identifier

NPI Number:

1730456971

Link:

View on NPI website

Authorized Person:

Name:

MRS. JACKIE HENDERSON

Role:

INSURANCE STAFF

Phone:

3604123120

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 360-412-3120

Fax:

3604121046

Form 5500 Series

Employer Identification Number (EIN):

911916049

Plan Year:

2016

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3604123120

File:

Plan Year:

2015

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3604123120

Plan Year:

2014

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

3604123120

File:

Plan Administrator / Signatory:

WILLIAM D. NEAL(Plan administrator)

Plan Year:

2013

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

3604123120

File:

Plan Administrator / Signatory:

WILLIAM D. NEAL(Plan administrator)

Plan Year:

2012

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

3604123120

File:

Plan Administrator / Signatory:

WILLIAM D. NEAL(Plan administrator)

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