PASCO VISION CLINIC, P.S.

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Company Details

Legal Name:	PASCO VISION CLINIC, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 1st 2002
Expiration date:	30 Nov 2025
UBI Number:	602 246 268
ZIP code:	99301
City:	Pasco
County:	FRANKLIN
Home State:	WASHINGTON
Principal Office Street Address:	2715 W COURT ST, PASCO, WA, 99301-3911, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$70,436

Contact Details

E-Mail:	FINANCE@PVCEYE.COM
Phone Number:	+1 509-547-8409

Nature of Business

Health Care, Social Assistance & Service Organization, Any Lawful Purpose

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Registered Agent Information

Name	Role	Address
MILLER, MERTENS & COMFORT, PLLC	Registered Agent	1020 N CENTER PKWY STE B, KENNEWICK, WA, 99336-7161, UNITED STATES

Key Officers & Management

Name	Role
ADAM GOOD	Governing Person
WILLIAM SULLIVAN	Governing Person
JAMES SULLIVAN	Governing Person

National Provider Identifier

NPI Number:

1104851690

Certification Date:

2022-06-22

Link:

View on NPI website

Authorized Person:

Name:

JAMES C SULLIVAN

Role:

PRESIDENT

Phone:

5095478409

Taxonomy:

Selected Taxonomy:

261Q00000X - Clinic/Center

Is Primary:

No

Selected Taxonomy:

152W00000X - Optometrist

Is Primary:

Yes

Contacts:

Phone:

+1 509-547-8409

Fax:

5095477875

Fax:

5095473751

Form 5500 Series

Employer Identification Number (EIN):

721535423

Plan Year:

2023

Number Of Participants:

27

Sponsor's telephone number:

5095478409

File:

Plan Year:

2022

Number Of Participants:

25

Sponsor's telephone number:

5095478409

File:

Plan Year:

2021

Number Of Participants:

20

Sponsor's telephone number:

5095478409

File:

Plan Year:

2020

Number Of Participants:

19

Sponsor's telephone number:

5095478409

File:

Plan Year:

2019

Number Of Participants:

21

Sponsor's telephone number:

5095478409

File:

Paycheck Protection Program

Jobs Reported:

18

Initial Approval Amount:

$182,500

Date Approved:

2020-04-08

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$182,500

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$183,595

Servicing Lender:

Community First Bank

Use of Proceeds:

Payroll: $182,500

Jobs Reported:

24

Initial Approval Amount:

$189,867

Date Approved:

2021-02-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$189,867

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$190,932.36

Servicing Lender:

Community First Bank

Use of Proceeds:

Payroll: $189,867

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