PLASTIC SURGERY SEATTLE, P.S.

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Company Details

Legal Name:	PLASTIC SURGERY SEATTLE, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	May 19th 2004
Date of Dissolution:	September 3rd 2013
Expiration date:	31 May 2013
UBI Number:	602 396 737
ZIP code:	98101
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	1201 THIRD AVE STE 2900, SEATTLE, WA, 98101, UNITED STATES

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Registered Agent Information

Name	Role	Address
KTC SERVICE CORPORATION	Registered Agent	701 5TH AVE STE 3300, SEATTLE, WA, 98104, UNITED STATES

Key Officers & Management

Name	Role	Address
NOT DESIGNATED	Governing Person	5501 - 4TH AVE S, #207, SEATTLE, WA, 98108, UNITED STATES
JOURDAN GOTTLIEB	Governing Person	5501 - 4TH AVE S, #207, SEATTLE, WA, 98108, UNITED STATES

National Provider Identifier

NPI Number:

1457411811

Link:

View on NPI website

Authorized Person:

Name:

MRS. JACKIE KNIPPEL

Role:

PATIENT CARE COORDINATOR

Phone:

2063202270

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 206-320-2270

Fax:

2063202101

Form 5500 Series

Employer Identification Number (EIN):

201191284

Plan Year:

2013

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

2063202270

File:

Plan Year:

2012

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2063202270

File:

Plan Administrator / Signatory:

JOURDAN R GOTTLIEB(Plan administrator) JOURDAN R GOTTLIEB(Employer/plan sponsor)

Plan Year:

2011

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

2063202270

File:

Plan Administrator / Signatory:

JOURDAN R GOTTLIEB(Plan administrator) JOURDAN R GOTTLIEB(Employer/plan sponsor)

Plan Year:

2010

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

2063202270

File:

Plan Administrator / Signatory:

JOURDAN R GOTTLIEB(Plan administrator) JOURDAN R GOTTLIEB(Employer/plan sponsor)

Plan Year:

2009

Number Of Participants:

0

Plan Name:

401(K)

Sponsor's telephone number:

2063202270

File:

Plan Administrator / Signatory:

JOURDAN R GOTTLIEB(Plan administrator) JOURDAN R GOTTLIEB(Employer/plan sponsor)

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