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PRO SPORT AND SPINE PLLC

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Company Details

Legal Name: PRO SPORT AND SPINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 8th 2014
Expiration date: 31 Aug 2026
UBI Number: 603 427 136
ZIP code: 98332
City: Gig Harbor
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5160 BORGEN BLVD, STE 101, GIG HARBOR, WA, 98332-8809, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 5160 BORGEN BLVD STE 110, STE 110, GIG HARBOR, WA, 98332-8809, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $674

Contact Details

E-Mail: DRSEANSPAULDING@GMAIL.COM
Phone Number: +1 253-853-4000

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SEAN SPAULDING Registered Agent 5125 OLYMPIC DR NW STE 110, GIG HARBOR, WA, 98335-1712, UNITED STATES

Key Officers & Management

Name Role
SEAN SPAULDING Governing Person
FORREST HARTFORD Governing Person

Unique Entity ID

Unique Entity ID:
LA4AFHTQR1K1
UEI Expiration Date:
2025-11-05

Business Information

URL:
www.prosportwa.com
Division Name:
PRO SPORT AND SPINE PLLC
Activation Date:
2024-11-07
Initial Registration Date:
2024-11-05

National Provider Identifier

NPI Number:
1841672433
Certification Date:
2024-11-13
Link:
View on NPI website

Authorized Person:

Name:
DR. SEAN SPAULDING
Role:
PART OWNER
Phone:
2538534000

Taxonomy:

Selected Taxonomy:
111NR0400X - Rehabilitation Chiropractor
Is Primary:
No
Selected Taxonomy:
111NS0005X - Sports Physician Chiropractor
Is Primary:
Yes

Contacts:

Phone:
+1 253-853-4000

Form 5500 Series

Employer Identification Number (EIN):
471577791
Plan Year:
2023
Number Of Participants:
46
Plan Name:
401(K)
Sponsor's telephone number:
2538534000
File:
View File
Plan Administrator / Signatory:
CHRIS HORNE(Plan administrator)
Plan Year:
2021
Number Of Participants:
25
Plan Name:
401(K)
Sponsor's telephone number:
2538534000
File:
View File
Plan Administrator / Signatory:
EDWARD ROJAS(Plan administrator)
Plan Year:
2020
Number Of Participants:
22
Plan Name:
401(K)
Sponsor's telephone number:
2538534000
File:
View File
Plan Administrator / Signatory:
EDWARD ROJAS(Plan administrator)
Plan Year:
2019
Number Of Participants:
11
Plan Name:
401(K)
Sponsor's telephone number:
2538534000
File:
View File
Plan Administrator / Signatory:
EDWARD ROJAS(Plan administrator)

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$237,155
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$237,155
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$240,078.83
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $237,155
Jobs Reported:
19
Initial Approval Amount:
$147,500
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$147,500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$148,263.77
Servicing Lender:
Pacific West Bank
Use of Proceeds:
Payroll: $147,499
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