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RIVER VALLEY PSYCHOLOGICAL SERVICES, INC.

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Company Details

Legal Name: RIVER VALLEY PSYCHOLOGICAL SERVICES, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: June 11th 1996
Date of Dissolution: July 18th 2023
Expiration date: 30 Jun 2023
UBI Number: 601 718 871
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 600 OAKESDALE AVE SW, SUITE 104, RENTON, WA, 98057-5226, UNITED STATES

Contact Details

E-Mail: RBURNETT@RIVERVALLEYPSYCH.COM
Phone Number: +1 425-228-5336

Nature of Business

Health Care, Social Assistance & Service Organization, INDEPENDENT PROVIDER OF PSYCHOLOGICAL SERVICES

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Registered Agent Information

Name Role Address
RUSS BURNETT Registered Agent 600 OAKESDALE AVE SW, SUITE 104, RENTON, WA, 98057-5226, UNITED STATES

Key Officers & Management

Name Role Address
KEVIN CONNOLLY Governing Person 600 OAKESDALE AVE S W, SUITE 104, RENTON, WA, 98057, UNITED STATES
NANCY CONNOLLY Governing Person 600 OAKESDALE AVE S W, SUITE 104, RENTON, WA, 98057, UNITED STATES

National Provider Identifier

NPI Number:
1700867132
Link:
View on NPI website

Authorized Person:

Name:
DR. KEVIN V CONNOLLY
Role:
DIRECTOR
Phone:
4252285336

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Phone:
+1 425-228-5336
Fax:
4252284540

Form 5500 Series

Employer Identification Number (EIN):
911718702
Plan Year:
2022
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
4252285336
File:
View File
Plan Administrator / Signatory:
RUSSEL BURNETT(Plan administrator) RUSSEL BURNETT(Employer/plan sponsor)
Plan Year:
2021
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
4252285336
File:
View File
Plan Administrator / Signatory:
RUSSEL BURNETT(Plan administrator) RUSSEL BURNETT(Employer/plan sponsor)
Plan Year:
2020
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
4252285336
File:
View File
Plan Administrator / Signatory:
HALEY BURNETT(Plan administrator) HALEY BURNETT(Employer/plan sponsor)
Plan Year:
2019
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
4252285336
File:
View File
Plan Administrator / Signatory:
RUSS BURNETT(Plan administrator) RUSS BURNETT(Employer/plan sponsor)
Plan Year:
2018
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
4252285336
File:
View File
Plan Administrator / Signatory:
RUSSEL BURNETT(Plan administrator) RUSSEL BURNETT(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$79,400
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$79,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$80,178.77
Servicing Lender:
HomeStreet Bank
Use of Proceeds:
Payroll: $79,400
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