ROSARIO SKIN CLINIC, INC.

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Company Details

Legal Name:	ROSARIO SKIN CLINIC, INC.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFIT CORPORATION
Category:	DOMESTIC ENTITY
Status:	Merged
Formation/ Registration Date:	November 10th 2005
Date of Dissolution:	August 1st 2019
Expiration date:	30 Nov 2019
UBI Number:	602 557 325
ZIP code:	98273
City:	Mount Vernon
County:	SKAGIT
Home State:	WASHINGTON
Principal Office Street Address:	1600 CONTINENTAL PL STE 101, MOUNT VERNON, WA, 98273, UNITED STATES
Principal Office Mailing Address:	PO BOX 607, ANACORTES, WA, 98221-0607, UNITED STATES

Contact Details

E-Mail:	KRISTIN@FURINCPA.COM
Phone Number:	+1 360-293-1040

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
AMBER D FOWLER	Registered Agent	1600 CONTINENTAL PL STE 101, MOUNT VERNON, WA, 98273-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
AMBER FOWLER	Governing Person	7295 MILLER RD, ANACORTES, WA, 98221, UNITED STATES
JEFFREY DAWSON	Governing Person	7295 MILLER RD, ANACORTES, WA, 98221, UNITED STATES

National Provider Identifier

NPI Number:

1609813385

Link:

View on NPI website

Authorized Person:

Name:

KRISTA KLELT

Role:

PRACTICE MANAGER

Phone:

3603363026

Taxonomy:

Selected Taxonomy:

261QM2500X - Medical Specialty Clinic/Center

Is Primary:

No

Selected Taxonomy:

261QM2500X - Medical Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-336-3026

Form 5500 Series

Employer Identification Number (EIN):

203869778

Plan Year:

2019

Number Of Participants:

35

Plan Name:

401(K)

Sponsor's telephone number:

3603363026

File:

Plan Administrator / Signatory:

JEFF DAWSON(Plan administrator)

Plan Year:

2018

Number Of Participants:

40

Plan Name:

401(K)

Sponsor's telephone number:

3603363026

File:

Plan Administrator / Signatory:

JEFF DAWSON(Plan administrator)

Plan Year:

2017

Number Of Participants:

43

Plan Name:

401(K)

Sponsor's telephone number:

3603363026

File:

Plan Administrator / Signatory:

JEFF DAWSON(Plan administrator)

Plan Year:

2016

Number Of Participants:

37

Plan Name:

401(K)

Sponsor's telephone number:

3603363026

Plan Administrator / Signatory:

JEFF DAWSON(Plan administrator)

Plan Year:

2015

Number Of Participants:

30

Plan Name:

401(K)

Sponsor's telephone number:

3603363026

File:

Plan Administrator / Signatory:

JEFF DAWSON(Plan administrator)

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