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SEATTLE ROOTS COMMUNITY HEALTH

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Company Details

Legal Name: SEATTLE ROOTS COMMUNITY HEALTH
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 2nd 1971
Expiration date: 31 Mar 2026
UBI Number: 601 583 685
FEIN Number: 23-7100868
Purpose: HEALTH AND SOCIAL SERVICES
ZIP code: 98122
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2101 E YESLER WAY STE 210, SEATTLE, WA, 98122-5959, UNITED STATES

Contact Details

E-Mail: BDTAYLOR@CDCHC.ORG
RRWATTS@CDCHC.ORG
Website: www.cdchc.org
Phone Number: +1 206-299-7180
+1 206-299-1628

Nature of Business

CHARITABLE - HEALTHCARE

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Registered Agent Information

Name Role Address
BRANDY TAYLOR Registered Agent 500 19TH AVE E, SEATTLE, WA, 98112-4007, UNITED STATES

Key Officers & Management

Name Role Address
KUSH DOSHI Governing Person -
GRANT SCULL Governing Person -
KHANG TO Governing Person -
CHRISTINA ASIIMWE Governing Person -
RALEIGH WATTS EXECUTIVE DIRECTOR 500 19TH AVE E, SEATTLE, WA, 98112-4007, UNITED STATES

Unique Entity ID

Unique Entity ID:
C6LTSABGEXL7
CAGE Code:
3SZZ8
UEI Expiration Date:
2026-05-05

Business Information

Activation Date:
2025-05-08
Initial Registration Date:
2004-03-29

Commercial and government entity program

CAGE number:
3SZZ8
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-08
SAM Expiration:
2026-05-05
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
BRANDY TAYLOR

National Provider Identifier

NPI Number:
1114540457
Certification Date:
2020-11-25
Link:
View on NPI website

Authorized Person:

Name:
ANGIE J TREPTOW
Role:
INTERIM FINANCE DIRECTOR
Phone:
2532991937

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Phone:
+1 206-709-7112
Fax:
2062991920
Phone:
+1 206-709-7166

History

Type Old value New value Date of change
Name change COUNTRY DOCTOR COMMUNITY CLINIC SEATTLE ROOTS COMMUNITY HEALTH 2024-02-12

Tax Exempt

Employer Identification Number (EIN):
23-7100868
In Care Of Name:
% PAYROLL
Ruling Date:
1971-04
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990
Tax Period:
202212
Link:
Download 990
Return Type:
990
Tax Period:
202112
Link:
Download 990
Return Type:
990
Tax Period:
202012
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
261
Initial Approval Amount:
$3,020,000
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,020,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,878,035.73
Servicing Lender:
Verity CU
Use of Proceeds:
Payroll: $3,020,000

Charity/Fundraiser/Trust

Registration Number:
1101156
Type:
CHARITABLE ORGANIZATION
Status:
Involuntarily Closed
Renewal Date:
2021-11-30

Financial History

Fiscal Begin Date:
2019-01-01
Fiscal End Date:
2019-12-31
Begin Assets:
$20,778,385.00
Revenue:
$28,497,135.00
Program Services:
$24,817,668.00
Expenses:
$28,303,276.00
End Assets:
$21,865,786.00
% To Program Services:
88%
Fiscal Begin Date:
2018-01-01
Fiscal End Date:
2018-12-31
Begin Assets:
$13,809,129.00
Revenue:
$25,779,578.00
Program Services:
$21,185,308.00
Expenses:
$24,213,630.00
End Assets:
$20,778,385.00
% To Program Services:
87%
Fiscal Begin Date:
2017-01-01
Fiscal End Date:
2017-12-31
Begin Assets:
$12,167,602.00
Revenue:
$24,913,766.00
Program Services:
$20,781,852.00
Expenses:
$23,429,437.00
End Assets:
$13,809,129.00
% To Program Services:
89%
Fiscal Begin Date:
2016-01-01
Fiscal End Date:
2016-12-31
Begin Assets:
$8,798,488.00
Revenue:
$24,926,765.00
Program Services:
$19,830,077.00
Expenses:
$22,264,638.00
End Assets:
$12,167,602.00
% To Program Services:
89%
Fiscal Begin Date:
2015-01-01
Fiscal End Date:
2015-12-31
Begin Assets:
$7,846,869.00
Revenue:
$19,720,394.00
Program Services:
$16,744,000.00
Expenses:
$18,614,284.00
End Assets:
$8,798,488.00
% To Program Services:
90%
Registration Number:
1300935
Type:
CHARITABLE TRUST
Status:
Involuntarily Closed
Renewal Date:
2021-11-30

Financial History

Fiscal Begin Date:
2019-01-01
Fiscal End Date:
2019-12-31
Begin Assets:
$20,778,385.00
Revenue:
$28,497,135.00
Expenses:
$28,303,276.00
End Assets:
$21,865,768.00
Grant Contributions Program Service:
$27,923,069.00
Fiscal Begin Date:
2018-01-01
Fiscal End Date:
2018-12-31
Begin Assets:
$13,809,129.00
Revenue:
$25,779,578.00
Expenses:
$24,213,630.00
End Assets:
$20,778,385.00
Compensation:
$471,770.00
Grant Contributions Program Service:
$166,232.00
Fiscal Begin Date:
2017-01-01
Fiscal End Date:
2017-12-31
Begin Assets:
$12,167,602.00
Revenue:
$24,913,766.00
Expenses:
$23,429,437.00
End Assets:
$13,809,129.00
Grant Contributions Program Service:
$24,433,200.00
Fiscal Begin Date:
2016-01-01
Fiscal End Date:
2016-12-31
Begin Assets:
$8,798,488.00
Revenue:
$24,926,765.00
Expenses:
$22,264,638.00
End Assets:
$12,167,602.00
Compensation:
$1,128,704.00
Grant Contributions Program Service:
$19,830,077.00
Fiscal Begin Date:
2015-01-01
Fiscal End Date:
2015-12-31
Begin Assets:
$7,846,869.00
Revenue:
$19,720,394.00
Expenses:
$18,614,284.00
End Assets:
$8,798,488.00
Compensation:
$1,032,531.00
Grant Contributions Program Service:
$16,744,000.00
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