SEATTLE SKIN CANCER CENTER, PLLC

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Company Details

Legal Name:	SEATTLE SKIN CANCER CENTER, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	December 11th 2000
Date of Dissolution:	May 3rd 2020
Expiration date:	31 Dec 2019
UBI Number:	602 083 710
ZIP code:	98020
City:	Edmonds
County:	SNOHOMISH
Home State:	WASHINGTON
Principal Office Street Address:	839 CARY RD, EDMONDS, WA, 98020-2615, UNITED STATES
Principal Office Mailing Address:	PO BOX 1105, EDMONDS, WA, 98020-1105, UNITED STATES

Contact Details

E-Mail:

CBSHOP@COMCAST.NET

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
LESOURD & PATTEN, P.S.	Registered Agent	20 6TH AVE NE, ISSAQUAH, WA, 98027-3428, UNITED STATES

Key Officers & Management

Name	Role	Address
CRAIG BIRKBY MD	Governing Person	1229 MADISON STREET, SUITE 1090, SEATTLE, WA, 98104, UNITED STATES

Form 5500 Series

Employer Identification Number (EIN):

912000421

Plan Year:

2017

Number Of Participants:

7

Sponsor's telephone number:

4254542570

File:

Plan Administrator / Signatory:

CRAIG BIRKBY, MD(Plan administrator)

Plan Year:

2016

Number Of Participants:

8

Sponsor's telephone number:

4254542570

File:

Plan Administrator / Signatory:

CRAIG BIRKBY, MD(Plan administrator)

Plan Year:

2015

Number Of Participants:

4

Sponsor's telephone number:

4254542570

File:

Plan Administrator / Signatory:

CRAIG BIRKBY, MD(Plan administrator)

Plan Year:

2014

Number Of Participants:

7

Sponsor's telephone number:

4254542570

File:

Plan Administrator / Signatory:

CRAIG BIRKBY, MD(Plan administrator)

Plan Year:

2013

Number Of Participants:

3

Sponsor's telephone number:

4254542570

File:

Plan Administrator / Signatory:

CRAIG BIRKBY, MD(Plan administrator)

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