SOUTH SOUND SURGICAL ASSOCIATES LLC

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Company Details

Legal Name:	SOUTH SOUND SURGICAL ASSOCIATES LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 12th 2022
Expiration date:	31 Dec 2025
UBI Number:	605 006 847
ZIP code:	98513
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	5130 PATTISON LAKE LN SE, OLYMPIA, WA, 98513-6416, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$43,079

Contact Details

E-Mail:	TOLLEFSON@HOTMAIL.COM
Phone Number:	+1 360-280-6612

Nature of Business

GENERAL AND VASCULAR SURGERY

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Registered Agent Information

Name	Role	Address
DAVID TOLLEFSON	Registered Agent	5130 PATTISON LAKE LN SE, OLYMPIA, WA, 98513-6416, UNITED STATES

Key Officers & Management

Name	Role	Address
DAVID TOLLEFSON	Governing Person	-
DAVID TOLLEFSON	EXECUTOR	5130 PATTISON LAKE LN SE, OLYMPIA, WA, 98513-6416, UNITED STATES

National Provider Identifier

NPI Number:

1639261258

Certification Date:

2023-11-01

Link:

View on NPI website

Authorized Person:

Name:

DR. DAVID FJ TOLLEFSON

Role:

MANAGING PARTNER

Phone:

3602806612

Taxonomy:

Selected Taxonomy:

208600000X - Surgery Physician

Is Primary:

No

Selected Taxonomy:

2086S0129X - Vascular Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-280-6612

Phone:

+1 360-754-5858

Form 5500 Series

Employer Identification Number (EIN):

911849114

Plan Year:

2023

Number Of Participants:

7

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607543507

File:

Plan Year:

2022

Number Of Participants:

9

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607543507

File:

Plan Year:

2021

Number Of Participants:

9

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607543507

File:

Plan Year:

2020

Number Of Participants:

10

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607543507

File:

Plan Year:

2019

Number Of Participants:

11

Plan Name:

RETIREMENT PLAN

Sponsor's telephone number:

3607543507

File:

Paycheck Protection Program

Jobs Reported:

2

Initial Approval Amount:

$14,940.2

Date Approved:

2021-02-26

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$14,940.2

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$14,988.91

Servicing Lender:

Heritage Bank

Use of Proceeds:

Payroll: $14,938.2
Utilities: $1

Jobs Reported:

2

Initial Approval Amount:

$14,940.2

Date Approved:

2020-04-09

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$14,940.2

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$15,040.07

Servicing Lender:

Heritage Bank

Use of Proceeds:

Payroll: $14,940.2

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