SUMMIT DERMATOLOGY, P.S.

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Company Details

Legal Name:	SUMMIT DERMATOLOGY, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	February 24th 2015
Expiration date:	28 Feb 2026
UBI Number:	603 480 884
ZIP code:	98506
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	300 LILLY RD NE STE A, OLYMPIA, WA, 98506-5428, UNITED STATES

Contact Details

E-Mail:	JHKIM@SUMMITSKINAESTHETICS.COM
Phone Number:	+1 360-918-8101

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
JESSICA KIM	Registered Agent	300 LILLY RD NE STE A, OLYMPIA, WA, 98506-5428, UNITED STATES

Key Officers & Management

Name	Role
JESSICA KIM	Governing Person

National Provider Identifier

NPI Number:

1639531445

Link:

View on NPI website

Authorized Person:

Name:

JESSICA KIM

Role:

OWNER/PRESIDENT

Phone:

3607544352

Taxonomy:

Selected Taxonomy:

207N00000X - Dermatology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-754-4352

Form 5500 Series

Employer Identification Number (EIN):

473282907

Plan Year:

2023

Number Of Participants:

6

Plan Name:

401(K)

Sponsor's telephone number:

3609188101

File:

Plan Administrator / Signatory:

JESSICA KIM(Plan administrator)

Plan Year:

2023

Number Of Participants:

5

Plan Name:

CASH BALANCE

Sponsor's telephone number:

3609188101

File:

Plan Administrator / Signatory:

JESSICA KIM(Plan administrator)

Plan Year:

2022

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

3609188101

File:

Plan Administrator / Signatory:

JESSICA KIM(Plan administrator)

Plan Year:

2022

Number Of Participants:

2

Plan Name:

CASH BALANCE

Sponsor's telephone number:

3609188101

File:

Plan Administrator / Signatory:

JESSICA KIM(Plan administrator)

Plan Year:

2021

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

3609188101

File:

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$95,000

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$95,000

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Veteran

Forgiveness Amount:

$96,257.12

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $95,000

Jobs Reported:

4

Initial Approval Amount:

$59,514

Date Approved:

2021-02-20

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$59,514

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Veteran

Forgiveness Amount:

$59,864.56

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $59,509
Utilities: $1

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