SURGERY CENTER OF OLYMPIA, LLC

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Company Details

Legal Name:	SURGERY CENTER OF OLYMPIA, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	July 19th 2004
Date of Dissolution:	July 6th 2016
Expiration date:	31 Jul 2016
UBI Number:	602 414 149
ZIP code:	98506
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	413 LILLY RD NE 1ST FL, OLYMPIA, WA, 98506, UNITED STATES

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Registered Agent Information

Name	Role	Address
CHARLES MARKWELL ESQ	Registered Agent	410 PROVIDENCE LN NE, OLYMPIA, WA, 98506-6927, UNITED STATES

Key Officers & Management

Name	Role	Address
JAMES REUS	Governing Person	3610 ENSIGN ROAD NE, OLYMPIA, WA, 98506, UNITED STATES
R DEAN RUSSEL	Governing Person	6538 YOUNG ROAD, OLYMPIA, WA, 98503, UNITED STATES
WILLIAM SPRAKE	Governing Person	3714 GOODCREST HEIGHTS NW, OLYMPIA, WA, 98503, UNITED STATES
MARK WILLIAMS	Governing Person	12214 DREAM ST S W, OLYMPIA, WA, 98506, UNITED STATES

Central Index Key

CIK number:

0001307670

Phone:

360-493-7791

EDGAR Link:

View company profile on EDGAR website

Latest Filings

Form type:

REGDEX

File number:

021-70735

Filing date:

2004-11-01

File:

National Provider Identifier

NPI Number:

1316040405

Link:

View on NPI website

Authorized Person:

Name:

MRS. ELIZABETH ANN HOUSER

Role:

BUSINESS OFFICE MANAGER

Phone:

3604866303

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-486-6300

Fax:

3604934242

Form 5500 Series

Employer Identification Number (EIN):

201414974

Plan Year:

2016

Number Of Participants:

52

Plan Name:

401(K)

Sponsor's DBA Name:

D/B/A SOUTH SOUND SURGERY CENTER

Sponsor's telephone number:

3604866301

File:

Plan Year:

2015

Number Of Participants:

51

Plan Name:

401(K)

Sponsor's DBA Name:

D/B/A SOUTH SOUND SURGERY CENTER

Sponsor's telephone number:

3604866301

File:

Plan Year:

2014

Number Of Participants:

43

Plan Name:

401(K)

Sponsor's DBA Name:

D/B/A SOUTH SOUND SURGERY CENTER

Sponsor's telephone number:

3604866301

File:

Plan Administrator / Signatory:

CHARLES E. HUGGINS, III(Plan administrator)

Plan Year:

2013

Number Of Participants:

44

Plan Name:

401(K)

Sponsor's DBA Name:

D/B/A SOUTH SOUND SURGERY CENTER

Sponsor's telephone number:

3604866301

File:

Plan Administrator / Signatory:

CHARLES E. HUGGINS, III(Plan administrator)

Plan Year:

2012

Number Of Participants:

47

Plan Name:

401(K)

Sponsor's DBA Name:

D/B/A SOUTH SOUND SURGERY CENTER

Sponsor's telephone number:

3604866301

File:

Plan Administrator / Signatory:

CHARLES E. HUGGINS, III(Plan administrator)

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