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TERRY L. JACOBSON, M.D., PLLC

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Company Details

Legal Name: TERRY L. JACOBSON, M.D., PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 5th 2000
Expiration date: 31 Jan 2026
UBI Number: 602 003 140
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1740 NW MAPLE ST, SUITE 206, ISSAQUAH, WA, 98027-8127, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,235

Contact Details

E-Mail: JCOOK.SEA@GMAIL.COM
Phone Number: +1 425-891-5374

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
TERRY L JACOBSON Registered Agent 1740 NW MAPLE ST STE 206, ISSAQUAH, WA, 98027-8127, UNITED STATES

Key Officers & Management

Name Role Address
TERRY JACOBSON Governing Person 1538 207TH AVE NE, SAMMAMISH, WA, 98074, UNITED STATES
JAMIE COOK Governing Person 1538 207TH AVE NE, SAMMAMISH, WA, 98074, UNITED STATES

National Provider Identifier

NPI Number:
1316954506
Link:
View on NPI website

Authorized Person:

Name:
MRS. RACHEL J COUWENBERG
Role:
BILLING MANAGER
Phone:
2069329025

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 206-932-9025
Fax:
2069321929
Phone:
+1 425-837-8842

Form 5500 Series

Employer Identification Number (EIN):
912011122
Plan Year:
2023
Number Of Participants:
13
Plan Name:
401(K)
Sponsor's telephone number:
4258378842
File:
View File
Plan Administrator / Signatory:
JAMIE COOK(Plan administrator)
Plan Year:
2022
Number Of Participants:
9
Plan Name:
401(K)
Sponsor's telephone number:
4258378842
File:
View File
Plan Administrator / Signatory:
JAMIE COOK(Plan administrator)
Plan Year:
2021
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
4258378842
File:
View File
Plan Administrator / Signatory:
JAMIE COOK(Plan administrator)

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$78,377
Date Approved:
2021-02-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$78,377
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$79,019.05
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $78,376
Jobs Reported:
5
Initial Approval Amount:
$46,019
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$46,019
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$46,515.75
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $46,019

Trademarks

Serial Number:
77074515
Mark:
CLOSECARE
Status:
The registration has been renewed.
Mark Type:
Service Mark
Application Filing Date:
2007-01-02
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
CLOSECARE
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Physician services
First Use:
2007-01-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE
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