TIMBERLAKE SHAW, P.L.L.C.

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Company Details

Legal Name:	TIMBERLAKE SHAW, P.L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 30th 1994
Expiration date:	31 Dec 2025
UBI Number:	601 594 843
ZIP code:	98105
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	4522 15TH AVE NE, SEATTLE, WA, 98105-4507, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$98,780

Contact Details

E-Mail:	SALUSTIG@COMCAST.NET
Phone Number:	+1 206-523-2025

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SCOTT SHAW	Registered Agent	4522 15TH AVE NE, SEATTLE, WA, 98105-4507, UNITED STATES

Key Officers & Management

Name	Role
CRAIG TIMBERLAKE	Governing Person
SCOTT SHAW	Governing Person

National Provider Identifier

NPI Number:

1053866947

Link:

View on NPI website

Authorized Person:

Name:

DR. SCOTT GALLAGHER SHAW

Role:

DENTIST/OWNER

Phone:

2065232025

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 206-523-2025

Fax:

2065256956

Form 5500 Series

Employer Identification Number (EIN):

911669745

Plan Year:

2023

Number Of Participants:

8

Sponsor's telephone number:

2065232025

File:

Plan Administrator / Signatory:

SCOTT G SHAW(Plan administrator) SCOTT G SHAW(Employer/plan sponsor)

Plan Year:

2023

Number Of Participants:

8

Sponsor's telephone number:

2065232025

File:

Plan Administrator / Signatory:

SCOTT G SHAW(Plan administrator) SCOTT G SHAW(Employer/plan sponsor)

Plan Year:

2023

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

2065232025

File:

Plan Administrator / Signatory:

SCOTT G SHAW(Plan administrator) SCOTT G SHAW(Employer/plan sponsor)

Plan Year:

2022

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

2065232025

File:

Plan Administrator / Signatory:

SCOTT G SHAW(Plan administrator) SCOTT G SHAW(Employer/plan sponsor)

Plan Year:

2022

Number Of Participants:

7

Sponsor's telephone number:

2065232025

File:

Plan Administrator / Signatory:

SCOTT G SHAW(Plan administrator) SCOTT G SHAW(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:

8

Initial Approval Amount:

$107,640

Date Approved:

2020-05-08

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$107,640

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$108,592.54

Servicing Lender:

Wells Fargo Bank, National Association

Use of Proceeds:

Payroll: $107,640

Jobs Reported:

10

Initial Approval Amount:

$107,395

Date Approved:

2021-01-21

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$107,395

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$108,242.39

Servicing Lender:

Wells Fargo Bank, National Association

Use of Proceeds:

Payroll: $107,391
Utilities: $1

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