TUMWATER FAMILY PRACTICE CLINIC PLLC

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Company Details

Legal Name:	TUMWATER FAMILY PRACTICE CLINIC PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	June 1st 2001
Expiration date:	30 Jun 2026
UBI Number:	602 124 915
ZIP code:	98501
City:	Olympia
County:	THURSTON
Home State:	WASHINGTON
Principal Office Street Address:	150 DENNIS ST SW, STE A, TUMWATER, WA, 98501-5459, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$35,764

Contact Details

E-Mail:	JENNIFERM@TFPCLINIC.COM
Phone Number:	+1 360-754-6367

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
JENNIFER MALONE	Registered Agent	150 DENNIS ST SW, STE A, TUMWATER, WA, 98501-5459, UNITED STATES

Key Officers & Management

Name	Role	Address
CYNTHIA WHITNEY	Governing Person	150 DENNIS STREET SW, TUMWATER, WA, 98501, UNITED STATES
ANDREA REPPHUN	Governing Person	-

National Provider Identifier

NPI Number:

1881638559

Link:

View on NPI website

Authorized Person:

Name:

JENNIFER L TYLER

Role:

CLINC ADMINISTRATOR

Phone:

3607546367

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-754-3637

Fax:

3607546429

Form 5500 Series

Employer Identification Number (EIN):

911400290

Plan Year:

2023

Number Of Participants:

48

Plan Name:

401(K)

Sponsor's telephone number:

3607546367

File:

Plan Year:

2022

Number Of Participants:

42

Plan Name:

401(K)

Sponsor's telephone number:

3607546367

File:

Plan Year:

2021

Number Of Participants:

44

Plan Name:

401(K)

Sponsor's telephone number:

3607546367

File:

Plan Year:

2020

Number Of Participants:

52

Plan Name:

401(K)

Sponsor's telephone number:

3607546367

File:

Plan Year:

2019

Number Of Participants:

46

Plan Name:

401(K)

Sponsor's telephone number:

3607546367

File:

Paycheck Protection Program

Jobs Reported:

42

Initial Approval Amount:

$398,100

Date Approved:

2020-04-06

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$398,100

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Female Owned

Veteran:

Unanswered

Forgiveness Amount:

$400,597.67

Servicing Lender:

Washington Business Bank

Use of Proceeds:

Payroll: $298,575
Utilities: $39,810
Rent: $59,715

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