VALLEY FOOT & ANKLE PLLC

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Company Details

Legal Name:	VALLEY FOOT & ANKLE PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	May 17th 2019
Expiration date:	31 May 2026
UBI Number:	604 425 591
ZIP code:	98057
City:	Renton
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	433 SW 41ST ST, RENTON, WA, 98057-4926, UNITED STATES

Contact Details

E-Mail:	SCCARLIS@GMAIL.COM
Phone Number:	+1 971-235-6919

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
VALLEY FOOT AND ANKLE PLLC	Registered Agent	433 SW 41ST ST, RENTON, WA, 98057-4926, UNITED STATES

Key Officers & Management

Name	Role	Address
SCOTT CARLIS	Executor	4818 50TH AVE SW, SEATTLE, WA, 98116-4327, UNITED STATES
CHRISTOPHER ROBERTSON	Executor	1400 LAKE WASHINGTON BLVD N, C 210, RENTON, WA, 98056-2564, UNITED STATES
SCOTT CARLIS	Governing Person	433 SW 41ST ST, RENTON, WA, 98057-4926, UNITED STATES
CHRISTOPHER ROBERTSON	Governing Person	-

National Provider Identifier

NPI Number:

1063067825

Link:

View on NPI website

Authorized Person:

Name:

DR. SCOTT CHARLES CARLIS

Role:

PODIATRIST/OWNER

Phone:

4252265656

Taxonomy:

Selected Taxonomy:

213E00000X - Podiatrist

Is Primary:

Yes

Contacts:

Phone:

+1 425-226-5656

Fax:

4252711488

Form 5500 Series

Employer Identification Number (EIN):

841798561

Plan Year:

2023

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

4252265656

File:

Plan Administrator / Signatory:

SCOTT CARLIS(Plan administrator)

Plan Year:

2022

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

4252265656

File:

Plan Administrator / Signatory:

SCOTT CARLIS(Plan administrator)

Plan Year:

2021

Number Of Participants:

9

Plan Name:

401(K)

Sponsor's telephone number:

4252265656

File:

Plan Administrator / Signatory:

SCOTT CARLIS(Plan administrator)

Plan Year:

2020

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

4252265656

File:

Plan Administrator / Signatory:

CHRISTOPHER ROBERTSON(Plan administrator)

Paycheck Protection Program

Jobs Reported:

8

Initial Approval Amount:

$99,728.87

Date Approved:

2020-05-04

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$99,728.87

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$100,652.39

Servicing Lender:

Banner Bank

Use of Proceeds:

Payroll: $74,796.65
Utilities: $1,994.58
Rent: $22,937.64

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