ActiveIn good standing

providence facey medical foundation

Foreign Nonprofit Corporation · Entity Number E44183752024-4 · NV Business ID NV20243224349

Formed: October 23, 2024
Annual List: Due by October 31, 2026
Managed by: Not on file

Record

Entity Number: E44183752024-4
NV Business ID: NV20243224349
Entity type: Foreign Nonprofit Corporation
Home jurisdiction: California
Formed: October 23, 2024
Record as of: September 17, 2026

Registered agent

C T CORPORATION SYSTEM**· 500+ entities

701 S CARSON ST STE 200 · Carson City, NV 89701· 500+ entities

Principal office

Not on file

Mailing address

Not on file

Officers, managers, and members

Name	Role	Address
Jill Duplechan· 3 entities	President	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Katie Gonzalez· 2 entities	Treasurer	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
James D Watson· 3 entities	Secretary	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Susan Huang· 5 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Jill Duplechan· 3 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
James Benoit, M.D.· 2 entities	Treasurer	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Niki Balginy· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Nikhraj Brar, M.D.· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Laureen Driscoll· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Matt Ho· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Sandra Mathur, M.D.· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Beth Nunn· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Nan Onest· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Elizabeth S Difiori	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Jerome Wang, M.D.· 2 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities
Antonio Ferrey· 3 entities	Director	1801 Lind Ave. SW · Renton, WA 98055· 4 entities

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