2025-02-17T11:50:48-06:00 2024-03-31 910189318 MOSS ADAMS LLP 1301 A STREET SUITE 600 TACOMA WA 984024205 990EZ 2023-04-01 943126743 SEA MAR SKILLED NURSING FACILITY SEAM 2067883217 1040 S HENDERSON ST SEATTLE WA 98108 DUSTIN GREER CFO 2067883217 2025-02-13 1 1 WENDY CAMPOS P00448102 2535724100 2025-02-13 2023 2025-03-06 01:10:19Z X X N/A X X 0 0 0 0 0 0 0 0 0 0 0 0 0 X TO HOLD SKILLED NURSING CARE LICENSE IN SUPPORT OF SEA MAR COMMUNITY HEALTH CENTER. TO HOLD SKILLED NURSING CARE LICENSE IN SUPPORT OF SEA MAR COMMUNITY HEALTH CENTER. 0 0 0 GREG MA CHAIR 1.00 0 0 0 AUGUSTINO DELGADO VICE CHAIR 1.00 0 0 0 DAVID GASCA SECOND VICE CHAIR 1.00 0 0 0 ENRIQUE MORALES TREASURER 1.00 0 0 0 ERASMO GAMBOA SECRETARY 1.00 0 0 0 MICHELLE DANLEY QUALITY IMPROVEMENT COMMITTEE CHAIR 1.00 0 0 0 ROGELIO RIOJAS CHIEF EXECUTIVE OFFICER 1.00 0 0 0 DUSTIN GREER CHIEF FINANCE OFFICER 1.00 0 0 0 SILVERIO VIVANCO-SANCHEZ MIGRANT REPRESENTATIVE 1.00 0 0 0 FELIPE TRINIDAD-MARTINEZ MIGRANT REPRESENTATIVE 1.00 0 0 0 RICK GARZA MEMBER 1.00 0 0 0 DANIELA DIAZ DE LA VEGA GONZALES MEMBER 1.00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DUSTIN GREER 1040 S HENDERSON ST SEATTLE WA 98108 2067883217 0 0 0 0 0 0 0 0 0 0 NONE 0 NONE 0 1 X 214558 567014 276224 0 0 1057796 2835971 1858157 0 0 0 4694128 3050529 2425171 276224 5751924 0 0 0 5751924 36205 27232 0 0 0 63437 36205 27232 63437 112427 42199 3138 157764 3199161 2494602 279362 5973125 0.96300 0.97580 0.01060 0.00890 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GROUP RETRO REBATES - 2019 AMOUNT: $ 96,262. 2020 AMOUNT: $ 36,739. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. OTHER REVENUE - 2019 AMOUNT: $ 16,165. 2020 AMOUNT: $ 5,460. 2021 AMOUNT: $ 450. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. REFUNDS - 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 2,688. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0.