Shasta Administrative Services, Inc.

Registered In: Missouri
Incorporation Date: 12/19/2013
Registration Type: Foreign
Foreign Jurisdiction: Oregon
Company Type: Gen. Business - for Profit
Status: Admin Diss/Cancel - Repor
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(Secretary Of State) Registered Agent	600 W MAIN, JEFFERSON CITY, MO 65101
Paul Kaiser, President	737 BISHOP ST # 1200, HONOLULU, HI 96813
Addie Fagan, Vice President	2751 SW AIRPORT WAY PO BOX 1747, REDMOND, OR 97756
Paul Kaiser, Director	737 BISHOP ST # 1200, HONOLULU, HI 96813
Stacia Martin, Secretary	9615 GRAND RONDE RD, GRAND RONDE, OR 97347
Laurie-Ann Keiko Jim, Treasurer	2328 HALEHAKA ST, HONOLULU, HI 96821

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525 SW UMATILLA AVE STE 201, REDMOND, OR 97756 View Map

Financial Information for Shasta Administrative Services, Inc.

Form 5500

SHASTA ADMINISTRATIVE SERVICES, INC

525 SW Umatilla Ave Suite 201, Redmond, Or 97756 (541) 504-2777 EIN:93-1313790 Plan Admin:Lisa Littlejohn

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameSHASTA RETIREMENT PLAN Plan #001 Participants BOY/EOY80 / 75 Assets BOY/EOY$1,154,486 / $980,057	2022	SHASTA RETIREMENT PLAN - Plan #001	80 / 75	$1,154,486 / $980,057
2021	Plan NameSHASTA RETIREMENT PLAN Plan #001 Participants BOY/EOY75 / 80 Assets BOY/EOY$863,666 / $1,154,486	2021	SHASTA RETIREMENT PLAN - Plan #001	75 / 80	$863,666 / $1,154,486
2020	Plan NameSHASTA RETIREMENT PLAN Plan #001 Participants BOY/EOY69 / 74 Assets BOY/EOY$649,432 / $863,666	2020	SHASTA RETIREMENT PLAN - Plan #001	69 / 74	$649,432 / $863,666
2019	Plan NameSHASTA RETIREMENT PLAN Plan #001 Participants BOY/EOY60 / 69 Assets BOY/EOY$435,771 / $649,432	2019	SHASTA RETIREMENT PLAN - Plan #001	60 / 69	$435,771 / $649,432

Benefit & Retirement Plans based on Form 5500.

PPP Loans

SHASTA ADMINISTRATIVE SERVICES, INC.

525 SW Umatilla Avenue, Suite 201, REDMOND, OR 97756-6950 Industry:Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Loan Date	Approved	Forgiven	Lender	Jobs
04/13/2020	Approved$421,830 Forgiven$424,115 LenderWashington Federal Bank Jobs55	04/13/2020	$421,830	$424,115	Washington Federal Bank	55

PPP Loans based on Paycheck Protection Program.

Address Match:525 Sw Umatilla Ave Ste 201 Redmond, OR

Shasta Administrative Services, Inc Registered in Ohio	Columbus, OH Redmond, OR	View Report
Shasta Administrative Services, Inc. Registered in Washington	Olympia, WA Redmond, OR	View Report
Shasta Administrative Services, Inc. Registered in California	New York, NY Redmond, OR (1 more)	View Report
Shasta Administrative Services, Inc. Registered in Oregon	Redmond, OR	View Report

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Address Match:525 Sw Umatilla Ave Redmond, OR

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Person/City Match:Secretary Of State - Jefferson City, MO

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Person/City Match:Paul Kaiser - Honolulu, HI

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The following government agencies have contributed data:

Missouri Secretary of State U.S. Department of Labor U.S. Small Business Administration

Shasta Administrative Services, Inc.

Company Summary

Financial Information for Shasta Administrative Services, Inc.

SHASTA ADMINISTRATIVE SERVICES, INC

SHASTA ADMINISTRATIVE SERVICES, INC.