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ANGELA D. LEWIS, D.O., P.S.C.

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Company Details

Name: ANGELA D. LEWIS, D.O., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 Mar 1998 (27 years ago)
Organization Date: 30 Mar 1998 (27 years ago)
Last Annual Report: 03 Mar 2025 (5 months ago)
Organization Number: 0454376
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41169
City: Russell, Raceland
Primary County: Greenup County
Principal Office: 1021 KENWOOD DR. , RUSSELL, KY 41169
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
ANGELA D LEWIS DO Registered Agent

Vice President

Name Role
RONALD DAVIS Vice President

President

Name Role
ANGELA LEWIS President

Incorporator

Name Role
ANGELA D LEWIS DO Incorporator

Shareholder

Name Role
ANGELA LEWIS Shareholder
RONALD DAVIS Shareholder

National Provider Identifier

NPI Number:
1821398173

Authorized Person:

Name:
DR. ANGELA D LEWIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6068363878

Form 5500 Series

Employer Identification Number (EIN):
611325661
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-03-03
Annual Report 2024-02-28
Annual Report 2023-06-29
Annual Report 2022-07-06
Annual Report 2021-06-10

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
55807.50
Total Face Value Of Loan:
55807.50

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$55,807.5
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,807.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$56,331.47
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $55,807.5

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Sources: Kentucky Secretary of State