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LISA TRIPLETT-SHORT, D.M.D, P.S.C.

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Company Details

Name: LISA TRIPLETT-SHORT, D.M.D, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 17 Dec 1999 (26 years ago)
Organization Date: 17 Dec 1999 (26 years ago)
Last Annual Report: 29 Jun 2021 (4 years ago)
Organization Number: 0485220
ZIP code: 41822
City: Hindman, Brinkley
Primary County: Knott County
Principal Office: 1970 HIGHWAY 160 SOUTH, PO BOX 1150, HINDMAN, KY 41822
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
LISA TRIPLETT-SHORT Registered Agent

Sole Officer

Name Role
Lisa Triplett- Short DMD Sole Officer

Director

Name Role
Lisa Triplett- Short DMD Director

Shareholder

Name Role
Lisa Triplett- Short DMD Shareholder

Incorporator

Name Role
LISA TRIPLETT-SHORT Incorporator

National Provider Identifier

NPI Number:
1326316100

Authorized Person:

Name:
LISA RENEE TRIPLETT-SHORT
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
1223D0001X - Public Health Dentist
Is Primary:
Yes

Contacts:

Fax:
6067850073

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-06-29
Annual Report 2020-06-15
Annual Report 2019-07-01
Annual Report 2018-06-25

USAspending Awards / Financial Assistance

Date:
2020-06-04
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:
28448.56
Total Face Value Of Loan:
28448.56
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$28,448.56
Date Approved:
2020-06-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,448.56
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$28,589.63
Servicing Lender:
Bank of Hindman
Use of Proceeds:
Payroll: $28,448.56
Jobs Reported:
4
Initial Approval Amount:
$28,448.57
Date Approved:
2021-01-21
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,448.57
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$28,606.01
Servicing Lender:
Bank of Hindman
Use of Proceeds:
Payroll: $28,446.57
Utilities: $1

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Sources: Kentucky Secretary of State