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BROWNSBORO DERMATOLOGY, PLLC

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Company Details

Name: BROWNSBORO DERMATOLOGY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 12 May 2000 (25 years ago)
Organization Date: 12 May 2000 (25 years ago)
Last Annual Report: 13 Apr 2023 (2 years ago)
Managed By: Members
Organization Number: 0494464
ZIP code: 40222
City: Louisville, Bancroft, Bellemeade, Crossgate, Glenvie...
Primary County: Jefferson County
Principal Office: 4938 BROWNSBORO ROAD, STE 206, LOUISVILLE, KY 40222
Place of Formation: KENTUCKY

Registered Agent

Name Role
LAURA R. KLEIN, M.D. Registered Agent

Organizer

Name Role
LAURA R. KLEIN, M.D. Organizer

Member

Name Role
Denise L Puthuff MD Member
Laura R Klein MD Member

National Provider Identifier

NPI Number:
1508911256
Certification Date:
2020-09-16

Authorized Person:

Name:
MRS. KAREN J MOSGROVE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5023392912

Form 5500 Series

Employer Identification Number (EIN):
611368998
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:

Former Company Names

Name Action
DERMATOLOGY EAST, PLLC Old Name

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-04-13
Annual Report 2022-06-29
Annual Report 2021-02-10
Annual Report 2020-03-20

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
166000.00
Total Face Value Of Loan:
166000.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$166,000
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$166,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$167,355.67
Servicing Lender:
Republic Bank & Trust Company
Use of Proceeds:
Payroll: $166,000

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Sources: Kentucky Secretary of State