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OWENSBORO UROLOGY, P.S.C.

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Company Details

Name: OWENSBORO UROLOGY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Jan 2001 (25 years ago)
Organization Date: 19 Dec 2000 (25 years ago)
Last Annual Report: 15 Aug 2023 (2 years ago)
Organization Number: 0507239
ZIP code: 42302
City: Owensboro
Primary County: Daviess County
Principal Office: P.O. BOX 1394, OWENSBORO, KY 42302
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
ROBERT D. ANDERSEN Registered Agent

Sole Officer

Name Role
Robert D Andersen Sole Officer

Shareholder

Name Role
Robert D Andersen Shareholder

Incorporator

Name Role
CHARLES H. MCKELVEY Incorporator

National Provider Identifier

NPI Number:
1245240415

Authorized Person:

Name:
DR. ROBERT DAN ANDERSEN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
2706855535

Form 5500 Series

Employer Identification Number (EIN):
611380052
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2024-10-12
Principal Office Address Change 2023-08-15
Registered Agent name/address change 2023-08-15
Annual Report 2023-08-15
Annual Report 2022-04-28

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
59100.00
Total Face Value Of Loan:
59100.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$59,100
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$59,485.36
Servicing Lender:
Independence Bank of Kentucky
Use of Proceeds:
Payroll: $59,100

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Sources: Kentucky Secretary of State