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  5. SAMANTHA SHAVER, DMD, PSC

SAMANTHA SHAVER, DMD, PSC

Company Details

Name: SAMANTHA SHAVER, DMD, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Aug 2001 (23 years ago)
Organization Date: 27 Aug 2001 (23 years ago)
Last Annual Report: 26 Mar 2024 (a year ago)
Organization Number: 0521596
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40219
City: Louisville, Heritage Creek, Heritage Crk, Okolona, S...
Primary County: Jefferson County
Principal Office: PRESTON MEDICAL CENTER STE 201, 7926 S PRESTON HWY, LOUISVILLE, KY 40219
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2023 030431710 2024-06-20 SAMANTHA SHAVER, DMD,PSC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2022 030431710 2023-09-28 SAMANTHA SHAVER, DMD,PSC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2021 030431710 2022-07-27 SAMANTHA SHAVER, DMD,PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2020 030431710 2021-07-19 SAMANTHA SHAVER, DMD,PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2019 030431710 2020-07-31 SAMANTHA SHAVER, DMD,PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2018 030431710 2019-04-26 SAMANTHA SHAVER, DMD,PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2017 030431710 2018-05-11 SAMANTHA SHAVER, DMD,PSC 5
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2017 030431710 2018-05-15 SAMANTHA SHAVER, DMD,PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2016 030431710 2017-07-17 SAMANTHA SHAVER, DMD,PSC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
SAMANTHA SHAVER, DMD, PSC, 401(K) PLAN 2015 030431710 2016-03-26 SAMANTHA SHAVER, DMD,PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/08/20150408152133P040224156129001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/20/20140620132410P040059765895001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5029681412
Plan sponsor’s address 7926 S. PRESTON HIGHWAY, SUITE 201, LOUISVILLE, KY, 40219

Sole Officer

Name Role
Samantha Shaver Sole Officer

Shareholder

Name Role
Samantha Shaver Shareholder

Incorporator

Name Role
DR SAMANTHA SHAVER Incorporator

Registered Agent

Name Role
DR SAMANTHA SHAVER Registered Agent

Filings

Name File Date
Annual Report 2024-03-26
Annual Report 2023-03-20
Annual Report 2022-03-24
Annual Report 2021-02-11
Annual Report 2020-03-23
Annual Report 2019-06-18
Annual Report 2018-03-29
Annual Report 2017-03-03
Annual Report 2016-03-31
Annual Report 2015-05-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9945817110 2020-04-15 0457 PPP 7926 Preston Highway, Suite 201, Louisville, KY, 40219-3848
Loan Status Date 2021-03-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40100
Loan Approval Amount (current) 40100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address Louisville, JEFFERSON, KY, 40219-3848
Project Congressional District KY-03
Number of Employees 6
NAICS code 621610
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 40372.65
Forgiveness Paid Date 2021-02-16

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Sources: Kentucky Secretary of State

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