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  5. SAMANTHA SHAVER, DMD, PSC

SAMANTHA SHAVER, DMD, PSC

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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 (24 years ago)
Organization Date: 27 Aug 2001 (24 years ago)
Last Annual Report: 27 Feb 2025 (6 months 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

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

National Provider Identifier

NPI Number:
1134672611
Link:
View on NPI website

Authorized Person:

Name:
SAMANTHA SHAVER
Role:
OWNER
Phone:
5029681412

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 502-968-1412
Fax:
5029688797

Form 5500 Series

Employer Identification Number (EIN):
030431710
Plan Year:
2024
Number Of Participants:
2
Sponsors Telephone Number:
5029681412
File:
View File
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
5029681412
File:
View File
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
5029681412
File:
View File
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
5029681412
File:
View File
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
5029681412
File:
View File

Filings

Name File Date
Annual Report 2025-02-27
Annual Report 2024-03-26
Annual Report 2023-03-20
Annual Report 2022-03-24
Annual Report 2021-02-11

USAspending Awards / Financial Assistance

Date:
2020-05-06
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
53900.00
Total Face Value Of Loan:
189400.00
Date:
2020-05-06
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
53900.00
Total Face Value Of Loan:
189400.00
Date:
2020-04-15
Link:
View on USAspending
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:
40100.00
Total Face Value Of Loan:
40100.00
Date:
2020-04-15
Link:
View on USAspending
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:
40100.00
Total Face Value Of Loan:
40100.00
Date:
2020-04-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$40,100
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,100
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$40,372.65
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $40,100

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Sources: Kentucky Secretary of State

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