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MOUNTAIN REHABILITATION SERVICES, LLC

Company Details

Name: MOUNTAIN REHABILITATION SERVICES, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 06 Sep 2002 (23 years ago)
Organization Date: 06 Sep 2002 (23 years ago)
Last Annual Report: 06 Feb 2025 (3 months ago)
Managed By: Members
Organization Number: 0543969
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 702 PHILLIPS LANE, CORBIN, KY 40701
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOUNTAIN REHABILITATION SERVICES LLC CBS BENEFIT PLAN 2023 320029326 2024-12-30 MOUNTAIN REHABILITATION SERVICES LLC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-06-01
Business code 621399
Sponsor’s telephone number 6065244287
Plan sponsor’s address 702 PHILLIPS LN, CORBIN, KY, 40701

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
MOUNTAIN REHABILITATION SERVICES LLC CBS BENEFIT PLAN 2022 320029326 2023-12-27 MOUNTAIN REHABILITATION SERVICES LLC 6
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-06-01
Business code 621399
Sponsor’s telephone number 6065244287
Plan sponsor’s address 702 PHILLIPS LN, CORBIN, KY, 40701

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
MOUNTAIN REHABILITATION SERVICES LLC CBS BENEFIT PLAN 2021 320029326 2022-12-29 MOUNTAIN REHABILITATION SERVICES LLC 6
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-06-01
Business code 621399
Sponsor’s telephone number 6065244287
Plan sponsor’s address 702 PHILLIPS LN, CORBIN, KY, 40701

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JEFFREY G. MAGUET Registered Agent

Member

Name Role
Jeffrey G. Maguet Member

Organizer

Name Role
JEFFREY G. MAGUET Organizer

Former Company Names

Name Action
MAGUET REHABILITATION SERVICES, LLC Old Name

Filings

Name File Date
Annual Report 2025-02-06
Annual Report 2024-03-15
Annual Report 2023-03-17
Annual Report 2022-03-08
Annual Report 2021-02-11
Annual Report 2020-04-14
Annual Report 2019-04-08
Annual Report 2018-08-27
Annual Report 2017-04-11
Annual Report 2016-03-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4700227000 2020-04-04 0457 PPP 702 Phillips lane, CORBIN, KY, 40701-2144
Loan Status Date 2021-04-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 250000
Loan Approval Amount (current) 168700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27235
Servicing Lender Name Cumberland Valley National Bank & Trust Company
Servicing Lender Address 1112 Hwy 490, EAST BERNSTADT, KY, 40729
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address CORBIN, WHITLEY, KY, 40701-2144
Project Congressional District KY-05
Number of Employees 30
NAICS code 621340
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 27235
Originating Lender Name Cumberland Valley National Bank & Trust Company
Originating Lender Address EAST BERNSTADT, KY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 170241.73
Forgiveness Paid Date 2021-03-10

Sources: Kentucky Secretary of State