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FAMILY MEDICAL SPECIALTY CLINIC, PLLC

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Company Details

Name: FAMILY MEDICAL SPECIALTY CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Jul 2003 (22 years ago)
Organization Date: 28 Jul 2003 (22 years ago)
Last Annual Report: 02 Mar 2025 (5 months ago)
Managed By: Members
Organization Number: 0564834
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41339
City: Jackson, Altro, Athol, Canoe, Decoy, Elkatawa, Fr...
Primary County: Breathitt County
Principal Office: 12 JACKSON HEIGHTS DR, JACKSON, KY 41339
Place of Formation: KENTUCKY

Member

Name Role
JUNE ABADILLA Member

Organizer

Name Role
MELECIO G. ABORDO, JR. Organizer

Registered Agent

Name Role
MELECIO G. ABORDO, JR. M.D. Registered Agent

National Provider Identifier

NPI Number:
1992863021
Certification Date:
2022-09-25

Authorized Person:

Name:
DR. JUNE E ABADILLA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6066669480

Form 5500 Series

Employer Identification Number (EIN):
352212183
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:

Former Company Names

Name Action
ST. MARK'S FAMILY MEDICAL & SPECIALTY CLINIC, PLLC Merger

Assumed Names

Name Status Expiration Date
ST. THERESE CLINIC Inactive 2010-11-02

Filings

Name File Date
Annual Report 2025-03-02
Annual Report 2024-03-05
Annual Report 2023-03-15
Annual Report 2022-05-19
Annual Report 2021-06-16

USAspending Awards / Financial Assistance

Date:
2021-02-13
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:
125961.35
Total Face Value Of Loan:
125961.35
Date:
2020-04-13
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:
125961.35
Total Face Value Of Loan:
125961.35

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$125,961.35
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$125,961.35
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$126,972.54
Servicing Lender:
Citizens Bank & Trust Co. of Jackson
Use of Proceeds:
Payroll: $125,961.35
Jobs Reported:
10
Initial Approval Amount:
$125,961.35
Date Approved:
2021-02-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$125,961.35
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$126,818.54
Servicing Lender:
Citizens Bank & Trust Co. of Jackson
Use of Proceeds:
Payroll: $125,956.35
Utilities: $1

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Sources: Kentucky Secretary of State