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MT. WASHINGTON FAMILY PRACTICE, PLLC

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Company Details

Name: MT. WASHINGTON FAMILY PRACTICE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 29 Oct 2003 (22 years ago)
Organization Date: 29 Oct 2003 (22 years ago)
Last Annual Report: 05 Jun 2023 (2 years ago)
Managed By: Members
Organization Number: 0571085
ZIP code: 40047
City: Mount Washington, Mt Washington
Primary County: Bullitt County
Principal Office: PO BOX 67, 532 NORTH BARDSTOWN ROAD, MT. WASHINGTON, KY 40047
Place of Formation: KENTUCKY

Member

Name Role
STEVEN PAYNE Member

Registered Agent

Name Role
BRYAN D GATEWOOD Registered Agent

Organizer

Name Role
DR. MICHAEL STEVEN PAYNE Organizer

National Provider Identifier

NPI Number:
1538295571

Authorized Person:

Name:
MICHAEL STEVEN PAYNE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5025383040

Form 5500 Series

Employer Identification Number (EIN):
743106243
Plan Year:
2022
Number Of Participants:
10
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:
11
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2024-04-25
Annual Report 2023-06-05
Annual Report 2022-05-24
Annual Report 2021-06-09
Annual Report 2020-05-06

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
74800.00
Total Face Value Of Loan:
74800.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
74800
Current Approval Amount:
74800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
75336.07

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Sources: Kentucky Secretary of State