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CDS #10 PHARMACY, LLC

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Company Details

Name: CDS #10 PHARMACY, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 08 Dec 2004 (21 years ago)
Organization Date: 08 Dec 2004 (21 years ago)
Last Annual Report: 12 Feb 2025 (5 months ago)
Managed By: Members
Organization Number: 0600830
Industry: Miscellaneous Retail
Number of Employees: Small (0-19)
ZIP code: 42104
City: Bowling Green
Primary County: Warren County
Principal Office: 1308 ASHLEY CIRCLE, BOWLING GREEN, KY 42104
Place of Formation: KENTUCKY

Registered Agent

Name Role
GEORGE E. STRICKLER, JR. Registered Agent

Member

Name Role
RICHARD S LACEFIELD, JR Member
DARREN LACEFIELD Member
JANE LACEFIELD Member

Organizer

Name Role
GEORGE E. STRICKLER JR. Organizer

National Provider Identifier

NPI Number:
1871255430
Certification Date:
2021-10-12

Authorized Person:

Name:
JANE ELLEN LACEFIELD
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

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

Contacts:

Fax:
2707815652

Form 5500 Series

Employer Identification Number (EIN):
810659173
Plan Year:
2012
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
15
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
CDS #10 CLINICAL SERIVCES Active 2026-08-25

Filings

Name File Date
Annual Report 2025-02-12
Annual Report 2024-05-16
Annual Report 2023-05-02
Annual Report 2022-05-17
Certificate of Assumed Name 2021-08-25

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
125100.00
Total Face Value Of Loan:
125100.00

Paycheck Protection Program

Jobs Reported:
16
Initial Approval Amount:
$125,100
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$125,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$125,818.75
Servicing Lender:
South Central Bank, Inc.
Use of Proceeds:
Payroll: $125,100

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Sources: Kentucky Secretary of State