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  5. EVANS TOTAL CARE, LLC

EVANS TOTAL CARE, LLC

Company Details

Name: EVANS TOTAL CARE, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 15 Jun 2005 (20 years ago)
Organization Date: 15 Jun 2005 (20 years ago)
Last Annual Report: 12 Feb 2025 (2 months ago)
Managed By: Members
Organization Number: 0615336
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42041
City: Fulton, Crutchfield
Primary County: Fulton County
Principal Office: 208 LAKE ST, FULTON, KY 42041
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVANS TOTAL CARE, LLC 401(K) PLAN 2016 431986967 2017-07-07 EVANS TOTAL CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041
EVANS TOTAL CARE, LLC 401(K) PLAN 2015 431986967 2016-09-23 EVANS TOTAL CARE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041
EVANS TOTAL CARE, LLC 401(K) PLAN 2014 431986967 2015-08-17 EVANS TOTAL CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041
EVANS TOTAL CARE, LLC 401(K) PLAN 2013 431986967 2014-04-18 EVANS TOTAL CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041

Signature of
Role Plan administrator
Date 2014-04-18
Name of individual signing DAVID PRATER
Valid signature Filed with authorized/valid electronic signature
EVANS TOTAL CARE, LLC 401(K) PLAN 2012 431986967 2013-07-29 EVANS TOTAL CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing MARY NIEUWSMA
Valid signature Filed with authorized/valid electronic signature
EVANS TOTAL CARE, LLC 401(K) PLAN 2011 431986967 2012-07-23 EVANS TOTAL CARE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041

Plan administrator’s name and address
Administrator’s EIN 431986967
Plan administrator’s name EVANS TOTAL CARE, LLC
Plan administrator’s address 208 LAKE STREET, FULTON, KY, 42041
Administrator’s telephone number 2704722421

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing MARY NIEUWSMA
Valid signature Filed with authorized/valid electronic signature
EVANS TOTAL CARE, LLC 401(K) PLAN 2010 431986967 2011-09-08 EVANS TOTAL CARE, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041

Plan administrator’s name and address
Administrator’s EIN 431986967
Plan administrator’s name EVANS TOTAL CARE, LLC
Plan administrator’s address 208 LAKE STREET, FULTON, KY, 42041
Administrator’s telephone number 2704722421

Signature of
Role Plan administrator
Date 2011-09-08
Name of individual signing MARY NIEUWSMA
Valid signature Filed with authorized/valid electronic signature
EVANS TOTAL CARE, LLC 401(K) PLAN 2009 431986967 2010-10-07 EVANS TOTAL CARE, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2704722421
Plan sponsor’s address 208 LAKE STREET, FULTON, KY, 42041

Plan administrator’s name and address
Administrator’s EIN 431986967
Plan administrator’s name EVANS TOTAL CARE, LLC
Plan administrator’s address 208 LAKE STREET, FULTON, KY, 42041
Administrator’s telephone number 2704722421

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing DAVID PRATER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-07
Name of individual signing DAVID PRATER
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
RICHARD L MAJOR Registered Agent

Member

Name Role
DAVID S PRATER JR Member
CHRISTOPHER POWELL Member

Organizer

Name Role
DAVID S PRATER JR Organizer

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 169591 Home Medical Equipment and Services Provider Active 2012-08-14 - - 2026-09-30 208 Lake St, Fulton, KY 42041

Filings

Name File Date
Annual Report 2025-02-12
Annual Report 2024-02-18
Annual Report 2023-03-20
Annual Report 2022-03-06
Annual Report 2021-02-18
Annual Report 2020-02-16
Annual Report 2019-04-25
Annual Report Amendment 2018-06-24
Annual Report 2018-05-15
Annual Report 2017-04-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1715967107 2020-04-10 0457 PPP 408 LAKE ST, FULTON, KY, 42041-1531
Loan Status Date 2020-11-26
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 17341.25
Loan Approval Amount (current) 17341.25
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27103
Servicing Lender Name The Citizens Bank
Servicing Lender Address 1522 Union City Hwy, HICKMAN, KY, 42050-1858
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address FULTON, FULTON, KY, 42041-1531
Project Congressional District KY-01
Number of Employees 3
NAICS code 446199
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 27103
Originating Lender Name The Citizens Bank
Originating Lender Address HICKMAN, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 17441.93
Forgiveness Paid Date 2020-11-12

Related by officers

CHRISTOPHER POWELL

PREMA CORPORATION

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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