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  5. COMMUNITY FAMILY CLINIC, PLLC

COMMUNITY FAMILY CLINIC, PLLC

Company Details

Name: COMMUNITY FAMILY CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Mar 2006 (19 years ago)
Organization Date: 28 Mar 2006 (19 years ago)
Last Annual Report: 25 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0635519
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40322
City: Frenchburg, Mariba, Scranton
Primary County: Menifee County
Principal Office: 784 HWY 36, FRENCHBURG, KY 40322
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY FAMILY CLINIC, PLLC 401(K) PLAN 2023 204608382 2024-07-11 COMMUNITY FAMILY CLINIC, PLLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6067689190
Plan sponsor’s address 784 HIGHWAY 36, FRENCHBURG, KY, 40322

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing ROULA ALBADIN
Valid signature Filed with authorized/valid electronic signature
COMMUNITY FAMILY CLINIC, PLLC 401(K) PLAN 2022 204608382 2023-06-17 COMMUNITY FAMILY CLINIC, PLLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6067689190
Plan sponsor’s address 784 HIGHWAY 36, FRENCHBURG, KY, 40322

Signature of
Role Plan administrator
Date 2023-06-17
Name of individual signing ROULA ALBADIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-17
Name of individual signing TAUFIK KASSIS
Valid signature Filed with authorized/valid electronic signature
COMMUNITY FAMILY CLINIC, PLLC 401(K) PLAN 2021 204608382 2022-07-11 COMMUNITY FAMILY CLINIC, PLLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6067689190
Plan sponsor’s address 784 HIGHWAY 36, FRENCHBURG, KY, 40322

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing ROULA ALBADIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-11
Name of individual signing TAUFIK KASSIS
Valid signature Filed with authorized/valid electronic signature
COMMUNITY FAMILY CLINIC, PLLC 401(K) PLAN 2020 204608382 2021-07-08 COMMUNITY FAMILY CLINIC, PLLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6067689190
Plan sponsor’s address 784 HIGHWAY 36, FRENCHBURG, KY, 40322

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing ROULA ALBADIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing TAUFIK KASSIS
Valid signature Filed with authorized/valid electronic signature
COMMUNITY FAMILY CLINIC, PLLC 401(K) PLAN 2020 204608382 2021-06-29 COMMUNITY FAMILY CLINIC, PLLC 47
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6067689190
Plan sponsor’s address 784 HIGHWAY 36, FRENCHBURG, KY, 40322

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing ROULA ALBADIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-29
Name of individual signing TAUFIK KASSIS
Valid signature Filed with authorized/valid electronic signature
COMMUNITY FAMILY CLINIC, PLLC 401(K) PLAN 2019 204608382 2020-05-07 COMMUNITY FAMILY CLINIC, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6067689190
Plan sponsor’s address 784 HIGHWAY 36, FRENCHBURG, KY, 40322

Signature of
Role Plan administrator
Date 2020-05-07
Name of individual signing ROULA ALBADIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-07
Name of individual signing TAUFIK KASSIS
Valid signature Filed with authorized/valid electronic signature
COMMUNITY FAMILY CLINIC, PLLC 401(K) PLAN 2018 204608382 2019-05-16 COMMUNITY FAMILY CLINIC, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6067689190
Plan sponsor’s address 784 HIGHWAY 36, FRENCHBURG, KY, 40322

Signature of
Role Plan administrator
Date 2019-05-16
Name of individual signing ROULA ALBADIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-16
Name of individual signing TAUFIK KASSIS
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
TAUFIK KASSIS Organizer

Registered Agent

Name Role
TAUFIK KASSIS Registered Agent

Member

Name Role
TAUFIK KASSIS Member

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-05-02
Annual Report 2022-04-20
Annual Report 2021-04-06
Annual Report 2020-03-25
Annual Report 2019-04-10
Annual Report 2018-04-23
Annual Report 2017-05-10
Annual Report 2016-05-04
Annual Report 2015-05-13

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DEFINITIVE CONTRACT AWARD 1282A723C0007 2022-11-01 2025-10-31 2027-10-31
Unique Award Key CONT_AWD_1282A723C0007_12C2_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 292608.00
Current Award Amount 292608.00
Potential Award Amount 497280.00

Description
Title MEDICAL SERVICES; FRENCHBURG JOB CORP CENTER; FRENCHBURG, KY; EXERCISE OPTION YEAR 2
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: MEDICAL- MANAGED HEALTHCARE

Recipient Details
Recipient COMMUNITY FAMILY CLINIC, PLLC
UEI KB5JG56PBPU9
Recipient Address UNITED STATES, 784 HWY 36, FRENCHBURG, MENIFEE, KENTUCKY, 403228123
No data IDV AG82X9C080019 2008-09-26 No data No data
Unique Award Key CONT_IDV_AG82X9C080019_12C2
Awarding Agency Department of Agriculture
Link View Page

Description
Title MEDICAL SERVICES FOR FRENCHBURG JOB CORPS CENTER.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q526: MEDICAL/PSYCH CONSULTATION SVCS

Recipient Details
Recipient COMMUNITY FAMILY CLINIC, PLLC
UEI KB5JG56PBPU9
Legacy DUNS 623975450
Recipient Address 784 HWY 36, FRENCHBURG, 403228123, UNITED STATES

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7190738609 2021-03-23 0457 PPS 784 Highway 36, Frenchburg, KY, 40322-8123
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 449900
Loan Approval Amount (current) 449900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27631
Servicing Lender Name Traditional Bank, Inc.
Servicing Lender Address 49 W Main St, MOUNT STERLING, KY, 40353-1316
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Frenchburg, MENIFEE, KY, 40322-8123
Project Congressional District KY-05
Number of Employees 44
NAICS code 621111
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 27631
Originating Lender Name Traditional Bank, Inc.
Originating Lender Address MOUNT STERLING, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 452291.25
Forgiveness Paid Date 2021-10-06
4469127001 2020-04-03 0457 PPP 784 HIGHWAY 36, FRENCHBURG, KY, 40322-8123
Loan Status Date 2021-02-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 413900
Loan Approval Amount (current) 413800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27631
Servicing Lender Name Traditional Bank, Inc.
Servicing Lender Address 49 W Main St, MOUNT STERLING, KY, 40353-1316
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address FRENCHBURG, MENIFEE, KY, 40322-8123
Project Congressional District KY-05
Number of Employees 40
NAICS code 621111
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 27631
Originating Lender Name Traditional Bank, Inc.
Originating Lender Address MOUNT STERLING, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 416940.35
Forgiveness Paid Date 2021-01-13

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P0760328 COMMUNITY FAMILY CLINIC, PLLC - KB5JG56PBPU9 784 HIGHWAY 36, FRENCHBURG, KY, 40322-8123
Capabilities Statement Link -
Phone Number 606-768-9190
Fax Number 606-768-9180
E-mail Address Shaneiceta.Rupe@cfamilyclinic.com
WWW Page -
E-Commerce Website -
Contact Person SHANEICETA RUPE
County Code (3 digit) 165
Congressional District 05
Metropolitan Statistical Area -
CAGE Code 4DJB3
Year Established 2006
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications -
Business Development Servicing Office KENTUCKY DISTRICT OFFICE (SBA office code 0457)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 621111
NAICS Code's Description Offices of Physicians (except Mental Health Specialists)
Small Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-12-19 2025 Health & Family Services Cabinet Department For Community Based Services Non Pro Contract Lab Tests & Anal Fees 1099 Rep 50
Executive 2023-09-25 2024 Health & Family Services Cabinet Department For Community Based Services Non Pro Contract Lab Tests & Anal Fees 1099 Rep 75
Executive 2023-08-31 2024 Health & Family Services Cabinet Department For Community Based Services Non Pro Contract Lab Tests & Anal Fees 1099 Rep 50

Related by officers

TAUFIK KASSIS

SHAM, L.L.C. FOX GLOVE PARTNERS, LLC CASA SAN PIO CLINICS OF APPALACHIA, LLC STERLING BEHAVIORAL HEALTH, LLC SPARK BEHAVIORAL AND RECOVERY, LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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