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EAST KENTUCKY ORAL & MAXILLOFACIAL SURGERY, P.S.C.

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Company Details

Name: EAST KENTUCKY ORAL & MAXILLOFACIAL SURGERY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Jul 2006 (19 years ago)
Organization Date: 13 Jul 2006 (19 years ago)
Last Annual Report: 17 Feb 2025 (6 months ago)
Organization Number: 0642758
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41501
City: Pikeville, Broad Bottom, Gulnare, Mccombs, Meta, Ne...
Primary County: Pike County
Principal Office: 129 LORAINE STREET, PIKEVILLE, KY 41501
Place of Formation: KENTUCKY
Authorized Shares: 500

President

Name Role
Chad C Street President

Shareholder

Name Role
Chad C Street Shareholder

Incorporator

Name Role
CHAD C. STREET, DMD, M.D. Incorporator

Registered Agent

Name Role
CHAD C. STREET, DMD, M.D. Registered Agent

National Provider Identifier

NPI Number:
1962414680

Authorized Person:

Name:
MR. CHAD CLIFTON STREET
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
6064329474

Form 5500 Series

Employer Identification Number (EIN):
205143284
Plan Year:
2024
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-02-17
Annual Report 2024-03-06
Annual Report 2023-04-18
Annual Report 2022-04-19
Annual Report 2021-04-06

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
166300.00
Total Face Value Of Loan:
166300.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$166,300
Date Approved:
2020-04-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$166,300
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$167,773.6
Servicing Lender:
The First National Bank of Williamson
Use of Proceeds:
Payroll: $133,000
Healthcare: $33300

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Sources: Kentucky Secretary of State