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DANIEL BOONE FAMILY HEALTHCARE, PLLC

Company Details

Name: DANIEL BOONE FAMILY HEALTHCARE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 Apr 2008 (17 years ago)
Organization Date: 08 Apr 2008 (17 years ago)
Last Annual Report: 04 Mar 2025 (2 months ago)
Managed By: Managers
Organization Number: 0702456
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40906
City: Barbourville, Bailey Switch, Baughman, Crane Nest, Gau...
Primary County: Knox County
Principal Office: P.O. BOX 518, BARBOURVILLE, KY 40906
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL BOONE FAMILY HEALTHCARE PLLC CBS BENEFIT PLAN 2023 262335493 2024-12-30 DANIEL BOONE FAMILY HEALTHCARE PLLC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621491
Sponsor’s telephone number 6065450400
Plan sponsor’s address 215 TREUHAFT BLVD, SUITE 2, BARBOURVILLE, KY, 40906

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
DANIEL BOONE FAMILY HEALTHCARE PLLC CBS BENEFIT PLAN 2022 262335493 2023-12-27 DANIEL BOONE FAMILY HEALTHCARE PLLC 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621491
Sponsor’s telephone number 6065450400
Plan sponsor’s address 215 TREUHAFT BLVD, SUITE 2, BARBOURVILLE, KY, 40906

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
DANIEL BOONE FAMILY HEALTHCARE PLLC CBS BENEFIT PLAN 2021 262335493 2022-12-29 DANIEL BOONE FAMILY HEALTHCARE PLLC 3
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621491
Sponsor’s telephone number 6065450400
Plan sponsor’s address 215 TREUHAFT BLVD, SUITE 2, BARBOURVILLE, KY, 40906

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
RODNEY T. SMITH Organizer

Manager

Name Role
Rodney Travis Smith Manager

Registered Agent

Name Role
RODNEY T. SMITH Registered Agent

Filings

Name File Date
Annual Report 2025-03-04
Annual Report 2024-04-26
Annual Report 2023-04-07
Annual Report 2022-05-17
Annual Report 2021-05-11
Annual Report 2020-06-01
Annual Report 2019-06-30
Annual Report 2018-06-11
Annual Report 2017-06-02
Registered Agent name/address change 2017-06-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9521617007 2020-04-09 0457 PPP 215 TREUHAFT BLVD, STE 2 & 3, BARBOURVILLE, KY, 40906-7361
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 62300
Loan Approval Amount (current) 62300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67045
Servicing Lender Name Commercial Bank
Servicing Lender Address 6710 Cumberland Gap Pkwy, HARROGATE, TN, 37752-8013
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BARBOURVILLE, KNOX, KY, 40906-7361
Project Congressional District KY-05
Number of Employees 9
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 67045
Originating Lender Name Commercial Bank
Originating Lender Address HARROGATE, TN
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 62698.03
Forgiveness Paid Date 2020-12-02

Sources: Kentucky Secretary of State