| Name: | XTREME PROSTHETICS, LLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 03 Aug 2010 (15 years ago) |
| Organization Date: | 03 Aug 2010 (15 years ago) |
| Last Annual Report: | 22 May 2024 (a year ago) |
| Managed By: | Members |
| Organization Number: | 0768381 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42503 |
| City: | Somerset |
| Primary County: | Pulaski County |
| Principal Office: | 1005 WEST COLUMBIA ST., STE B, SOMERSET, KY 42503 |
| Place of Formation: | KENTUCKY |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VLNFHPQHKPQ5 | 2025-01-14 | 1005 W COLUMBIA ST, STE B, SOMERSET, KY, 42503, 2720, USA | 1005 WEST COLUMBIA ST, SUITE B, SOMERSET, KY, 42503, 2720, USA | |||||||||||||||||||||||||||||||||||||
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| Congressional District | 05 |
| State/Country of Incorporation | KY, USA |
| Activation Date | 2024-01-17 |
| Initial Registration Date | 2010-08-09 |
| Entity Start Date | 2010-08-03 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 339113 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LORI MARLER |
| Address | 102 WOODMONT BLVD., SUITE 400, NASHVILLE, TN, 37205, 1323, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MIKE GARRETT |
| Address | 102 WOODMONT BLVD, STE 400, NASHVILLE, TN, 37205, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| XTREME PROSTHETICS LLC 401K PLAN | 2023 | 273166895 | 2024-11-13 | XTREME PROSTHETICS LLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-11-13 |
| Name of individual signing | WILLIAM BRAY, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 2706181750 |
| Plan sponsor’s address | 1005 W. COLUMBIA ST, STE B, SOMERSET, KY, 42503 |
Signature of
| Role | Plan administrator |
| Date | 2024-11-13 |
| Name of individual signing | WILLIAM BRAY, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 2706181750 |
| Plan sponsor’s address | 1005 W. COLUMBIA ST, STE B, SOMERSET, KY, 42503 |
Signature of
| Role | Plan administrator |
| Date | 2024-11-13 |
| Name of individual signing | WILLIAM BRAY, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 2706181750 |
| Plan sponsor’s address | 1005 W. COLUMBIA ST, STE B, SOMERSET, KY, 42503 |
Signature of
| Role | Plan administrator |
| Date | 2024-11-13 |
| Name of individual signing | WILLIAM BRAY, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 2706181750 |
| Plan sponsor’s address | 1005 W. COLUMBIA ST, STE B, SOMERSET, KY, 42503 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-22 |
| Name of individual signing | WILLIAM BRAY, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Registered Agent |
| Name | Role |
|---|---|
| Bradford Gardner | Member |
| WILLIAM E. BRAY, JR. | Member |
| Name | Role |
|---|---|
| WILLIAM E. BRAY, JR. | Organizer |
| Name | Action |
|---|---|
| XTREME PROSTHETICS & ORTHOTICS LLC | Old Name |
| Name | Status | Expiration Date |
|---|---|---|
| FORMOTION CLINIC | Active | 2029-10-09 |
| Name | File Date |
|---|---|
| Certificate of Assumed Name | 2024-10-09 |
| Registered Agent name/address change | 2024-08-13 |
| Annual Report | 2024-05-22 |
| Registered Agent name/address change | 2023-12-22 |
| Annual Report | 2023-01-25 |
| Annual Report | 2022-03-21 |
| Annual Report | 2021-06-30 |
| Annual Report | 2020-05-20 |
| Annual Report | 2019-05-08 |
| Annual Report | 2018-05-09 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | 36C24924A0045 | 2024-04-30 | No data | No data | |||||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Potential Award Amount | 7500000.00 |
Description
| Title | VISN 9 PROSTHETIC AND ORTHOTIC GOODS AND SERVICES |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | XTREME PROSTHETICS LLC |
| UEI | VLNFHPQHKPQ5 |
| Recipient Address | UNITED STATES, 1005 W COLUMBIA ST, STE B, SOMERSET, PULASKI, KENTUCKY, 425032720 |
| Unique Award Key | CONT_AWD_36C24922P0129_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Current Award Amount | 0.00 |
| Potential Award Amount | 0.00 |
Description
| Title | ORDER WAS CANCELLED BY THE ORIGINAL CO WITHOUT EXPLANATION. |
| NAICS Code | 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | XTREME PROSTHETICS LLC |
| UEI | VLNFHPQHKPQ5 |
| Recipient Address | UNITED STATES, 1005 WEST COLUMBIA STREET SUITE B, SOMERSET, PULASKI, KENTUCKY, 425032720 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8619547003 | 2020-04-08 | 0457 | PPP | 1005 COLUMBIA ST, SOMERSET, KY, 42503-2720 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Sources: Kentucky Secretary of State
