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  5. XTREME PROSTHETICS, LLC

XTREME PROSTHETICS, LLC

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Company Details

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

Registered Agent

Name Role
C T CORPORATION SYSTEM Registered Agent

Member

Name Role
Bradford Gardner Member
WILLIAM E. BRAY, JR. Member

Organizer

Name Role
WILLIAM E. BRAY, JR. Organizer

Unique Entity ID

Unique Entity ID:
VLNFHPQHKPQ5
CAGE Code:
63FH3
UEI Expiration Date:
2025-11-15

Business Information

Activation Date:
2024-11-20
Initial Registration Date:
2010-08-09

Commercial and government entity program

CAGE number:
63FH3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-14
CAGE Expiration:
2030-07-14
SAM Expiration:
2026-07-10

Contact Information

POC:
MIKE GARRETT

Highest Level Owner

Vendor Certified:
2025-07-14
CAGE number:
SZA29
Company Name:
EMBLA MEDICAL HF

Immediate Level Owner

Vendor Certified:
2025-07-14
CAGE number:
7DYW4
Company Name:
BULOW HOLDINGS LLC

National Provider Identifier

NPI Number:
1063179497
Certification Date:
2021-11-19
Link:
View on NPI website

Authorized Person:

Name:
AARON KRATOHVIL
Role:
VP OF FINANCE, CONTROLLER
Phone:
6155508760

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Phone:
+1 503-308-4144

Form 5500 Series

Employer Identification Number (EIN):
273166895
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
2706181750
File:
View File
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
2706181750
File:
View File
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
2706181750
File:
View File
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
2706181750
File:
View File
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:
2706181750
File:
View File

Former Company Names

Name Action
XTREME PROSTHETICS & ORTHOTICS LLC Old Name

Assumed Names

Name Status Expiration Date
FORMOTION CLINIC Active 2029-10-09

Filings

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

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24924A0045
Link:
View Award on USAspending website
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
7500000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-04-30
Description:
VISN 9 PROSTHETIC AND ORTHOTIC GOODS AND SERVICES
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
36C24923P0627
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
25717.98
Base And Exercised Options Value:
25717.98
Base And All Options Value:
25717.98
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-06-15
Description:
ARTIFICIAL LIMB FOR VETERAN
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
36C24923P0567
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
14945.87
Base And Exercised Options Value:
14945.87
Base And All Options Value:
14945.87
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-05-24
Description:
ARTIFICIAL LIMB FOR VETERAN
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

USAspending Awards / Financial Assistance

Date:
2020-04-08
Link:
View on USAspending
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:
37140.30
Total Face Value Of Loan:
37140.30
Date:
2012-12-21
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
20000.00
Total Face Value Of Loan:
20000.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$37,140.3
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$37,140.3
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$37,466.93
Servicing Lender:
Edmonton State Bank
Use of Proceeds:
Payroll: $37,140.3

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Sources: Kentucky Secretary of State

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