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Louisville Lung Care, PLLC

Company Details

Name: Louisville Lung Care, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 12 Sep 2011 (14 years ago)
Organization Date: 12 Sep 2011 (14 years ago)
Last Annual Report: 06 Apr 2021 (4 years ago)
Managed By: Managers
Organization Number: 0799960
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 3999 DUTCHMANS LANE, SUITE 2F, louisville, KY 40207
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LOUISVILLE LUNG CARE 401(K) PLAN 2023 453214505 2024-09-24 LOUISVILLE LUNG CARE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207
LOUISVILLE LUNG CARE PLLC CBS BENEFIT PLAN 2023 453214505 2024-04-29 LOUISVILLE LUNG CARE PLLC 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-10-01
Business code 621491
Sponsor’s telephone number 5028830227
Plan sponsor’s address 1015 DUPONT RD, LOUISVILLE, KY, 40207

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 2024-04-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
LOUISVILLE LUNG CARE PLLC CBS BENEFIT PLAN 2022 453214505 2023-12-27 LOUISVILLE LUNG CARE PLLC 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-10-01
Business code 621491
Sponsor’s telephone number 5028830227
Plan sponsor’s address 1015 DUPONT RD, LOUISVILLE, KY, 40207

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
LOUISVILLE LUNG CARE 401(K) PLAN 2022 453214505 2023-09-16 LOUISVILLE LUNG CARE, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207
LOUISVILLE LUNG CARE 401(K) PLAN 2021 453214505 2022-09-20 LOUISVILLE LUNG CARE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207
LOUISVILLE LUNG CARE 401(K) PLAN 2020 453214505 2021-10-07 LOUISVILLE LUNG CARE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207

Organizer

Name Role
Moutaz Al Nabhan Organizer

Registered Agent

Name Role
MOUTAZ AL NABHAN Registered Agent

Manager

Name Role
Moutaz Al-Nabhan Manager

Filings

Name File Date
Administrative Dissolution 2022-10-04
Sixty Day Notice Return 2022-09-13
Registered Agent name/address change 2022-03-04
Reinstatement Certificate of Existence 2021-04-06
Reinstatement 2021-04-06
Reinstatement Approval Letter Revenue 2021-04-06
Administrative Dissolution 2018-10-16
Annual Report 2017-05-10
Annual Report 2016-04-10
Annual Report 2015-06-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2875197105 2020-04-11 0457 PPP 5724 HARRODS GLEN DR, PROSPECT, KY, 40059
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 100500
Loan Approval Amount (current) 100500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PROSPECT, JEFFERSON, KY, 40059-0001
Project Congressional District KY-03
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 101766.69
Forgiveness Paid Date 2021-07-22

Sources: Kentucky Secretary of State