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BRIARWOOD DENTAL, LLC

Company Details

Name: BRIARWOOD DENTAL, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Jan 2013 (12 years ago)
Organization Date: 03 Jan 2013 (12 years ago)
Last Annual Report: 08 May 2024 (a year ago)
Managed By: Members
Organization Number: 0846117
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42103
City: Bowling Green
Primary County: Warren County
Principal Office: 1042 FAIRVIEW AVE., SUITE C , BOWLING GREEN, KY 42103
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRIARWOOD DENTAL, LLC RETIREMENT PLAN 2023 461642171 2024-10-08 BRIARWOOD DENTAL LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing KEVIN CLEMMONS
Valid signature Filed with authorized/valid electronic signature
BRIARWOOD DENTAL LLC CASH BALANCE PENSION PLAN 2023 461642171 2024-09-11 BRIARWOOD DENTAL LLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE SUITE C, BOWLING GREEN, KY, 42103
BRIARWOOD DENTAL LLC CASH BALANCE PENSION PLAN 2022 461642171 2023-10-10 BRIARWOOD DENTAL LLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE SUITE C, BOWLING GREEN, KY, 42103
BRIARWOOD DENTAL, LLC RETIREMENT PLAN 2022 461642171 2023-10-18 BRIARWOOD DENTAL LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2023-10-18
Name of individual signing KEVIN CLEMMONS
Valid signature Filed with authorized/valid electronic signature
BRIARWOOD DENTAL LLC CASH BALANCE PENSION PLAN 2021 461642171 2022-09-16 BRIARWOOD DENTAL LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE SUITE C, BOWLING GREEN, KY, 42103
BRIARWOOD DENTAL, LLC RETIREMENT PLAN 2021 461642171 2022-09-30 BRIARWOOD DENTAL LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing KEVIN CLEMMONS
Valid signature Filed with authorized/valid electronic signature
BRIARWOOD DENTAL, LLC RETIREMENT PLAN 2020 461642171 2021-10-14 BRIARWOOD DENTAL LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing KEVIN CLEMMONS
Valid signature Filed with authorized/valid electronic signature
BRIARWOOD DENTAL, LLC RETIREMENT PLAN 2019 461642171 2020-10-07 BRIARWOOD DENTAL LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE, BOWLING GREEN, KY, 42103
BRIARWOOD DENTAL, LLC RETIREMENT PLAN 2018 461642171 2019-10-08 BRIARWOOD DENTAL LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE, BOWLING GREEN, KY, 42103
BRIARWOOD DENTAL, LLC RETIREMENT PLAN 2017 461642171 2018-10-12 BRIARWOOD DENTAL LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2707465880
Plan sponsor’s address 1042 FAIRVIEW AVE, BOWLING GREEN, KY, 42103

Member

Name Role
BILLY KEVIN CLEMMONS Member

Organizer

Name Role
BILLY KEVIN CLEMMONS Organizer

Registered Agent

Name Role
BILLY KEVIN CLEMMONS Registered Agent

Filings

Name File Date
Annual Report 2024-05-08
Annual Report 2023-04-23
Annual Report 2022-04-25
Annual Report 2021-05-08
Annual Report 2020-03-06
Annual Report 2019-05-12
Annual Report 2018-04-21
Annual Report 2017-05-13
Annual Report 2016-03-22
Annual Report 2015-04-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1795867100 2020-04-10 0457 PPP 1042 Fairview Ave, Bowling Green, KY, 42103-1677
Loan Status Date 2021-08-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 189752
Loan Approval Amount (current) 189752
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27159
Servicing Lender Name First Southern National Bank
Servicing Lender Address 27, Public Sq, Lancaster, KY, 40444
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bowling Green, WARREN, KY, 42103-1677
Project Congressional District KY-02
Number of Employees 19
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27159
Originating Lender Name First Southern National Bank
Originating Lender Address Lancaster, KY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 192169.39
Forgiveness Paid Date 2021-07-30

Sources: Kentucky Secretary of State