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ADVANCED INTERNAL MEDICINE, PLLC

Company Details

Name: ADVANCED INTERNAL MEDICINE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Jan 2014 (11 years ago)
Organization Date: 27 Jan 2014 (11 years ago)
Last Annual Report: 26 Jun 2024 (10 months ago)
Managed By: Managers
Organization Number: 0877589
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42001
City: Paducah
Primary County: McCracken County
Principal Office: 2005 BROADWAY ST, PADUCAH, KY 42001
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED INTERNAL MEDICINE CBS BENEFIT PLAN 2023 464668950 2024-12-30 ADVANCED INTERNAL MEDICINE 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-01-01
Business code 713900
Sponsor’s telephone number 2703667650
Plan sponsor’s address 2005 BROADWAY STREET, PADUCAH, KY, 42001

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
ADVANCED INTERNAL MEDICINE CBS BENEFIT PLAN 2022 464668950 2023-12-27 ADVANCED INTERNAL MEDICINE 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-01-01
Business code 713900
Sponsor’s telephone number 2703667650
Plan sponsor’s address 2005 BROADWAY STREET, PADUCAH, KY, 42001

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

Registered Agent

Name Role
RYAN C. FRAZINE Registered Agent

Organizer

Name Role
RYAN C. FRAZINE Organizer

Manager

Name Role
RYAN FRAZINE Manager

Assumed Names

Name Status Expiration Date
Sparrow Family Medicine, PLLC Active 2028-07-17
FRAZINE MEDICAL WEIGHT LOSS Inactive 2023-01-04

Filings

Name File Date
Annual Report 2024-06-26
Certificate of Assumed Name 2023-07-17
Annual Report 2023-03-16
Registered Agent name/address change 2022-10-12
Principal Office Address Change 2022-10-12
Annual Report 2022-06-28
Annual Report 2021-05-24
Annual Report 2020-05-27
Annual Report 2019-05-31
Annual Report 2018-04-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2616628301 2021-01-21 0457 PPS 2605 Kentucky Ave Ste 402, Paducah, KY, 42003-3803
Loan Status Date 2021-09-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 93666.45
Loan Approval Amount (current) 93666.45
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21960
Servicing Lender Name The City National Bank of Metropolis
Servicing Lender Address 423 Ferry St, METROPOLIS, IL, 62960-1852
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Paducah, MCCRACKEN, KY, 42003-3803
Project Congressional District KY-01
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 21960
Originating Lender Name The City National Bank of Metropolis
Originating Lender Address METROPOLIS, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 94189.42
Forgiveness Paid Date 2021-08-11
5406067004 2020-04-05 0457 PPP 2605 Kentucky Ave Suite 402, PADUCAH, KY, 42003-3800
Loan Status Date 2021-01-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 88353.07
Loan Approval Amount (current) 88353.07
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21960
Servicing Lender Name The City National Bank of Metropolis
Servicing Lender Address 423 Ferry St, METROPOLIS, IL, 62960-1852
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PADUCAH, MCCRACKEN, KY, 42003-3800
Project Congressional District KY-01
Number of Employees 8
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 21960
Originating Lender Name The City National Bank of Metropolis
Originating Lender Address METROPOLIS, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 88956.82
Forgiveness Paid Date 2020-12-16

Sources: Kentucky Secretary of State