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iDENTity Dental Studio, PLLC

Company Details

Name: iDENTity Dental Studio, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 11 Jul 2014 (11 years ago)
Organization Date: 11 Jul 2014 (11 years ago)
Last Annual Report: 25 Feb 2025 (2 months ago)
Managed By: Members
Organization Number: 0891926
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40509
City: Lexington
Primary County: Fayette County
Principal Office: 541 DARBY CREEK ROAD, SUITE 190, LEXINGTON, KY 40509
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDENTITY DENTAL STUDIO, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 473160656 2024-07-10 IDENTITY DENTAL STUDIO PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8594940717
Plan sponsor’s address 541 DARBY CREEK ROAD STE 190, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing BRANDON STAPLETON
Valid signature Filed with authorized/valid electronic signature
IDENTITY DENTAL STUDIO PLLC 2023 473160656 2024-10-08 IDENTITY DENTAL STUDIO PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8592872484
Plan sponsor’s address 541 DARBY CREEK RD STE 190, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
IDENTITY DENTAL STUDIO PLLC 2022 473160656 2023-08-09 IDENTITY DENTAL STUDIO PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8592872484
Plan sponsor’s address 541 DARBY CREEK RD STE 190, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2023-08-09
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
IDENTITY DENTAL STUDIO PLLC 2021 473160656 2022-06-08 IDENTITY DENTAL STUDIO PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8592872484
Plan sponsor’s address 541 DARBY CREEK RD STE 190, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2022-06-08
Name of individual signing JESSICA STAPLETON
Valid signature Filed with authorized/valid electronic signature
IDENTITY DENTAL STUDIO PLLC 2020 473160656 2021-08-31 IDENTITY DENTAL STUDIO PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8592872484
Plan sponsor’s address 541 DARBY CREEK RD STE 190, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2021-08-31
Name of individual signing JESSICA STAPLETON
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Brandon Morris Stapleton Registered Agent

Member

Name Role
Brandon Morris Stapleton Member

Organizer

Name Role
Brandon Morris Stapleton Organizer

Assumed Names

Name Status Expiration Date
IDENTITY WELLNESS STUDIO Active 2030-04-14

Filings

Name File Date
Certificate of Assumed Name 2025-04-14
Annual Report 2025-02-25
Annual Report 2024-08-07
Annual Report 2023-05-02
Annual Report 2023-05-02
Annual Report 2022-03-08
Annual Report 2021-08-18
Annual Report 2020-08-04
Annual Report 2019-04-28
Annual Report 2018-05-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5319127000 2020-04-05 0457 PPP 541 DARBY CREEK RD, LEXINGTON, KY, 40509-1603
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68000
Loan Approval Amount (current) 68000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27569
Servicing Lender Name Stock Yards Bank & Trust Company
Servicing Lender Address 1040 E Main St, LOUISVILLE, KY, 40206-1856
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address LEXINGTON, FAYETTE, KY, 40509-1603
Project Congressional District KY-06
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27569
Originating Lender Name Stock Yards Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 68924.05
Forgiveness Paid Date 2021-08-24

Sources: Kentucky Secretary of State