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Mandala House, LLC

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Company Details

Name: Mandala House, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 15 Feb 2016 (9 years ago)
Organization Date: 15 Feb 2016 (9 years ago)
Last Annual Report: 12 Mar 2025 (4 months ago)
Managed By: Managers
Organization Number: 0944285
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40204
City: Louisville
Primary County: Jefferson County
Principal Office: 633 BAXTER AVE, LOUISVILLE, KY 40204
Place of Formation: KENTUCKY

Registered Agent

Name Role
JACKS GILLES Registered Agent
Jacquelyn Gilles Registered Agent

Manager

Name Role
Jacks Gilles Manager
Christopher Colgan Tyler Manager

Organizer

Name Role
Jacquelyn Gilles Organizer

National Provider Identifier

NPI Number:
1659829760
Certification Date:
2024-09-30

Authorized Person:

Name:
DR. JACKS GILLES
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC1900X - Counseling Psychologist
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
5027714283

Form 5500 Series

Employer Identification Number (EIN):
811445939
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:

Filings

Name File Date
Registered Agent name/address change 2025-03-12
Annual Report 2025-03-12
Annual Report 2024-05-31
Annual Report 2023-05-02
Annual Report 2022-03-07

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
101485.00
Total Face Value Of Loan:
101485.00

Paycheck Protection Program

Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
101485
Current Approval Amount:
101485
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
102714.1

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Sources: Kentucky Secretary of State