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THE CARSON BLACK LUNG CENTER OF PINEVILLE, INC.

Company Details

Name: THE CARSON BLACK LUNG CENTER OF PINEVILLE, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 01 Aug 2018 (7 years ago)
Organization Date: 01 Aug 2018 (7 years ago)
Last Annual Report: 29 Jun 2020 (5 years ago)
Organization Number: 1028674
ZIP code: 40977
City: Pineville, Balkan, Callaway, Cary, Chenoa, Clear Cr...
Primary County: Bell County
Principal Office: 820 ROBERT L. MADDON BYPASS THIRD FLOOR, PINEVILLE COMMUNITY HEALTH CENTER, PINEVILLE, KY 40977
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
VCORP SERVICES, LLC Registered Agent

CEO

Name Role
Ron Carson CEO

COO

Name Role
Rodney Terry COO

Secretary

Name Role
Cynthia Viers Secretary

Director

Name Role
Ron Carson Director
Rodney Terry Director
Cynthia Viers Director

Incorporator

Name Role
TAYLOR LOYLA Incorporator

National Provider Identifier

NPI Number:
1083192595
Certification Date:
2020-09-14

Authorized Person:

Name:
MR. RODNEY TERRY
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6062440999

Assumed Names

Name Status Expiration Date
THE CARSON BLACK LUNG CLINIC OF PINEVILLE, INCORPORATED Inactive 2023-09-17

Filings

Name File Date
Dissolution 2021-06-30
Principal Office Address Change 2020-06-29
Annual Report 2020-06-29
Annual Report 2019-09-03
Certificate of Assumed Name 2018-09-17

USAspending Awards / Financial Assistance

Date:
2021-02-26
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:
43770.00
Total Face Value Of Loan:
43770.00
Date:
2020-06-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

Paycheck Protection Program

Date Approved:
2021-02-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
43770
Current Approval Amount:
43770
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
44173.66

Sources: Kentucky Secretary of State