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Kentuckiana Cardiovascular Specialists, PSC

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Company Details

Name: Kentuckiana Cardiovascular Specialists, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 05 Mar 2019 (6 years ago)
Organization Date: 05 Mar 2019 (6 years ago)
Last Annual Report: 19 Aug 2021 (4 years ago)
Organization Number: 1050464
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 12355 Forest School Ln, Anchorage, KY 40223
Place of Formation: KENTUCKY
Authorized Shares: 1

Registered Agent

Name Role
Christodulos Stefanatos Stavens Registered Agent

Shareholder

Name Role
Christodulos Stefanatos Stavens Shareholder
CHRIS STAVENS Shareholder

Incorporator

Name Role
Robert W DeWees III Incorporator

President

Name Role
CHRIS STAVENS President

National Provider Identifier

NPI Number:
1629537030

Authorized Person:

Name:
PAUL NEWSOM
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
5025891319

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-08-19
Annual Report 2020-09-01

USAspending Awards / Financial Assistance

Date:
2020-04-09
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:
105018.00
Total Face Value Of Loan:
105018.00

Paycheck Protection Program

Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
105018
Current Approval Amount:
105018
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
105808.55

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Sources: Kentucky Secretary of State