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Blaine Jacob Inc

Company Details

Name: Blaine Jacob Inc
Legal type: Foreign Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 09 Dec 2021 (3 years ago)
Organization Date: 01 Dec 2006 (18 years ago)
Authority Date: 09 Dec 2021 (3 years ago)
Last Annual Report: 21 Aug 2024 (7 months ago)
Organization Number: 1180811
Industry: Miscellaneous Retail
Number of Employees: Small (0-19)
ZIP code: 40516
City: Lexington
Primary County: Fayette County
Principal Office: 4450 Oscar Dr, Lexington, KY 40516
Place of Formation: GEORGIA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLAINE JACOB INC. CASH BALANCE PLAN 2023 205538042 2024-09-16 BLAINE JACOB INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 443142
Sponsor’s telephone number 9127151000
Plan sponsor’s address 4450 OSCAR DR., LEXINGTON, KY, 40516

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing ANTHONY WARREN
Valid signature Filed with authorized/valid electronic signature
BLAINE JACOB INC. 401K PLAN 2023 205538042 2024-07-26 BLAINE JACOB INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 532210
Sponsor’s telephone number 9127151000
Plan sponsor’s address 4450 OSCAR DR., LEXINGTON, KY, 40516

Signature of

Role Plan administrator
Date 2024-07-26
Name of individual signing ANTHONY WARREN
Valid signature Filed with authorized/valid electronic signature
BLAINE JACOB INC. 401K PLAN 2022 205538042 2023-06-15 BLAINE JACOB INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 532210
Sponsor’s telephone number 9127151000
Plan sponsor’s address 4450 OSCAR DR., LEXINGTON, KY, 40516

Signature of

Role Plan administrator
Date 2023-06-15
Name of individual signing ANTHONY WARREN
Valid signature Filed with authorized/valid electronic signature
BLAINE JACOB INC. CASH BALANCE PLAN 2022 205538042 2023-09-26 BLAINE JACOB INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 443142
Sponsor’s telephone number 9127151000
Plan sponsor’s address 4450 OSCAR DR., LEXINGTON, KY, 40516

Signature of

Role Plan administrator
Date 2023-09-26
Name of individual signing ANTHONY WARREN
Valid signature Filed with authorized/valid electronic signature
BLAINE JACOB INC. 401K PLAN 2021 205538042 2022-08-03 BLAINE JACOB INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 532210
Sponsor’s telephone number 9127151000
Plan sponsor’s address 4450 OSCAR DR., LEXINGTON, KY, 40516

Signature of

Role Plan administrator
Date 2022-08-03
Name of individual signing ANTHONY WARREN
Valid signature Filed with authorized/valid electronic signature
BLAINE JACOB INC. CASH BALANCE PLAN 2021 205538042 2022-09-30 BLAINE JACOB INC. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 443142
Sponsor’s telephone number 9127151000
Plan sponsor’s address 4450 OSCAR DR., LEXINGTON, KY, 40516

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing ANTHONY WARREN
Valid signature Filed with authorized/valid electronic signature

President

Name Role
Andrew Crowley President

Director

Name Role
Andrew Crowley Director

Registered Agent

Name Role
Andy Crowley Registered Agent

Authorized Rep

Name Role
Andy Crowley Authorized Rep

Officer

Name Role
Andy Crowley Officer

Filings

Name File Date
Annual Report 2024-08-21
Annual Report 2023-03-22
Annual Report 2022-08-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7013617306 2020-04-30 0457 PPP 4450 Oscar Dr, Lexington, KY, 40516
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 141200
Loan Approval Amount (current) 141200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lexington, FAYETTE, KY, 40516-2028
Project Congressional District KY-06
Number of Employees 21
NAICS code 532210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 142890.48
Forgiveness Paid Date 2021-07-13

Sources: Kentucky Secretary of State