Provenance Laboratories, LLC

Encino, CA

California

Registered In

08/21/2017

Incorp. Date

Company Summary

Provenance Laboratories, LLC at 1717 Stewart St, Santa Monica, Ca 90404 lists Joshua Bishop-Moser and Alexander Klachin of Santa Monica, CA as associates.

Registered In: California
Incorporation Date: 08/21/2017
Registration Type: Domestic
Company Type: Limited Liability Company - Ca
Status: Active
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David Beharry Individual Agent	1000 WILSHIRE BLVD STE 1650, LOS ANGELES, CA 90017
Joshua Bishop-Moser CEO	1717 STEWART ST, SANTA MONICA, CA 90404
Alexander Klachin Manager	1717 STEWART ST, SANTA MONICA, CA 90404
Anna Goldin Manager	1717 STEWART ST, SANTA MONICA, CA 90404
Anton Abugov Manager	1717 STEWART ST, SANTA MONICA, CA 90404

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1717 STEWART ST, SANTA MONICA, CA 90404 View Map

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Financial Information for Provenance Laboratories, LLC

Form 5500

PROVENANCE LABORATORIES LLC

16347 Amota Ct, Encino, Ca 91436 (213) 372-9087 EIN:82-2128049 Plan Admin:Nick Rice

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NamePROVENANCE LABORATORIES LLC Plan #001 Participants BOY/EOY1 / 1 Assets BOY/EOY$0 / $24,257	2022	PROVENANCE LABORATORIES LLC - Plan #001	1 / 1	$0 / $24,257

Benefit & Retirement Plans based on Form 5500.

PPP Loans

PROVENANCE LABORATORIES, LLC

1000 Wilshire Blvd Suite 1650, LOS ANGELES, CA 90017-2436 Industry:Testing Laboratories and Services

Loan Date	Approved	Forgiven	Lender	Jobs
04/28/2020	Approved$20,832 Forgiven$21,056 LenderCity National Bank Jobs1	04/28/2020	$20,832	$21,056	City National Bank	1

PPP Loans based on Paycheck Protection Program.

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The following government agencies have contributed data:

California Secretary of State U.S. Department of Labor U.S. Small Business Administration

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