Form Physical Therapy, LLC

Alpharetta, GA

Georgia

Registered In

04/22/2018

Incorp. Date

Company Summary

Form Physical Therapy, LLC at 4005 Dover Ave, Alpharetta, Ga 30009 lists Blair Holliday and Brian Holliday of Alpharetta, GA as the associates.

Blair Holliday Registered Agent	4005 DOVER AVE, ALPHARETTA, GA 30009
Blair Holliday Organizer	4005 DOVER AVE, ALPHARETTA, GA 30009
Brian Holliday Organizer	4005 DOVER AVE, ALPHARETTA, GA 30009

4005 DOVER AVE, ALPHARETTA, GA 30009 View Map

Form 5500

1295 Hembree Road Suite A201, Roswell, Ga 30076 (678) 731-7772 EIN:82-5463861 Plan Admin:Brian Holliday

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameFORM PHYSICAL THERAPY LLC 401(K) PLAN Plan #001 Participants BOY/EOY5 / 7 Assets BOY/EOY$47,628 / $139,608	2023	FORM PHYSICAL THERAPY LLC 401(K) PLAN - Plan #001	5 / 7	$47,628 / $139,608
2022	Plan NameFORM PHYSICAL THERAPY LLC 401(K) PLAN Plan #001 Participants BOY/EOY3 / 5 Assets BOY/EOY$0 / $47,628	2022	FORM PHYSICAL THERAPY LLC 401(K) PLAN - Plan #001	3 / 5	$0 / $47,628

Benefit & Retirement Plans based on Form 5500.

PPP Loans

1295 Hembree Rd Ste A201, Roswell, GA 30076-4953 Industry:Offices of Physical, Occupational and Speech Therapists, and Audiologists

Loan Date	Approved	Forgiven	Lender	Jobs
02/12/2021	Approved$42,278 Forgiven$42,601 LenderDelta Community CU Jobs4	02/12/2021	$42,278	$42,601	Delta Community CU	4
04/13/2020	Approved$31,900 Forgiven$32,264 LenderDelta Community CU Jobs4	04/13/2020	$31,900	$32,264	Delta Community CU	4

PPP Loans based on Paycheck Protection Program.

Related Business Names:

Form & Function Physical Therapy and Sports Medicine, LLC Registered in Rhode Island	North Kingstown, RI Warwick, RI	View Report
Form Physical Therapy, LLC Registered in Michigan	St. Clair Shores, MI	View Report
Function and Form Physical Therapy LLC Registered in New Mexico	Santa Fe, NM Santa Teresa, NM	View Report
The Form, Physical Therapy LLC Registered in North Carolina	Charlotte, NC	View Report
Top Form Physical Therapy, LLC Registered in Connecticut	Branford, CT	View Report
Re-Form Physical Therapy and Pilates, LLC Registered in Texas	Amarillo, TX	View Report

Person/City Match:Blair Holliday - Alpharetta, GA

Intelligent Physical Therapy and Fitness, LLC Registered in Georgia	Alpharetta, GA		View Report

Street Match:Dover Ave Alpharetta, GA

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The following government agencies have contributed data:

Georgia Corporations Division U.S. Department of Labor U.S. Small Business Administration

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