Coastal Provisions, Inc.

Registered In: North Carolina
Incorporation Date: 04/18/2006
Registration Type: Foreign
Foreign Jurisdiction: Maryland
Company Type: Business Corporation
Status: Withdrawn
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Secretary Of State Registered Agent	2 S SALISBURY ST, RALEIGH, NC 27601 PO BOX 29622, RALEIGH, NC 27626 (Mailing)
Daniel Lewis President	122 ROANOKE DR, KILL DEVIL HILLS, NC 27948
D. Scott Foster Vice President	80 DUCK WOOD DR, SOUTHERN SHORES, NC 27949

1 OCEAN BLVD STE 101, SOUTHERN SHORES, NC 27949 View Map

Financial Information for Coastal Provisions, Inc.

Form 5500

1209 Duck Road, Duck, Nc 27949 (252) 480-0023 EIN:20-2835096 Plan Admin:David Foster

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameCOASTAL PROVISIONS 401(K) PLAN Plan #001 Participants BOY/EOY28 / 23 Assets BOY/EOY$451,732 / $523,257	2022	COASTAL PROVISIONS 401(K) PLAN - Plan #001	28 / 23	$451,732 / $523,257
2021	Plan NameCOASTAL PROVISIONS 401(K) PLAN Plan #001 Participants BOY/EOY25 / 23 Assets BOY/EOY$267,982 / $451,732	2021	COASTAL PROVISIONS 401(K) PLAN - Plan #001	25 / 23	$267,982 / $451,732
2020	Plan NameCOASTAL PROVISIONS 401(K) PLAN Plan #001 Participants BOY/EOY26 / 20 Assets BOY/EOY$97,334 / $267,982	2020	COASTAL PROVISIONS 401(K) PLAN - Plan #001	26 / 20	$97,334 / $267,982
2019	Plan NameCOASTAL PROVISIONS 401(K) PLAN Plan #001 Participants BOY/EOY26 / 26 Assets BOY/EOY$0 / $97,334	2019	COASTAL PROVISIONS 401(K) PLAN - Plan #001	26 / 26	$0 / $97,334

Benefit & Retirement Plans based on Form 5500.

PPP Loans

COASTAL PROVISIONS INC.

1209 Duck Rd, Duck, NC 27949-4561 Industry:Full-Service Restaurants Ethnicity:Not Hispanic or Latino Race:White Veteran:No

Loan Date	Approved	Forgiven	Lender	Jobs
01/22/2021	Approved$632,900 Forgiven$638,121 LenderTowneBank Jobs25	01/22/2021	$632,900	$638,121	TowneBank	25
04/10/2020	Approved$402,700 Forgiven$405,095 LenderTowneBank Jobs52	04/10/2020	$402,700	$405,095	TowneBank	52

PPP Loans based on Paycheck Protection Program.

Address Match:1 Ocean Blvd Ste 101 Southern Shores, NC

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Coastal Provisions, Inc. Registered in New Jersey	New Jersey	View Report
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Address Match:1 Ocean Blvd Southern Shores, NC

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The following government agencies have contributed data:

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Coastal Provisions, Inc.

Company Summary

Financial Information for Coastal Provisions, Inc.

COASTAL PROVISIONS, INC.

COASTAL PROVISIONS INC.