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ASHLAND CHILDREN'S CLINIC, INC.

Company Details

Name: ASHLAND CHILDREN'S CLINIC, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
File Date: 03 Oct 1957 (67 years ago)
Organization Date: 03 Oct 1957 (67 years ago)
Last Annual Report: 01 Jul 1980 (45 years ago)
Organization Number: 0002156
ZIP code: 41101
Primary County: Boyd
Principal Office: 1200 BATH AVE., ASHLAND, KY 41101
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASHLAND CHILDREN'S CLINIC 2023 610975206 2024-07-16 ASHLAND CHILDREN'S CLINIC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063290204
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2022 610975206 2023-06-25 ASHLAND CHILDREN'S CLINIC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063290204
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2023-06-25
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2021 610975206 2022-09-06 ASHLAND CHILDREN'S CLINIC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063290204
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2022-09-06
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2020 610975206 2021-07-06 ASHLAND CHILDREN'S CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2021-07-06
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2019 610975206 2020-06-30 ASHLAND CHILDREN'S CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2018 610975206 2019-07-18 ASHLAND CHILDREN'S CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2017 610975206 2018-06-26 ASHLAND CHILDREN'S CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2018-06-26
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2016 610975206 2017-07-06 ASHLAND CHILDREN'S CLINIC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 41101

Signature of

Role Plan administrator
Date 2017-07-06
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2015 610975206 2016-07-06 ASHLAND CHILDREN'S CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2016-07-06
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
ASHLAND CHILDREN'S CLINIC 2014 610975206 2015-07-22 ASHLAND CHILDREN'S CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063290204
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2015-07-22
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/24/20140724095441P030016928015001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2014-07-24
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711132524P030381672833001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6063291664
Plan sponsor’s address 700 13TH ST, ATTN LORI WILBURN, ASHLAND, KY, 411012620

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing LORI WILBURN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
HAROLD E. KELLEY Registered Agent

Incorporator

Name Role
GUY C. CUNNINGHAM Incorporator
WILLIAM F. SCHNITZKER Incorporator

Date of last update: 04 Nov 2024

Sources: Kentucky Secretary of State