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CHEST MEDICINE ASSOCIATES, P.S.C

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Company Details

Name: CHEST MEDICINE ASSOCIATES, P.S.C
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Oct 1977 (48 years ago)
Organization Date: 27 Oct 1977 (48 years ago)
Last Annual Report: 30 Sep 2020 (5 years ago)
Organization Number: 0007938
ZIP code: 40218
City: Louisville, Buechel, Watterson Park, Watterson Pk
Primary County: Jefferson County
Principal Office: 3430 NEWBURG ROAD, SUITE 150, LOUISVILLE, KY 40218
Place of Formation: KENTUCKY
Authorized Shares: 4000

Director

Name Role
Richard W. Baker Director
William O. Lacy Director
THOMAS V. STEPHENSON, M. Director
David A. Haseelbacher Director
Loran P. Moore Director
David H. Winslow Director
George W. Boatwright Director
FERNANDO C. PAJO, M.D. Director
Carlos J. Ramirez-Icaza Director

Vice President

Name Role
David A. Hasselbacher Vice President
Carlos J. Ramirez-Icaza Vice President
Loran P. Moore Vice President
David H. Winslow Vice President
George W. Boatwright Vice President

Secretary

Name Role
Richard W. Baker Secretary

Registered Agent

Name Role
GEORGE W. BOATWRIGHT Registered Agent

President

Name Role
William O. Lacy President

Shareholder

Name Role
Loran P. Moore Shareholder
William O. Lacy Shareholder
David H. Winslow Shareholder
Richard W. Baker Shareholder
George W. Boatwright Shareholder
Carlos J. Ramirez-Icaza Shareholder
David A. Hasselbacher Shareholder

Incorporator

Name Role
FERNANDO C. PAJO, M.D. Incorporator
THOMAS V. STEPHENSON, M.D. Incorporator

National Provider Identifier

NPI Number:
1700956869

Authorized Person:

Name:
DR. WILLIAM O. LACY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
5022383653
Fax:
5029338714

Form 5500 Series

Employer Identification Number (EIN):
610925635
Plan Year:
2018
Number Of Participants:
53
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
62
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
60
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
54
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
52
Sponsors Telephone Number:

Former Company Names

Name Action
PAJO, WINSLOW & BAKER, P.S.C. Old Name
STEPHENSON, PAJO & WINSLOW, P.S.C. Old Name
STEPHENSON AND PAJO, P.S.C. Old Name

Assumed Names

Name Status Expiration Date
RESPIRATORY EVALUATION SERVICES Inactive -
SLEEP MEDICINE SPECIALISTS Inactive 2008-07-15

Filings

Name File Date
Dissolution 2020-10-20
Annual Report 2020-09-30
Annual Report 2019-06-25
Annual Report 2018-06-28
Annual Report 2017-06-15

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Sources: Kentucky Secretary of State