Menu
Search icon
  1. Home
    2. ›
  2. Business Directory
    3. ›
  3. Jefferson County
    4. ›
  4. Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
    5. ›
  5. DELTA DENTAL OF KENTUCKY, INC.

DELTA DENTAL OF KENTUCKY, INC.

Company Details

Name: DELTA DENTAL OF KENTUCKY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 07 Mar 1966 (59 years ago)
Organization Date: 07 Mar 1966 (59 years ago)
Last Annual Report: 03 Feb 2025 (a month ago)
Organization Number: 0013608
Industry: Insurance Carriers
Number of Employees: Medium (20-99)
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 10100 LINN STATION RD., SUITE 700, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2021 610659432 2022-06-06 DELTA DENTAL OF KENTUCKY, INC. 94
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027364653
Plan sponsor’s address 10100 LINN STATION RD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2022-06-06
Name of individual signing DAVID DONALDSON
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2020 610659432 2021-07-12 DELTA DENTAL OF KENTUCKY, INC. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing DAVID DONALDSON
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2019 610659432 2020-07-23 DELTA DENTAL OF KENTUCKY, INC. 87
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing DAVID DONALDSON
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2018 610659432 2019-07-02 DELTA DENTAL OF KENTUCKY, INC. 81
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2017 610659432 2018-09-18 DELTA DENTAL OF KENTUCKY, INC. 78
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2016 610659432 2017-06-16 DELTA DENTAL OF KENTUCKY, INC. 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing RUSSELL W. SKAGGS
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2015 610659432 2016-05-31 DELTA DENTAL OF KENTUCKY, INC. 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2016-05-31
Name of individual signing RUSSELL W. SKAGGS
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2014 610659432 2015-04-22 DELTA DENTAL OF KENTUCKY, INC. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing RUSSELL W. SKAGGS
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2013 610659432 2014-02-28 DELTA DENTAL OF KENTUCKY, INC. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION RD, SUITE 700, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2014-02-28
Name of individual signing RUSSELL W. SKAGGS
Valid signature Filed with authorized/valid electronic signature
DELTA DENTAL OF KENTUCKY, INC. 401(K) PLAN 2012 610659432 2013-07-22 DELTA DENTAL OF KENTUCKY, INC. 87
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION ROAD, SUITE 700, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing RUSSELL W. SKAGGS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/24/20120724094850P030000994292001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address 10100 LINN STATION ROAD, SUITE 700, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610659432
Plan administrator’s name DELTA DENTAL OF KENTUCKY, INC.
Plan administrator’s address 10100 LINN STATION ROAD, SUITE 700, LOUISVILLE, KY, 40223
Administrator’s telephone number 5027365000

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing RUSSELL W. SKAGGS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/20/20110720122256P030455779120001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address P. O. BOX 242810, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610659432
Plan administrator’s name DELTA DENTAL OF KENTUCKY, INC.
Plan administrator’s address P. O. BOX 242810, LOUISVILLE, KY, 40223
Administrator’s telephone number 5027365000

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing RUSSELL W. SKAGGS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/21/20100721154559P040029938391001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 524150
Sponsor’s telephone number 5027365000
Plan sponsor’s address P. O. BOX 242810, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610659432
Plan administrator’s name DELTA DENTAL OF KENTUCKY, INC.
Plan administrator’s address P. O. BOX 242810, LOUISVILLE, KY, 40223
Administrator’s telephone number 5027365000

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing CURTIS LADIG
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
Bob Webb Director
John David Smith Director
Rodney Allen Jackson, DMD Director
Letha Diane Cornwell, CPA Director
Steven Spencer Reed Director
Randall Farley Dyer, Sr Director
Joseph Jude Thompson Director
Robert Thomas McIntire Director
Paula Pruitt Grisanti Director
Gregory Vorce Hall Director

Vice President

Name Role
Christopher Wayne Green Vice President
Angie Zuvon Nenni Vice President
Brian Daniel Hart Vice President

Incorporator

Name Role
JACK HUTTON Incorporator
JAMES M. SMITH Incorporator
LARRY J. PACK Incorporator
BEN G. FUSON Incorporator
I. D. OAKLEY Incorporator

President

Name Role
Joseph Jude Thompson President

Secretary

Name Role
Danielle Marie Jackson Secretary

Registered Agent

Name Role
JOSEPH JUDE THOMPSON Registered Agent

Former Company Names

Name Action
DELTA DENTAL PLAN OF KENTUCKY, INC. Old Name
KENTUCKY DENTAL SERVICE CORPORATION Old Name

Assumed Names

Name Status Expiration Date
DELTA DENTAL PLAN OF KENTUCKY, INC. Inactive 2020-11-09

Filings

Name File Date
Annual Report 2025-02-03
Annual Report 2024-04-04
Annual Report 2023-05-01
Annual Report 2022-03-16
Amendment 2021-04-06
Annual Report 2021-03-09
Annual Report 2020-06-12
Annual Report 2019-03-05
Annual Report 2018-08-23
Registered Agent name/address change 2018-08-23

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0659432 Corporation Unconditional Exemption 10100 LINN STATION RD, LOUISVILLE, KY, 40223-3861 1971-07
In Care of Name % PAYROLL
Group Exemption Number 0000
Subsection Civic League, Local Association of Employees, Social Welfare Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Literary Organization, Social Welfare Organization, Labor Organization, Chamber of Commerce, Mutual Cooperative Telephone Co.
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 127826614
Income Amount 216453163
Form 990 Revenue Amount 182068393
National Taxonomy of Exempt Entities -
Sort Name DELTA DENTAL PLAN OF KENTUCKY INC

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name DELTA DENTAL OF KENTUCKY INC
EIN 61-0659432
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name DELTA DENTAL OF KENTUCKY INC
EIN 61-0659432
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name DELTA DENTAL OF KENTUCKY INC
EIN 61-0659432
Tax Period 202012
Filing Type E
Return Type 990O
File View File
Organization Name DELTA DENTAL OF KENTUCKY INC
EIN 61-0659432
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name DELTA DENTAL OF KENTUCKY INC
EIN 61-0659432
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name DELTA DENTAL OF KENTUCKY INC
EIN 61-0659432
Tax Period 201612
Filing Type E
Return Type 990O
File View File
Organization Name DELTA DENTAL OF KENTUCKY INC
EIN 61-0659432
Tax Period 201512
Filing Type E
Return Type 990O
File View File

Related by officers

Christopher Wayne Green

DENTAL CHOICE, INC. DENTAL CHOICE AGENCY, INC. Chris Green Construction, LLC

Angie Zuvon Nenni

DENTAL CHOICE, INC. DENTAL CHOICE AGENCY, INC.

Brian Daniel Hart

DENTAL CHOICE, INC. DENTAL CHOICE AGENCY, INC. DELTA DENTAL OF KENTUCKY FOUNDATION, INC.

Joseph Jude Thompson

DENTAL CHOICE, INC. DENTAL CHOICE AGENCY, INC. DENTAL CHOICE PROPERTIES LLC Transform Business Solutions, LLC TRANSFORM INSURANCE & BUSINESS SOLUTIONS, LLC DENTAL CHOICE HOLDINGS LLC Ancillary Choice LLC ANCILLARY CHOICE LIFE, INC. DENTAL CHOICE ANCILLARY, INC.

Robert Thomas McIntire

Tree Cookies, L.L.C. B & T Developers, LLC

Gregory Vorce Hall

Hall Wagyu Farms, LLC

JAMES M. SMITH

KENTUCKY CAR AND TRUCK RENTING AND LEASING ASSOCIATION, INC. THE LOUISA-FORT GAY CIVIC LEAGUE, INC. BOOTS PIPELINE CONSTRUCTION CORPORATION (C-R) MONTGOMERY SMITH INCORPORATED EASTERN AREA CHAPTER OF ASSOCIATION OF THE CENTURY, INC. S & B FARMS, LLC JTS PROPERTIES, LLC JIM'S SPORTS DEPOT LLC MARTY SMITH HVAC LLC

LARRY J. PACK

LARRY J. PACK, P.S.C. LESCO ENTERPRISES, INC.

Danielle Marie Jackson

DENTAL CHOICE, INC. DENTAL CHOICE AGENCY, INC.

JOSEPH JUDE THOMPSON

DENTAL CHOICE, INC. LEE, LEE & THOMPSON, INC. DENTAL CHOICE AGENCY, INC. DENTAL CHOICE PROPERTIES LLC Transform Business Solutions, LLC TRANSFORM INSURANCE & BUSINESS SOLUTIONS, LLC ANCILLARY CHOICE LIFE, INC.

HARRY E. MOORE

WEST KENTUCKY PROPERTIES, INC. LAKESHORE EQUIPMENT COMPANY, INC. LAKESHORE MINERALS, INC. UNIVERSAL WHOLESALE COMPANY, INC.

Related by address

10100 LINN STATION RD., SUITE 700, LOUISVILLE, KY 40223

DENTAL CHOICE, INC.

Sources: Kentucky Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 kyprofile.com