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  5. KENTUCKY DENTAL ASSOCIATION

KENTUCKY DENTAL ASSOCIATION

Company Details

Name: KENTUCKY DENTAL ASSOCIATION
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 17 Feb 1870 (155 years ago)
Organization Date: 17 Feb 1870 (155 years ago)
Last Annual Report: 28 Feb 2024 (a year ago)
Organization Number: 0027661
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 40223
Primary County: Jefferson
Principal Office: 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2023 610426190 2024-05-21 KENTUCKY DENTAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2022 610426190 2023-07-24 KENTUCKY DENTAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2021 610426190 2022-05-24 KENTUCKY DENTAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2020 610426190 2021-07-07 KENTUCKY DENTAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2019 610426190 2020-07-29 KENTUCKY DENTAL ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2018 610426190 2019-06-27 KENTUCKY DENTAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2017 610426190 2018-05-22 KENTUCKY DENTAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2016 610426190 2017-05-18 KENTUCKY DENTAL ASSOCIATION 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2015 610426190 2016-08-01 KENTUCKY DENTAL ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5
KENTUCKY DENTAL ASSOCIATION RETIREMENT PLAN 2014 610426190 2015-06-22 KENTUCKY DENTAL ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/04/20140604132829P040020991330005.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/27/20130627133810P040013320018004.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2013-06-21
Name of individual signing MICHAEL PORTER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/09/20120809082257P040026293522003.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610426190
Plan administrator’s name KENTUCKY DENTAL ASSOCIATION
Plan administrator’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024899121

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing MICHAEL PORTER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/09/20120809082250P040026293378003.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610426190
Plan administrator’s name KENTUCKY DENTAL ASSOCIATION
Plan administrator’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024899121

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing MICHAEL PORTER
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024899121
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610426190
Plan administrator’s name KENTUCKY DENTAL ASSOCIATION
Plan administrator’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024899121

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing MICHAEL PORTER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/09/20120809082246P040026293330001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024595373
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610426190
Plan administrator’s name KENTUCKY DENTAL ASSOCIATION
Plan administrator’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024595373

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing MICHAEL PORTER
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1981-05-01
Business code 813000
Sponsor’s telephone number 5024595373
Plan sponsor’s mailing address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610426190
Plan administrator’s name KENTUCKY DENTAL ASSOCIATION
Plan administrator’s address 1920 NELSON MILLER PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024595373

Number of participants as of the end of the plan year
Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2010-08-05
Name of individual signing MICHAEL PORTER
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MR. Stephen Robertson Registered Agent

Officer

Name Role
Stephen Robertson Officer

Director

Name Role
Dr Fred Howard Director
Dr Jonathan Rich Director
Dr Cliff Lowdenback Director

Incorporator

Name Role
A. B. COXWELL Incorporator
J. J. KELLY Incorporator

Former Company Names

Name Action
KENTUCKY STATE DENTAL ASSOCIATION Old Name

Filings

Name File Date
Registered Agent name/address change 2024-02-28
Annual Report 2024-02-28
Annual Report 2023-03-15
Annual Report 2022-03-04
Annual Report 2021-02-09
Annual Report 2020-02-11
Annual Report 2019-04-19
Annual Report 2018-04-10
Annual Report 2017-04-18
Registered Agent name/address change 2017-04-18

Related by officers

No related officers

Related by address

1920 NELSON MILLER PARKWAY, LOUISVILLE, KY 40223

KENTUCKY DENTAL FOUNDATION, INC. KENTUCKY DENTAL WELL BEING COMMITTEE, INC.

Date of last update: 07 Jan 2025

Sources: Kentucky Secretary of State

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