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H. EDUARDO PAVON, P.S.C.

Company Details

Name: H. EDUARDO PAVON, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 31 Oct 1978 (46 years ago)
Organization Date: 31 Oct 1978 (46 years ago)
Last Annual Report: 30 Jun 2014 (11 years ago)
Organization Number: 0113264
ZIP code: 42211
Primary County: Trigg
Principal Office: 298 MAIN ST., CADIZ, KY 42211
Place of Formation: KENTUCKY
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
H. EDUARDO PAVON, P.S.C. PROFIT SHARING PLAN 2014 611262471 2015-09-16 H. EDUARDO PAVON, P.S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2705226684
Plan sponsor’s address 298 MAIN STREET, CADIZ, KY, 422119155

Plan administrator’s name and address

Administrator’s EIN 611262471
Plan administrator’s name H. EDUARDO PAVON, P.S.C.
Plan administrator’s address 298 MAIN STREET, CADIZ, KY, 422119155
Administrator’s telephone number 2705226684

Signature of

Role Plan administrator
Date 2015-09-16
Name of individual signing H. EDUARDO PAVON
Valid signature Filed with authorized/valid electronic signature
H. EDUARDO PAVON, P.S.C. PROFIT SHARING PLAN 2013 611262471 2014-07-28 H. EDUARDO PAVON, P.S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2705226684
Plan sponsor’s address 298 MAIN STREET, CADIZ, KY, 422119155

Plan administrator’s name and address

Administrator’s EIN 611262471
Plan administrator’s name H. EDUARDO PAVON, P.S.C.
Plan administrator’s address 298 MAIN STREET, CADIZ, KY, 422119155
Administrator’s telephone number 2705226684

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing H. EDUARDO PAVON
Valid signature Filed with authorized/valid electronic signature
H. EDUARDO PAVON, P.S.C. PROFIT SHARING PLAN 2012 611262471 2013-05-22 H. EDUARDO PAVON, P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2705226684
Plan sponsor’s address 298 MAIN STREET, CADIZ, KY, 422119155

Plan administrator’s name and address

Administrator’s EIN 611262471
Plan administrator’s name H. EDUARDO PAVON, P.S.C.
Plan administrator’s address 298 MAIN STREET, CADIZ, KY, 422119155
Administrator’s telephone number 2705226684

Signature of

Role Plan administrator
Date 2013-05-22
Name of individual signing H. EDUARDO PAVON
Valid signature Filed with authorized/valid electronic signature
H. EDUARDO PAVON, P.S.C. PROFIT SHARING PLAN 2011 611262471 2012-08-23 H. EDUARDO PAVON, P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2705226684
Plan sponsor’s address 298 MAIN STREET, CADIZ, KY, 422119155

Plan administrator’s name and address

Administrator’s EIN 611262471
Plan administrator’s name H. EDUARDO PAVON, P.S.C.
Plan administrator’s address 298 MAIN STREET, CADIZ, KY, 422119155
Administrator’s telephone number 2705226684

Signature of

Role Plan administrator
Date 2012-08-23
Name of individual signing H. EDUARDO PAVON
Valid signature Filed with authorized/valid electronic signature
H. EDUARDO PAVON, P.S.C. PROFIT SHARING PLAN 2010 610945953 2011-04-25 H. EDUARDO PAVON, P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2705226684
Plan sponsor’s address 298 MAIN STREET, CADIZ, KY, 422119155

Plan administrator’s name and address

Administrator’s EIN 610945953
Plan administrator’s name H. EDUARDO PAVON, P.S.C.
Plan administrator’s address 298 MAIN STREET, CADIZ, KY, 422119155
Administrator’s telephone number 2705226684

Signature of

Role Plan administrator
Date 2011-04-25
Name of individual signing H. EDUARDO PAVON
Valid signature Filed with authorized/valid electronic signature
H. EDUARDO PAVON, P.S.C. PROFIT SHARING PLAN 2009 610945953 2010-10-01 H. EDUARDO PAVON, P.S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2705226684
Plan sponsor’s address 298 MAIN STREET, CADIZ, KY, 422110000

Plan administrator’s name and address

Administrator’s EIN 610945953
Plan administrator’s name H. EDUARDO PAVON, P.S.C.
Plan administrator’s address 298 MAIN STREET, CADIZ, KY, 422110000
Administrator’s telephone number 2705226684

Signature of

Role Plan administrator
Date 2010-10-01
Name of individual signing LESLIE A. O'BRYAN
Valid signature Filed with authorized/valid electronic signature
H. EDUARDO PAVON, P.S.C. PROFIT SHARING PLAN 2009 610945953 2010-09-29 H. EDUARDO PAVON, P.S.C. 4
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 2705226684
Plan sponsor’s address 298 MAIN STREET, CADIZ, KY, 422110000

Plan administrator’s name and address

Administrator’s EIN 610945953
Plan administrator’s name H. EDUARDO PAVON, P.S.C.
Plan administrator’s address 298 MAIN STREET, CADIZ, KY, 422110000
Administrator’s telephone number 2705226684

Signature of

Role Plan administrator
Date 2010-09-29
Name of individual signing LESLIE A. O'BRYAN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
H. EDUARDO PAVON, M.D. Registered Agent

Incorporator

Name Role
H. EDUARDO PAVON, M.D. Incorporator

Shareholder

Name Role
H Eduardo Pavon Shareholder

Director

Name Role
H Eduardo Pavon Director
H. EDUARDO PAVON, M.D. Director

Sole Officer

Name Role
H Eduardo Pavon Sole Officer

Signature

Name Role
H Eduardo Pavon Signature

Filings

Name File Date
Administrative Dissolution 2015-09-12
Annual Report 2014-06-30
Annual Report 2013-07-01
Annual Report 2012-06-25
Annual Report 2011-06-16
Annual Report 2010-06-29
Annual Report 2009-06-29
Annual Report 2008-07-08
Annual Report 2007-06-11
Annual Report 2006-03-06

Date of last update: 16 Jan 2025

Sources: Kentucky Secretary of State