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  5. FAMILY PRACTICE CLINIC, P.S.C.

FAMILY PRACTICE CLINIC, P.S.C.

Company Details

Name: FAMILY PRACTICE CLINIC, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Sep 1972 (52 years ago)
Organization Date: 21 Sep 1972 (52 years ago)
Last Annual Report: 13 Dec 2021 (3 years ago)
Organization Number: 0149643
ZIP code: 42064
City: Marion
Primary County: Crittenden County
Principal Office: P.O. BOX 559, MARION, KY 42064
Place of Formation: KENTUCKY
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2020 610733027 2022-06-15 FAMILY PRACTICE CLINIC, P.S.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2019 610733027 2020-12-02 FAMILY PRACTICE CLINIC, P.S.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2018 610733027 2020-07-15 FAMILY PRACTICE CLINIC, P.S.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2017 610733027 2019-04-30 FAMILY PRACTICE CLINIC, P.S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064

Signature of
Role Plan administrator
Date 2019-04-30
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2016 610733027 2019-04-09 FAMILY PRACTICE CLINIC, P.S.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2016 610733027 2017-11-16 FAMILY PRACTICE CLINIC, P.S.C. 37
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2015 610733027 2016-12-28 FAMILY PRACTICE CLINIC, P.S.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064

Signature of
Role Plan administrator
Date 2016-12-28
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2014 610733027 2016-05-04 FAMILY PRACTICE CLINIC, P.S.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064

Signature of
Role Plan administrator
Date 2016-05-04
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2013 610733027 2015-06-17 FAMILY PRACTICE CLINIC, P.S.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064
FAMILY PRACTICE CLINIC, P.S.C. 401(K) PROFIT SHARING PLAN 2012 610733027 2014-06-30 FAMILY PRACTICE CLINIC, P.S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 W. GUM STREET, MARION, KY, 42064

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/18/20130318080954P030008093296001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064

Plan administrator’s name and address
Administrator’s EIN 610733027
Plan administrator’s name FAMILY PRACTICE CLINIC, P.S.C.
Plan administrator’s address 520 WEST GUM STREET, MARION, KY, 42064
Administrator’s telephone number 2709655238

Signature of
Role Plan administrator
Date 2013-03-18
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/09/20120409123809P040065292417001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 WEST GUM STREET, MARION, KY, 42064

Plan administrator’s name and address
Administrator’s EIN 610733027
Plan administrator’s name FAMILY PRACTICE CLINIC, P.S.C.
Plan administrator’s address 520 WEST GUM STREET, MARION, KY, 42064
Administrator’s telephone number 2709655238

Signature of
Role Plan administrator
Date 2012-04-09
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/12/06/20101206113852P040038670097001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1972-10-01
Business code 446110
Sponsor’s telephone number 2709655238
Plan sponsor’s address 520 W. GUM STREET, MARION, KY, 42064

Plan administrator’s name and address
Administrator’s EIN 610733027
Plan administrator’s name FAMILY PRACTICE CLINIC, P.S.C.
Plan administrator’s address 520 W. GUM STREET, MARION, KY, 42064
Administrator’s telephone number 2709655238

Signature of
Role Plan administrator
Date 2010-12-06
Name of individual signing HOWARD G. MADDUX
Valid signature Filed with authorized/valid electronic signature

President

Name Role
Howard G Maddux President

Secretary

Name Role
Gary V James Secretary

Treasurer

Name Role
Howard G Maddux Treasurer

Director

Name Role
Gary V James Director
Howard G Maddux Director
STEPHEN B. BURKHART Director

Shareholder

Name Role
Gary V. James Shareholder
Gary V James Shareholder
Howard G Maddux Shareholder

Incorporator

Name Role
STEPHEN B. BURKHART Incorporator

Registered Agent

Name Role
HOWARD G. MADDUX, M.D. Registered Agent

Former Company Names

Name Action
STEPHEN B. BURKHART, P. S. C. Old Name

Filings

Name File Date
Dissolution 2021-12-14
Reinstatement Certificate of Existence 2021-12-13
Reinstatement 2021-12-13
Reinstatement Approval Letter Revenue 2021-12-13
Reinstatement Approval Letter UI 2021-12-13
Administrative Dissolution 2021-10-19
Annual Report 2020-06-10
Annual Report 2019-07-15
Annual Report 2018-08-07
Annual Report 2017-08-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8028017006 2020-04-08 0457 PPP 518 W Gum St PO BOX, MARION, KY, 42064-1516
Loan Status Date 2021-01-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 272679.4
Loan Approval Amount (current) 272679.4
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27590
Servicing Lender Name Farmers Bank & Trust Company
Servicing Lender Address 201 S Main St, MARION, KY, 42064-1542
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MARION, CRITTENDEN, KY, 42064-1516
Project Congressional District KY-01
Number of Employees 46
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 27590
Originating Lender Name Farmers Bank & Trust Company
Originating Lender Address MARION, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 274502.24
Forgiveness Paid Date 2020-12-15

Related by officers

Gary V. James

CRITTENDEN COUNTY MEDICAL OFFICE BUILDING, LLC

STEPHEN B. BURKHART

4 C'S BUILDING CORPORATION, INC. HOSPITAL PHYSICIAN ADVISORS, INC. BURKHART RURAL HEALTH CLINIC, PSC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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