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  5. JACKSON PURCHASE E. R. PHYSICIANS, P. S. C.

JACKSON PURCHASE E. R. PHYSICIANS, P. S. C.

Company Details

Name: JACKSON PURCHASE E. R. PHYSICIANS, P. S. C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 23 Jul 1981 (43 years ago)
Organization Date: 23 Jul 1981 (43 years ago)
Last Annual Report: 22 Feb 2011 (14 years ago)
Organization Number: 0158339
ZIP code: 42001
Primary County: McCracken
Principal Office: C/O KEMPER CPA GROUP LLP, 333 BROADWAY SUITE 1001, PADUCAH, KY 42001
Place of Formation: KENTUCKY
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON PURCHASE E.R PHYSICIANS, P.S.C. 401(K) RETIREMENT PLAN 2010 611065172 2011-07-18 JACKSON PURCHASE E. R. PHYSICIANS, P.S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 2704440265
Plan sponsor’s address P.O. BOX 8333, PADUCAH, KY, 420028333

Plan administrator’s name and address
Administrator’s EIN 611065172
Plan administrator’s name JACKSON PURCHASE E. R. PHYSICIANS, P.S.C.
Plan administrator’s address P.O. BOX 8333, PADUCAH, KY, 420028333
Administrator’s telephone number 2704440265

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing BRIAN VANDERBOEGH
Valid signature Filed with authorized/valid electronic signature
JACKSON PURCHASE E. R. PHYSICIANS, P.S.C. MONEY PURCHASE PENSION PLAN 2010 611065172 2011-07-18 JACKSON PURCHASE E. R. PHYSICIANS, P.S.C. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 2704440265
Plan sponsor’s DBA name C/O KEMPER CPA GROUP LLP
Plan sponsor’s address P.O. BOX 8333, PADUCAH, KY, 420028333

Plan administrator’s name and address
Administrator’s EIN 611065172
Plan administrator’s name JACKSON PURCHASE E. R. PHYSICIANS, P.S.C.
Plan administrator’s address P.O. BOX 8333, PADUCAH, KY, 420028333
Administrator’s telephone number 2704440265

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing BRIAN VANDERBOEGH
Valid signature Filed with authorized/valid electronic signature
JACKSON PURCHASE E.R PHYSICIANS, P.S.C. 401(K) RETIREMENT PLAN 2010 611065172 2011-07-18 JACKSON PURCHASE E. R. PHYSICIANS, P.S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 2704440265
Plan sponsor’s DBA name C/O KEMPER CPA GROUP LLP
Plan sponsor’s address P.O. BOX 8333, PADUCAH, KY, 420028333

Plan administrator’s name and address
Administrator’s EIN 611065172
Plan administrator’s name JACKSON PURCHASE E. R. PHYSICIANS, P.S.C.
Plan administrator’s address P.O. BOX 8333, PADUCAH, KY, 420028333
Administrator’s telephone number 2704440265

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing BRIAN VANDERBOEGH
Valid signature Filed with authorized/valid electronic signature
JACKSON PURCHASE E.R PHYSICIANS, P.S.C. 401(K) RETIREMENT PLAN 2009 611065172 2010-06-17 JACKSON PURCHASE E. R. PHYSICIANS, P.S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 2704440265
Plan sponsor’s DBA name C/O KEMPER CPA GROUP LLP
Plan sponsor’s address 333 BROADWAY, SUITE 1001, PADUCAH, KY, 420010707

Plan administrator’s name and address
Administrator’s EIN 611065172
Plan administrator’s name JACKSON PURCHASE E. R. PHYSICIANS, P.S.C.
Plan administrator’s address 333 BROADWAY, SUITE 1001, PADUCAH, KY, 420010707
Administrator’s telephone number 2704440265

Signature of
Role Plan administrator
Date 2010-06-16
Name of individual signing BRIAN VANDERBOEGH
Valid signature Filed with authorized/valid electronic signature
JACKSON PURCHASE E. R. PHYSICIANS, P.S.C. MONEY PURCHASE PENSION PLAN 2009 611065172 2010-06-17 JACKSON PURCHASE E. R. PHYSICIANS, P.S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 2704440265
Plan sponsor’s DBA name C/O KEMPER CPA GROUP LLP
Plan sponsor’s address 333 BROADYWAY, SUITE 1001, PADUCAH, KY, 420010707

Plan administrator’s name and address
Administrator’s EIN 611065172
Plan administrator’s name JACKSON PURCHASE E. R. PHYSICIANS, P.S.C.
Plan administrator’s address 333 BROADYWAY, SUITE 1001, PADUCAH, KY, 420010707
Administrator’s telephone number 2704440265

Signature of
Role Plan administrator
Date 2010-06-16
Name of individual signing BRIAN VANDERBOEGH
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
BRIAN W. VANDER BOEGH Registered Agent

Shareholder

Name Role
Brian Vanderboegh Shareholder

Director

Name Role
Brian Vanderboegh Director
John Brazzell Director
Philip Anderson Director
BRIAN W. VANDER BOEGH Director

Signature

Name Role
BRIAN VANDERBOEGH Signature

Sole Officer

Name Role
Brian Vanderboegh Sole Officer

Incorporator

Name Role
BRIAN W. VANDER BOEGH Incorporator

Former Company Names

Name Action
BRIAN W. VANDER BOEGH, P.S.C. Old Name

Filings

Name File Date
Dissolution 2011-06-08
Annual Report 2011-02-22
Annual Report 2010-03-30
Annual Report 2009-03-03
Annual Report 2008-01-29
Annual Report 2007-04-03
Statement of Change 2007-03-08
Principal Office Address Change 2007-03-08
Annual Report 2006-04-05
Reinstatement 2005-08-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 08 Jan 2025

Sources: Kentucky Secretary of State

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