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  5. DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.

DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.

Company Details

Name: DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Aug 1981 (44 years ago)
Organization Date: 21 Aug 1981 (44 years ago)
Last Annual Report: 21 Jun 2024 (10 months ago)
Organization Number: 0159184
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 41042
City: Florence
Primary County: Boone County
Principal Office: 7766 EWING BLVD. , SUITE 100, FLORENCE, KY 41042-1815
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P. S. C. 401(K) PROFIT SHARING PLAN 2023 610992991 2024-09-16 DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-09-01
Business code 621111
Sponsor’s telephone number 8592831033
Plan sponsor’s address 7766 EWING BOULEVARD, SUITE 100, FLORENCE, KY, 41042
DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P. S. C. 401(K) PROFIT SHARING PLAN 2022 610992991 2023-06-13 DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-09-01
Business code 621111
Sponsor’s telephone number 8592831033
Plan sponsor’s address 7766 EWING BOULEVARD, SUITE 100, FLORENCE, KY, 41042
DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P. S. C. 401(K) PROFIT SHARING PLAN 2021 610992991 2022-07-12 DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-09-01
Business code 621111
Sponsor’s telephone number 8592831033
Plan sponsor’s address 7766 EWING BOULEVARD, SUITE 100, FLORENCE, KY, 41042
DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2020 610992991 2021-09-23 DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-09-01
Business code 621111
Sponsor’s telephone number 8592831033
Plan sponsor’s address 7766 EWING BOULEVARD, SUITE 100, FLORENCE, KY, 41042
DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2019 610992991 2020-10-05 DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-09-01
Business code 621111
Sponsor’s telephone number 8592831033
Plan sponsor’s address 7766 EWING BOULEVARD, SUITE 100, FLORENCE, KY, 41042
DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2018 610992991 2019-10-01 DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-09-01
Business code 621111
Sponsor’s telephone number 8592831033
Plan sponsor’s address 7766 EWING BOULEVARD, SUITE 100, FLORENCE, KY, 41042
DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2017 610992991 2018-08-30 DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-09-01
Business code 621111
Sponsor’s telephone number 8592831033
Plan sponsor’s address 7766 EWING BOULEVARD, SUITE 100, FLORENCE, KY, 41042

Registered Agent

Name Role
DR. JAMES A. ZALLA Registered Agent

President

Name Role
James A Zalla President

Secretary

Name Role
Susan J Bushelman Secretary

Vice President

Name Role
Mark J Zalla Vice President

Shareholder

Name Role
James A Zalla Shareholder
Mark J Zalla Shareholder
Susan J Bushelman, M.D. Shareholder
Molly G Eisner Shareholder

Director

Name Role
JAMES A. ZALLA, M.D. Director

Incorporator

Name Role
JAMES A. ZALLA, M.D. Incorporator

Former Company Names

Name Action
JAMES A. ZALLA, M.D., P.S.C. Old Name

Filings

Name File Date
Annual Report 2024-06-21
Annual Report 2023-06-19
Annual Report 2022-03-15
Annual Report 2021-09-01
Annual Report 2020-09-18
Annual Report 2019-04-18
Annual Report 2018-04-12
Annual Report 2017-04-19
Annual Report 2016-03-10
Annual Report 2015-04-10

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
307078048 0452110 2004-01-20 256 MAIN ST, FLORENCE, KY, 41042
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2004-03-16
Case Closed 2004-06-04

Related Activity
Type Complaint
Activity Nr 204240873
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 2031004
Issuance Date 2004-03-30
Abatement Due Date 2004-04-23
Current Penalty 375.0
Initial Penalty 700.0
Contest Date 2004-04-08
Final Order 2004-05-12
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Citation ID 02001
Citaton Type Other
Standard Cited 19101030 C01 IV
Issuance Date 2004-03-30
Abatement Due Date 2004-04-16
Contest Date 2004-04-08
Final Order 2004-05-12
Nr Instances 1
Nr Exposed 18
Related Event Code (REC) Complaint
Citation ID 02002
Citaton Type Other
Standard Cited 19101048 D01 I
Issuance Date 2004-03-30
Abatement Due Date 2004-04-23
Contest Date 2004-04-08
Final Order 2004-05-12
Nr Instances 4
Nr Exposed 18
Related Event Code (REC) Complaint

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7923537109 2020-04-14 0457 PPP 7766 EWING BLVD, FLORENCE, KY, 41042
Loan Status Date 2021-10-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 392760
Loan Approval Amount (current) 392760
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58036
Servicing Lender Name Fifth Third Bank
Servicing Lender Address 38 Fountain Sq Plz, CINCINNATI, OH, 45263
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address FLORENCE, BOONE, KY, 41042-0001
Project Congressional District KY-04
Number of Employees 33
NAICS code 339116
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 58036
Originating Lender Name Fifth Third Bank
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 398138.63
Forgiveness Paid Date 2021-09-07

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Sources: Kentucky Secretary of State

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