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CAPITAL SURGICAL CLINIC, P.S.C.

Company Details

Name: CAPITAL SURGICAL CLINIC, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 10 Mar 1972 (53 years ago)
Organization Date: 10 Mar 1972 (53 years ago)
Last Annual Report: 26 Jun 2020 (5 years ago)
Organization Number: 0159379
ZIP code: 40601
Primary County: Franklin
Principal Office: ONE PHYSICIANS PK., FRANKFORT, KY 40601
Place of Formation: KENTUCKY
Authorized Shares: 1200

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2019 610727156 2020-10-12 CAPITAL SURGICAL CLINIC P.S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2018 610727156 2019-06-06 CAPITAL SURGICAL CLINIC P.S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2019-06-06
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2017 610727156 2018-05-24 CAPITAL SURGICAL CLINIC P.S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2018-05-24
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2016 610727156 2017-05-11 CAPITAL SURGICAL CLINIC P.S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2017-05-11
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2015 610727156 2016-04-13 CAPITAL SURGICAL CLINIC P.S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2016-04-13
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-13
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2014 610727156 2015-04-28 CAPITAL SURGICAL CLINIC P.S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-28
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2013 610727156 2014-05-14 CAPITAL SURGICAL CLINIC P.S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2014-05-14
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-14
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2012 610727156 2013-04-09 CAPITAL SURGICAL CLINIC P.S.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Signature of

Role Plan administrator
Date 2013-04-09
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2011 610727156 2012-05-10 CAPITAL SURGICAL CLINIC P.S.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 610727156
Plan administrator’s name CAPITAL SURGICAL CLINIC P.S.C.
Plan administrator’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601
Administrator’s telephone number 5022237629

Signature of

Role Plan administrator
Date 2012-05-10
Name of individual signing STEVEN VALLANCE
Valid signature Filed with authorized/valid electronic signature
CAPITAL SURGICAL CLINIC P.S.C. 401(K) PLAN 2010 610727156 2011-07-06 CAPITAL SURGICAL CLINIC P.S.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 610727156
Plan administrator’s name CAPITAL SURGICAL CLINIC P.S.C.
Plan administrator’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601
Administrator’s telephone number 5022237629

Signature of

Role Plan administrator
Date 2011-07-06
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/22/20100722134321P040126259346001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1999-08-11
Business code 621111
Sponsor’s telephone number 5022237629
Plan sponsor’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 610727156
Plan administrator’s name CAPITAL SURGICAL CLINIC P.S.C.
Plan administrator’s address ONE PHYSICIANS PARK, FRANKFORT, KY, 40601
Administrator’s telephone number 5022237629

Signature of

Role Plan administrator
Date 2010-07-22
Name of individual signing CRYSTAL THURMAN
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
O. M. PATRICK M. D. Incorporator
DALLAS C. HAGG M.D. Incorporator

Director

Name Role
WILLIS P. MCKEE, JR. M.D Director
Steven R Vallance Director
Bryan A Shouse Director
Jason T Bowling Director

President

Name Role
Steven R Vallance President

Shareholder

Name Role
Bryan A Shouse Shareholder
Steven R Vallance Shareholder
Jason T Bowling Shareholder

Registered Agent

Name Role
MICHAEL E. DEFRANK Registered Agent

Partner

Name Role
Jason T Bowling Partner
Bryan A Shouse Partner

Former Company Names

Name Action
PATRICK, MCKEE, STEINBERG, P.S.C. Old Name
PATRICK, MCKEE, STEINBERG, LESLIE, AND SMITH, P.S.C. Old Name
PATRICK, MCKEE, STEINBERG, AND SMITH, P.S.C. Old Name
HAGG, PATRICK, MCKEE, STEINBERG, LESLIE, AND SMITH, P.S.C. Old Name
HAGG, PATRICK, MCKEE, STEINBERG, AND LESLIE, P.S.C. Old Name
HAGG, PATRICK, MCKEE, AND STEINBERG, P.S.C. Old Name
HAGG, PATRICK, MCKEE, ROSENBLATT AND STEINBERG, P.S.C. Old Name
HAGG, PATRICK AND MCKEE, P.S.C. Old Name

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-06-26
Annual Report 2019-04-26
Annual Report 2018-05-01
Annual Report 2017-03-28
Annual Report 2016-03-15
Annual Report 2015-04-02
Annual Report 2014-01-23
Annual Report 2013-02-28
Annual Report 2012-01-18

Date of last update: 08 Jan 2025

Sources: Kentucky Secretary of State