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  5. UNIVERSITY PEDIATRICS FOUNDATION, INC.

UNIVERSITY PEDIATRICS FOUNDATION, INC.

Company Details

Name: UNIVERSITY PEDIATRICS FOUNDATION, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
File Date: 29 Nov 1982 (42 years ago)
Organization Date: 29 Nov 1982 (42 years ago)
Last Annual Report: 23 Apr 2014 (11 years ago)
Organization Number: 0172446
ZIP code: 40201
Primary County: Jefferson
Principal Office: P. O. BOX 2469, LOUISVILLE, KY 40201
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY PEDIATRICS FOUNDATION INC. MONEY PURCHASE PENSION PLAN 2011 611013739 2012-07-30 UNIVERSITY PEDIATRICS FOUNDATION INC 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-10-01
Business code 611000
Sponsor’s telephone number 5028528615
Plan sponsor’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611013739
Plan administrator’s name UNIVERSITY PEDIATRICS FOUNDATION INC
Plan administrator’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Administrator’s telephone number 5028528615

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing GARY SOUTHARD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PEDIATRICS FOUNDATION INC. 401 (K) PLAN 2011 611013739 2012-07-30 UNIVERSITY PEDIATRICS FOUNDATION INC 103
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 611000
Sponsor’s telephone number 5028528615
Plan sponsor’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611013739
Plan administrator’s name UNIVERSITY PEDIATRICS FOUNDATION INC
Plan administrator’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Administrator’s telephone number 5028528615

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing GARY SOUTHARD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PEDIATRICS FOUNDATION INC. 401(K) PLAN 2010 611013739 2011-06-03 UNIVERSITY PEDIATRICS FOUNDATION INC 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 611000
Sponsor’s telephone number 5028528615
Plan sponsor’s mailing address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Plan sponsor’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611013739
Plan administrator’s name UNIVERSITY PEDIATRICS FOUNDATION INC
Plan administrator’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Administrator’s telephone number 5028528615

Number of participants as of the end of the plan year
Active participants 98
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 50
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-06-03
Name of individual signing GARY SOUTHARD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PEDIATRICS FOUNDATION INC. 401(K) PLAN 2010 611013739 2011-06-03 UNIVERSITY PEDIATRICS FOUNDATION INC 71
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 611000
Sponsor’s telephone number 5028528615
Plan sponsor’s mailing address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Plan sponsor’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611013739
Plan administrator’s name UNIVERSITY PEDIATRICS FOUNDATION INC
Plan administrator’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Administrator’s telephone number 5028528615

Number of participants as of the end of the plan year
Active participants 98
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 50
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-06-03
Name of individual signing GARY SOUTHARD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PEDIATRICS FOUNDATION INC. MONEY PURCHASE PENSION PLAN 2009 611013739 2010-10-14 UNIVERSITY PEDIATRICS FOUNDATION INC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-10-01
Business code 611000
Sponsor’s telephone number 5028528615
Plan sponsor’s mailing address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Plan sponsor’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611013739
Plan administrator’s name UNIVERSITY PEDIATRICS FOUNDATION INC
Plan administrator’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Administrator’s telephone number 5028528615

Number of participants as of the end of the plan year
Active participants 67
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 15
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 79
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing CATHY KUCHLER
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PEDIATRICS FOUNDATION INC. 401(K) PLAN 2009 611013739 2010-10-14 UNIVERSITY PEDIATRICS FOUNDATION INC 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 611000
Sponsor’s telephone number 5028528615
Plan sponsor’s mailing address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Plan sponsor’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611013739
Plan administrator’s name UNIVERSITY PEDIATRICS FOUNDATION INC
Plan administrator’s address 571 S. FLOYD ST., STE. 432, LOUISVILLE, KY, 40202
Administrator’s telephone number 5028528615

Number of participants as of the end of the plan year
Active participants 64
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 38
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing CATHY KUCHLER
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
BILLY F. ANDREWS, M.D. Director
BERNARD WEISSKOPF, M.D. Director
DUNCAN MACMILLAN, M.D. Director
SALVATORE BERTOLONE, M.D Director
S J BERTOLONE Director
B F ANDREWS Director
Gerard P Rabalais Director
Joseph Hersh Director
Stephen Wright Director
Thomas J Luber Director

Incorporator

Name Role
BILLY F. ANDREWS, M.D. Incorporator

Registered Agent

Name Role
THOMAS J. LUBER Registered Agent

President

Name Role
Gerard P Rabalais President

Secretary

Name Role
Vicki L Montgomery Secretary

Treasurer

Name Role
Gerard P Rabalais Treasurer

Vice President

Name Role
John J Buchino Vice President

Assumed Names

Name Status Expiration Date
U OF L PEDIATRICS Inactive 2015-05-14
UNIVERSITY CHILD HEALTH SPECIALISTS, INC. Inactive 2008-07-15

Filings

Name File Date
Dissolution 2014-12-31
Annual Report 2014-04-23
Name Renewal 2013-06-10
Annual Report 2013-06-10
Amendment 2012-08-31
Annual Report 2012-02-13
Annual Report 2011-03-01
Certificate of Assumed Name 2010-05-14
Annual Report 2010-03-29
Annual Report 2009-05-04

Related by officers

BILLY F. ANDREWS, M.D.

UNIVERSITY CHILD HEALTH ASSOCIATES, INC.

THOMAS J. LUBER

U.H.C. OLDCO, INC. HAMPTON HALL PARTNERSHIP RECEVEUR PROPERTIES I HEART INSTITUTE OF KENTUCKY, INC. THE WHAS CRUSADE FOR CHILDREN, INC. UNIVERSITY GYNECOLOGICAL & OBSTETRICAL FOUNDATION, INC. ASHBOURNE DEVELOPMENT CORPORATION MYOTEC, INC. KENTUCKY INSTITUTE ON FEDERAL TAXATION, INC. FREOTEK, INC.

Gerard P Rabalais

LOUISVILLE PEDIATRIC FOUNDATION, INC.

John J Buchino

JB & LB INVESTMENTS LLC

S J BERTOLONE

LA SOLE, LLC

Thomas J Luber

KENTUCKY INSTITUTE ON FEDERAL TAXATION, INC.

Nemr Eid

PEDIATRIC PULMONARY MEDICINE, P.S.C.

LARRY N. COOK, M.D.

NEONATAL ASSOCIATES, P. S. C. I.C.N. PARENTS ASSOCIATION, INC. UNIVERSITY HEALTH CARE, INC. UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC UNIVERSITY CHILDREN'S CONSCIOUS SEDATION SPECIALISTS, LLC KENTUCKIANA MEDICAL RISK RETENTION GROUP AND INSURANCE COMPANY, INC.

Related by address

No related companies by address

Date of last update: 29 Jan 2025

Sources: Kentucky Secretary of State

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