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FAMILY PHYSICIAN ASSOCIATES, P.S.C.

Company Details

Name: FAMILY PHYSICIAN ASSOCIATES, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 19 Jun 1960 (65 years ago)
Organization Date: 19 Jun 1960 (65 years ago)
Last Annual Report: 29 Jun 2012 (13 years ago)
Organization Number: 0183067
ZIP code: 40065
City: Shelbyville
Primary County: Shelby County
Principal Office: 515 HOSPITAL DR., SHELBYVILLE, KY 40065
Place of Formation: KENTUCKY
Authorized Shares: 2000

President

Name Role
James R Smith President

Shareholder

Name Role
EDWARD L SAMES Shareholder
DAVID W WALLACE Shareholder
James R Smith Shareholder
David A Jones Shareholder
Kenneth A Gardner Shareholder

Registered Agent

Name Role
JAMES R. SMITH, M.D. Registered Agent

Secretary

Name Role
Edward L Sames Secretary

Vice President

Name Role
David A Jones Vice President

Director

Name Role
David W Wallace Director
Edward L Sames Director
David A Jones Director
James R Smith Director

Incorporator

Name Role
DONALD CHATHAM, M. D. Incorporator

Form 5500 Series

Employer Identification Number (EIN):
611035885
Plan Year:
2013
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
34
Sponsors Telephone Number:

Former Company Names

Name Action
DONALD CHATHAM, P. S. C. Old Name

Filings

Name File Date
Administrative Dissolution 2013-09-28
Annual Report 2012-06-29
Annual Report 2011-06-30
Reinstatement 2010-12-02
Reinstatement Certificate of Existence 2010-12-02

Sources: Kentucky Secretary of State