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KENTUCKY PROFESSIONAL INSURANCE CORPORATION

Company Details

Name: KENTUCKY PROFESSIONAL INSURANCE CORPORATION
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 30 Nov 1984 (41 years ago)
Organization Date: 30 Nov 1984 (41 years ago)
Last Annual Report: 29 Mar 2016 (9 years ago)
Organization Number: 0196017
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 9520 ORMSBY STATION ROAD, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY
Authorized Shares: 22500

Secretary

Name Role
Cathy New Secretary

Director

Name Role
WILLIAM M. SCHREIBER, M. Director
STUART GRAVES, JR., M.D. Director
BEN R. BREWER Director
JAMES R. PETERSDORF Director
Norm Risen Director
Marc Risen Director
Cathy New Director
Kent Risen Director

Incorporator

Name Role
J. LARRY CASHEN Incorporator

Registered Agent

Name Role
CATHERINE NEW Registered Agent

Form 5500 Series

Employer Identification Number (EIN):
611066681
Plan Year:
2014
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
30
Sponsors Telephone Number:

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 397836 Administrator - Not Applicable Inactive 2008-01-09 - 2016-03-31 - -
Department of Insurance DOI ID 397836 Agent - Health Inactive 2000-11-14 - 2014-03-31 - -

Former Company Names

Name Action
PREFERRED HEALTH PLAN, INC. Old Name

Filings

Name File Date
Administrative Dissolution Return 2017-11-09
Administrative Dissolution 2017-10-09
Sixty Day Notice Return 2017-08-21
Annual Report 2016-03-29
Registered Agent name/address change 2015-06-23

Sources: Kentucky Secretary of State