| Name: | ROGER J. KLEIN, M.D., P.S.C. |
| Legal type: | Kentucky Professional Services Corp |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Profit |
| File Date: | 21 Jun 1985 (40 years ago) |
| Organization Date: | 21 Jun 1985 (40 years ago) |
| Last Annual Report: | 14 Sep 2009 (15 years ago) |
| Organization Number: | 0203098 |
| ZIP code: | 41101 |
| City: | Ashland, Summitt, Westwood |
| Primary County: | Boyd County |
| Principal Office: | 617 23RD STREET, SUITE 205, ASHLAND, KY 41101 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROGER J. KLEIN, M.D., P.S.C. PROFIT SHARING PLAN | 2010 | 611077404 | 2011-01-03 | ROGER J. KLEIN, M.D., P.S.C. | 9 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 611077404 |
| Plan administrator’s name | ROGER J. KLEIN, M.D., P.S.C. |
| Plan administrator’s address | 120 COUNTRY CLUB DRIVE, ASHLAND, KY, 41101 |
| Administrator’s telephone number | 6068363143 |
Signature of
| Role | Plan administrator |
| Date | 2011-01-03 |
| Name of individual signing | ROGER J. KLEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1988-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6068363143 |
| Plan sponsor’s address | 120 COUNTRY CLUB DRIVE, ASHLAND, KY, 41101 |
Plan administrator’s name and address
| Administrator’s EIN | 611077404 |
| Plan administrator’s name | ROGER J. KLEIN, M.D., P.S.C. |
| Plan administrator’s address | 120 COUNTRY CLUB DRIVE, ASHLAND, KY, 41101 |
| Administrator’s telephone number | 6068363143 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-17 |
| Name of individual signing | ROGER J. KLEIN, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Roger J Klein | Director |
| ROGER J. KLEIN, M.D. | Director |
| Name | Role |
|---|---|
| Roger J Klein | Sole Officer |
| Name | Role |
|---|---|
| Roger J Klein | Signature |
| Name | Role |
|---|---|
| ROGER J. KLEIN, M.D. | Incorporator |
| Name | Role |
|---|---|
| ROGER J. KLEIN, M.D. | Registered Agent |
| Name | Role |
|---|---|
| Roger J Klein | Shareholder |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2010-11-02 |
| Annual Report | 2009-09-14 |
| Annual Report | 2008-07-14 |
| Statement of Change | 2007-07-03 |
| Annual Report | 2007-07-02 |
| Annual Report | 2006-06-22 |
| Annual Report | 2005-04-13 |
| Annual Report | 2003-06-23 |
| Annual Report | 2002-08-22 |
| Annual Report | 2001-04-17 |
Sources: Kentucky Secretary of State
