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KENTUCKY CENTER FOR VISION P.S.C.

Company Details

Name: KENTUCKY CENTER FOR VISION P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 30 Aug 1985 (39 years ago)
Organization Date: 30 Aug 1985 (39 years ago)
Last Annual Report: 10 Aug 2020 (4 years ago)
Organization Number: 0205604
ZIP code: 40509
Primary County: Fayette
Principal Office: 3424 BRIERCROFT WAY, LEXINGTON, KENTUCKY 40509, LEXINGTON, KY 40509
Place of Formation: KENTUCKY
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2018 611079171 2019-11-22 KENTUCKY CENTER FOR VISION, P.S.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2018 611079171 2019-10-10 KENTUCKY CENTER FOR VISION, P.S.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2017 611079171 2018-09-04 KENTUCKY CENTER FOR VISION, P.S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2018-09-04
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-04
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2016 611079171 2017-09-13 KENTUCKY CENTER FOR VISION, P.S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2017-09-13
Name of individual signing NORMAN STIEFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-13
Name of individual signing NORMAN STIEFLER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2015 611079171 2016-10-11 KENTUCKY CENTER FOR VISION, P.S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing NORMAN STIEFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing NORMAN STIEFLER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2014 611079171 2015-07-23 KENTUCKY CENTER FOR VISION, P.S.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2015-07-23
Name of individual signing NORMAN STIEFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing NORMAN STIEFLER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2013 611079171 2014-06-19 KENTUCKY CENTER FOR VISION, P.S.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2014-06-19
Name of individual signing BRUCE KOFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-19
Name of individual signing BRUCE KOFFLER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2012 611079171 2013-05-06 KENTUCKY CENTER FOR VISION, P.S.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Signature of

Role Plan administrator
Date 2013-05-02
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2011 611079171 2012-05-02 KENTUCKY CENTER FOR VISION, P.S.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Plan administrator’s name and address

Administrator’s EIN 611079171
Plan administrator’s name KENTUCKY CENTER FOR VISION, P.S.C.
Plan administrator’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509
Administrator’s telephone number 8592634631

Signature of

Role Plan administrator
Date 2012-05-01
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-01
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CENTER FOR VISION, P.S.C. PROFIT SHARING PLAN 2010 611079171 2011-05-09 KENTUCKY CENTER FOR VISION, P.S.C. 11
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Plan administrator’s name and address

Administrator’s EIN 611079171
Plan administrator’s name KENTUCKY CENTER FOR VISION, P.S.C.
Plan administrator’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509
Administrator’s telephone number 8592634631

Signature of

Role Plan administrator
Date 2011-05-09
Name of individual signing BRUCE H. KOFFLER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-05-09
Name of individual signing BRUCE H. KOFFLER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Plan administrator’s name and address

Administrator’s EIN 611079171
Plan administrator’s name KENTUCKY CENTER FOR VISION, P.S.C.
Plan administrator’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509
Administrator’s telephone number 8592634631

Signature of

Role Plan administrator
Date 2011-05-03
Name of individual signing BRUCE H. KOFFLER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-05-03
Name of individual signing BRUCE H. KOFFLER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/11/20110511075335P040018338759001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Plan administrator’s name and address

Administrator’s EIN 611079171
Plan administrator’s name KENTUCKY CENTER FOR VISION, P.S.C.
Plan administrator’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509
Administrator’s telephone number 8592634631

Signature of

Role Plan administrator
Date 2011-05-11
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-11
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/13/20100713122133P030371479425001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-09-01
Business code 621320
Sponsor’s telephone number 8592634631
Plan sponsor’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509

Plan administrator’s name and address

Administrator’s EIN 611079171
Plan administrator’s name KENTUCKY CENTER FOR VISION, P.S.C.
Plan administrator’s address 120 NORTH EAGLE CREEK DR., STE 431, LEXINGTON, KY, 40509
Administrator’s telephone number 8592634631

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing BRUCE H. KOFFLER
Valid signature Filed with authorized/valid electronic signature

Shareholder

Name Role
Bruce H Koffler Shareholder

Director

Name Role
BRUCE H. KOFFLER, M.D. Director

Incorporator

Name Role
BRUCE H. KOFFLER, M.D. Incorporator

Sole Officer

Name Role
Bruce Koffler Sole Officer

Registered Agent

Name Role
BRUCE H. KOFFLER, M.D. Registered Agent

Assumed Names

Name Status Expiration Date
KOFFLER VISION GROUP Inactive 2015-08-04

Filings

Name File Date
Dissolution 2020-12-16
Principal Office Address Change 2020-08-10
Registered Agent name/address change 2020-08-10
Annual Report 2020-08-10
Annual Report 2019-05-07
Annual Report 2018-05-23
Annual Report 2017-09-20
Annual Report 2016-06-22
Annual Report 2015-06-30
Reinstatement Certificate of Existence 2014-12-17

Date of last update: 08 Jan 2025

Sources: Kentucky Secretary of State