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SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.

Company Details

Name: SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 11 Dec 1985 (39 years ago)
Organization Date: 11 Dec 1985 (39 years ago)
Last Annual Report: 27 Jun 2024 (10 months ago)
Organization Number: 0209226
Industry: Health Services
Number of Employees: Medium (20-99)
Principal Office: P O BOX 36218, LOUISVILLE, KY 402336218
Place of Formation: KENTUCKY
Authorized Shares: 10000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2023 611087711 2024-05-02 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 101
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2024-05-02
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2022 611087711 2023-09-14 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 97
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2021 611087711 2022-10-11 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2020 611087711 2021-09-17 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2019 611087711 2020-10-09 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2018 611087711 2019-10-01 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2017 611087711 2018-10-11 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 85
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2016 611087711 2017-09-11 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2017-09-11
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2015 611087711 2016-09-27 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2014 611087711 2015-10-07 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/15/20140715124220P040016417885004.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing DR WILLIAM CRECELIUS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/21/20130521133304P030220686595001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing DR WILLIAM CRECELIUS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/23/20120523213826P030001397286001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2012-05-23
Name of individual signing DR ROBERT COUCH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/01/20110901162655P030039272887001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2011-09-01
Name of individual signing DR ROBERT COUCH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing DR ROBERT COUCH
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing DR ROBERT COUCH
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720153306P070003264324001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing DR ROBERT COUCH
Valid signature Filed with authorized/valid electronic signature

Shareholder

Name Role
JESSICA KOTHA Shareholder
R. DOUGLAS KELLY Shareholder
JAMES COULSON GRAY, IV Shareholder
JEFFERY MCAFEE Shareholder
JEFF SPAIN Shareholder
SHANNON BECHT Shareholder
THEODORE FORREST Shareholder
ANDREW ROCHET Shareholder
RICHARD CARLISLE Shareholder
LAURA GILBERT Shareholder

Director

Name Role
R DOUGLAS KELLY Director
ROBERT COUCH, M.D. Director
SHANNON BECHT Director
JEFFERY MCAFEE Director
ANDREW ROCHET Director
STEPHEN RICHARDS Director
MATTHEW ALLINDER Director
ASAD JAVED Director

Incorporator

Name Role
ROBERT COUCH, M.D. Incorporator

Registered Agent

Name Role
Jeffery L. McAfee, MD Registered Agent

President

Name Role
JEFFERY MCAFEE President

Secretary

Name Role
ANDREW ROCHET Secretary

Treasurer

Name Role
ANDREW ROCHET Treasurer

Vice President

Name Role
SHANNON BECHT Vice President

Filings

Name File Date
Registered Agent name/address change 2024-06-27
Annual Report 2024-06-27
Annual Report 2023-06-22
Annual Report 2022-05-16
Annual Report 2021-06-09
Annual Report 2020-04-02
Annual Report 2019-06-12
Annual Report 2018-06-26
Annual Report 2017-06-28
Annual Report 2016-06-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9020927106 2020-04-15 0457 PPP 3 AUDUBON PLAZA DR STE 340, LOUISVILLE, KY, 40217-1319
Loan Status Date 2021-07-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1799800
Loan Approval Amount (current) 1799800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40217-1319
Project Congressional District KY-03
Number of Employees 83
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1820647.68
Forgiveness Paid Date 2021-06-15

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Sources: Kentucky Secretary of State

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