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COMMONWEALTH PEDIATRICS, P.S.C.

Company Details

Name: COMMONWEALTH PEDIATRICS, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 Dec 1987 (37 years ago)
Organization Date: 30 Dec 1987 (37 years ago)
Last Annual Report: 04 Mar 2025 (2 months ago)
Organization Number: 0238129
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40503
City: Lexington
Primary County: Fayette County
Principal Office: 1780 NICHOLASVILLE RD., STE. 301, LEXINGTON, KY 40503
Place of Formation: KENTUCKY
Common No Par Shares: 3000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2023 611130140 2024-10-31 COMMONWEALTH PEDIATRICS, P.S.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2022 611130140 2023-10-13 COMMONWEALTH PEDIATRICS, P.S.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2021 611130140 2022-10-14 COMMONWEALTH PEDIATRICS, P.S.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2020 611130140 2021-08-12 COMMONWEALTH PEDIATRICS, P.S.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2019 611130140 2020-10-06 COMMONWEALTH PEDIATRICS, P.S.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2018 611130140 2019-07-19 COMMONWEALTH PEDIATRICS, P.S.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2017 611130140 2018-07-26 COMMONWEALTH PEDIATRICS, P.S.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PLAN 2016 611130140 2017-07-28 COMMONWEALTH PEDIATRICS, P.S.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PL 2015 611130140 2016-10-06 COMMONWEALTH PEDIATRICS, P.S.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
COMMONWEALTH PEDIATRICS, P.S.C. PROFIT SHARING PL 2014 611130140 2015-07-29 COMMONWEALTH PEDIATRICS, P.S.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/01/20140701063857P030004256255001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/24/20130524103003P030080093141001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD SUITE 301, LEXINGTON, KY, 40503

Signature of
Role Plan administrator
Date 2013-05-24
Name of individual signing DAVID SHROPSHIRE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/14/20120614113054P040113998560001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD SUITE 301, LEXINGTON, KY, 40503

Plan administrator’s name and address
Administrator’s EIN 611130140
Plan administrator’s name COMMONWEALTH PEDIATRICS, P.S.C.
Plan administrator’s address 1780 NICHOLASVILLE ROAD SUITE 301, LEXINGTON, KY, 40503
Administrator’s telephone number 8592776636

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing DAVID SHROPSHIRE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/05/20110705074623P030087744625001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8592776636
Plan sponsor’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503

Plan administrator’s name and address
Administrator’s EIN 611130140
Plan administrator’s name COMMONWEALTH PEDIATRICS, P.S.C.
Plan administrator’s address 1780 NICHOLASVILLE ROAD, SUITE 301, LEXINGTON, KY, 40503
Administrator’s telephone number 8592776636

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing BARBARA S. MACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing BARBARA S. MACK
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JEREMY K. STAMPER Registered Agent

President

Name Role
Elizabeth C Hawse, MD President

Treasurer

Name Role
David A Hawse, MD Treasurer

Shareholder

Name Role
David A Hawse MD Shareholder
Elizabeth C Hawse MD Shareholder

Director

Name Role
David A Hawse Director
JACK C. MACK II, M.D. Director
BARBARA MACK Director
Elizabeth C Hawse Director

Incorporator

Name Role
JACK C. MACK, II, M.D. Incorporator
. Incorporator

Former Company Names

Name Action
MACK, GORE, FEESE & STOREY, P.S.C. Old Name
MACK, GORE & FEESE, P.S.C. Old Name
MACK & GORE, P.S.C. Old Name
JAMES C. MACK II, M.D., P.S.C. Old Name

Assumed Names

Name Status Expiration Date
MACK SUTHERLAND PERZLEY & GORE Inactive 2008-07-15
MACK, GORE, FEESE & STOREY, MDS Inactive 2003-07-15
MACK, SUTHERLAND, GORE & FEESE, MDS Inactive 2003-07-15
MACK, SUTHERLAND & GORE Inactive 2003-07-15

Filings

Name File Date
Annual Report 2025-03-04
Annual Report 2024-03-12
Registered Agent name/address change 2023-02-27
Annual Report 2023-02-27
Annual Report 2022-08-05
Annual Report 2021-05-19
Annual Report 2020-06-15
Annual Report 2019-06-05
Annual Report 2018-06-21
Annual Report 2017-05-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6965847003 2020-04-07 0457 PPP 1780 NICHOLASVILLE RD STE 301, LEXINGTON, KY, 40503-1400
Loan Status Date 2021-05-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 240400
Loan Approval Amount (current) 240400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27196
Servicing Lender Name Central Bank & Trust Co.
Servicing Lender Address 300 W Vine St, LEXINGTON, KY, 40507-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LEXINGTON, FAYETTE, KY, 40503-1400
Project Congressional District KY-06
Number of Employees 28
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 27196
Originating Lender Name Central Bank & Trust Co.
Originating Lender Address LEXINGTON, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 242904.17
Forgiveness Paid Date 2021-04-27
4958048303 2021-01-23 0457 PPS 1780 Nicholasville Rd Ste 301, Lexington, KY, 40503-1413
Loan Status Date 2022-03-04
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 240041.05
Loan Approval Amount (current) 240041.05
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27196
Servicing Lender Name Central Bank & Trust Co.
Servicing Lender Address 300 W Vine St, LEXINGTON, KY, 40507-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lexington, FAYETTE, KY, 40503-1413
Project Congressional District KY-06
Number of Employees 24
NAICS code 622310
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 27196
Originating Lender Name Central Bank & Trust Co.
Originating Lender Address LEXINGTON, KY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 242694.84
Forgiveness Paid Date 2022-03-01

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Sources: Kentucky Secretary of State

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