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COMMONWEALTH PEDIATRICS, P.S.C.

Company Details

Name: COMMONWEALTH PEDIATRICS, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 30 Dec 1987 (37 years ago)
Organization Date: 30 Dec 1987 (37 years ago)
Last Annual Report: 12 Mar 2024 (10 months ago)
Organization Number: 0238129
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40503
Primary County: Fayette
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

Director

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

Shareholder

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

Incorporator

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

President

Name Role
Elizabeth C Hawse, MD President

Treasurer

Name Role
David A Hawse, MD Treasurer

Former Company Names

Name Action
MACK, GORE, FEESE & STOREY, P.S.C. Old Name
MACK, GORE & FEESE, P.S.C. Old Name
JAMES C. MACK II, M.D., P.S.C. Old Name
MACK & GORE, 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 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
Registered Agent name/address change 2016-09-06

Date of last update: 15 Jan 2025

Sources: Kentucky Secretary of State