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  5. ELIZABETHTOWN PHYSICIANS FOR WOMEN, P.S.C.

ELIZABETHTOWN PHYSICIANS FOR WOMEN, P.S.C.

Company Details

Name: ELIZABETHTOWN PHYSICIANS FOR WOMEN, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 29 Dec 1987 (37 years ago)
Organization Date: 29 Dec 1987 (37 years ago)
Last Annual Report: 12 Aug 2022 (3 years ago)
Organization Number: 0238210
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 1115 WOODLAND DR., ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2021 611130086 2022-07-27 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing DR. SHANNON L. HOLT
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2020 611130086 2021-09-30 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing DR. MYRA HENDERSON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2019 611130086 2020-07-30 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing DR. MYRA HENDERSON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2018 611130086 2019-07-18 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing DR. MYRA HENDERSON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2017 611130086 2018-07-20 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing DR. MYRA HENDERSON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2016 611130086 2017-05-25 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing DR. MYRA HENDERSON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2015 611130086 2016-07-15 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing DR. MYRA HENDERSON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2014 611130086 2015-10-06 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing DR. MYRA HENDERSON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2013 611130086 2014-07-21 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing DAVID HAMILTON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. PROFIT SHARING 401K PLAN 2012 611130086 2013-07-16 ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing DAVID HAMILTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/13/20120713144043P030007449360001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Plan administrator’s name and address
Administrator’s EIN 611130086
Plan administrator’s name ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C.
Plan administrator’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701
Administrator’s telephone number 2707695963

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing DAVID HAMILTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013090529P040049919207002.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Plan administrator’s name and address
Administrator’s EIN 611130086
Plan administrator’s name ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C.
Plan administrator’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701
Administrator’s telephone number 2707695963

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DAVID HAMILTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/26/20100726132341P040129241426001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-06-20
Business code 621111
Sponsor’s telephone number 2707695963
Plan sponsor’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701

Plan administrator’s name and address
Administrator’s EIN 611130086
Plan administrator’s name ELIZABETHTOWN PHYSICIANS FOR WOMEN P.S.C.
Plan administrator’s address 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701
Administrator’s telephone number 2707695963

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing DAVID HAMILTON
Valid signature Filed with authorized/valid electronic signature

Partner

Name Role
MYRA A HENDERSON Partner
JASON E GOODMAN Partner

President

Name Role
DAVID A HAMILTON President

Secretary

Name Role
AMY E PREEN Secretary

Vice President

Name Role
SHANNON L HOLT Vice President

Director

Name Role
DAVID A HAMILTON Director
SHANNON L HOLT Director
AMY E PREEN Director
JASON E GOODMAN Director
LUCIAN Y. MOREMAN, II, M Director
WILLIAM F. BRASSINE, M.D Director
GEORGE W. BAUER, III, M. Director
MYRA A HENDERSON Director
PAUL S. ARMSTRONG, M.D. Director

Incorporator

Name Role
PAUL S. ARMSTRONG, M.D. Incorporator
LUCIAN Y. MOREMAN, II, M Incorporator
GEORGE W. BAUER, III, M. Incorporator
WILLIAM F. BRASSINE, P.S Incorporator

Registered Agent

Name Role
JASON E GOODMAN Registered Agent

Shareholder

Name Role
MYRA A HENDERSON Shareholder
DAVID A HAMILTON Shareholder
SHANNON L HOLT Shareholder
AMY E PREEN Shareholder
JASON E GOODMAN Shareholder

Former Company Names

Name Action
MOREMAN, ARMSTRONG, BAUER AND BRASSINE, P.S.C. Old Name

Filings

Name File Date
Dissolution 2023-02-03
Annual Report 2022-08-12
Registered Agent name/address change 2022-06-07
Annual Report 2021-02-06
Annual Report 2020-02-29
Annual Report 2019-03-09
Annual Report 2018-02-17
Annual Report 2017-02-21
Annual Report 2016-02-16
Annual Report 2015-02-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7691447705 2020-05-01 0457 PPP 1115 WOODLAND DR, ELIZABETHTOWN, KY, 42701-2749
Loan Status Date 2021-09-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 459700
Loan Approval Amount (current) 459700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address ELIZABETHTOWN, HARDIN, KY, 42701-2749
Project Congressional District KY-02
Number of Employees 38
NAICS code -
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 465459.02
Forgiveness Paid Date 2021-08-06

Related by officers

MYRA A HENDERSON

MABB PROPERTIES, INC.

DAVID A HAMILTON

MABB PROPERTIES, INC. SDDH Lex Real Estate LLC Hidden Spring Real Estate Limited Liability Company Cavalcade Land Company LLC

AMY E PREEN

MABB PROPERTIES, INC.

SHANNON L HOLT

MABB PROPERTIES, INC.

JASON E GOODMAN

MABB PROPERTIES, INC.

LUCIAN Y. MOREMAN, II, M

ELIZABETHTOWN PHYSICIANS FOR WOMEN MABB PROPERTIES, INC.

WILLIAM F. BRASSINE, M.D

WILLIAM F. BRASSINE, P.S.C. MABB PROPERTIES, INC.

GEORGE W. BAUER, III, M.

ELIZABETHTOWN PHYSICIANS FOR WOMEN MABB PROPERTIES, INC.

PAUL S. ARMSTRONG, M.D.

ELIZABETHTOWN PHYSICIANS FOR WOMEN MABB PROPERTIES, INC.

WILLIAM F. BRASSINE, P.S

ELIZABETHTOWN PHYSICIANS FOR WOMEN

Related by address

1115 WOODLAND DR., ELIZABETHTOWN, KY 42701

ELIZABETHTOWN PHYSICIANS FOR WOMEN MABB PROPERTIES, INC.

Sources: Kentucky Secretary of State

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