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  5. HENRY G. ADKINS, M.D., P.S.C.

HENRY G. ADKINS, M.D., P.S.C.

Company Details

Name: HENRY G. ADKINS, M.D., P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 24 Jul 1989 (35 years ago)
Organization Date: 24 Jul 1989 (35 years ago)
Last Annual Report: 13 Apr 2023 (2 years ago)
Organization Number: 0261206
ZIP code: 41143
Primary County: Carter
Principal Office: P.O. BOX 517, GRAYSON, KY 41143
Place of Formation: KENTUCKY
Authorized Shares: 10000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2022 611163406 2023-01-11 HENRY G. ADKINS, M.D., P.S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address STE B, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2023-01-11
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2021 611163406 2022-10-13 HENRY G. ADKINS, M.D., P.S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address STE B, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2020 611163406 2021-10-13 HENRY G. ADKINS, M.D., P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address STE B, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2019 611163406 2020-10-07 HENRY G. ADKINS, M.D., P.S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2018 611163406 2019-10-14 HENRY G. ADKINS, M.D., P.S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2017 611163406 2018-10-05 HENRY G. ADKINS, M.D., P.S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2016 611163406 2017-09-27 HENRY G. ADKINS, M.D., P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2015 611163406 2016-07-01 HENRY G. ADKINS, M.D., P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2016-07-01
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2014 611163406 2015-10-14 HENRY G. ADKINS, M.D., P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
HENRY G. ADKINS, M.D., P.S.C. PROFIT SHARING PLAN 2013 611163406 2014-10-10 HENRY G. ADKINS, M.D., P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014173717P040037961635001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/14/20121014183709P040001678438001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/12/20111012122428P030147390369001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/08/20100908123328P030486147521001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-12-29
Business code 621111
Sponsor’s telephone number 6064747808
Plan sponsor’s address P.O. BOX 517, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611163406
Plan administrator’s name HENRY G. ADKINS, M.D., P.S.C.
Plan administrator’s address P.O. BOX 517, GRAYSON, KY, 41143
Administrator’s telephone number 6064747808

Signature of
Role Plan administrator
Date 2010-09-08
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing HENRY G. ADKINS, M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
HENRY G. ADKINS Registered Agent

Director

Name Role
HENRY G. ADKINS Director

Incorporator

Name Role
HENRY G. ADKINS Incorporator

Filings

Name File Date
Dissolution 2023-12-06
Annual Report 2023-04-13
Annual Report 2022-06-24
Annual Report 2021-06-23
Annual Report 2020-06-30
Annual Report 2019-07-01
Annual Report 2018-05-16
Annual Report 2017-06-27
Annual Report 2016-06-27
Annual Report 2015-06-23

Related by officers

No related officers

Related by address

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Date of last update: 17 Dec 2024

Sources: Kentucky Secretary of State

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