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MAYFIELD RADIOLOGISTS, P.S.C.

Company Details

Name: MAYFIELD RADIOLOGISTS, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 25 Apr 1990 (35 years ago)
Organization Date: 25 Apr 1990 (35 years ago)
Last Annual Report: 23 May 2023 (2 years ago)
Organization Number: 0272106
ZIP code: 42066
Primary County: Graves
Principal Office: P O BOX 918, 132 ARBOR CREST DR, MAYFIELD, KY 42066
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST 2021 611179151 2022-07-14 MAYFIELD RADIOLOGISTS, P.S.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-16
Business code 621111
Sponsor’s telephone number 2702478710
Plan sponsor’s address PO BOX 918, MAYFIELD, KY, 420660039

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing STEPHEN ELLIOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing STEPHEN ELLIOTT
Valid signature Filed with authorized/valid electronic signature
MAYFIELD RADIOLOGISTS, P. S. C. PROFIT SHARING TRUST 2020 611179151 2021-07-04 MAYFIELD RADIOLOGISTS, P.S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-16
Business code 621111
Sponsor’s telephone number 2702478710
Plan sponsor’s address P.O. BOX 918, MAYFIELD, KY, 42066

Signature of

Role Plan administrator
Date 2021-07-04
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-04
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
MAYFIELD RADIOLOGISTS, P. S. C. PROFIT SHARING TRUST 2019 611179151 2020-06-15 MAYFIELD RADIOLOGISTS, P.S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-16
Business code 621111
Sponsor’s telephone number 2702478710
Plan sponsor’s address P.O. BOX 918, MAYFIELD, KY, 42066

Signature of

Role Plan administrator
Date 2020-06-15
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-15
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
MAYFIELD RADIOLOGISTS, P. S. C. PROFIT SHARING TRUST 2018 611179151 2019-08-16 MAYFIELD RADIOLOGISTS, P.S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-16
Business code 621111
Sponsor’s telephone number 2702478710
Plan sponsor’s address P.O. BOX 918, MAYFIELD, KY, 42066

Signature of

Role Plan administrator
Date 2019-08-16
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-16
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST 2010 611179151 2011-06-29 MAYFIELD RADIOLOGISTS, P.S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-16
Business code 621111
Sponsor’s telephone number 2702478710
Plan sponsor’s address P.O. BOX 918, MAYFIELD, KY, 42066

Plan administrator’s name and address

Administrator’s EIN 611179151
Plan administrator’s name MAYFIELD RADIOLOGISTS, P.S.C.
Plan administrator’s address P.O. BOX 918, MAYFIELD, KY, 42066
Administrator’s telephone number 2702478710

Signature of

Role Plan administrator
Date 2011-06-28
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST 2009 611179151 2010-06-02 MAYFIELD RADIOLOGISTS, P.S.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1990-04-16
Business code 621111
Sponsor’s telephone number 2702478710
Plan sponsor’s address P.O. BOX 918, MAYFIELD, KY, 42066

Plan administrator’s name and address

Administrator’s EIN 611179151
Plan administrator’s name MAYFIELD RADIOLOGISTS, P.S.C.
Plan administrator’s address P.O. BOX 918, MAYFIELD, KY, 42066
Administrator’s telephone number 2702478710

Signature of

Role Employer/plan sponsor
Date 2010-06-02
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature
MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST 2009 611179151 2010-06-08 MAYFIELD RADIOLOGISTS, P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-16
Business code 621111
Sponsor’s telephone number 2702478710
Plan sponsor’s address P.O. BOX 918, MAYFIELD, KY, 42066

Plan administrator’s name and address

Administrator’s EIN 611179151
Plan administrator’s name MAYFIELD RADIOLOGISTS, P.S.C.
Plan administrator’s address P.O. BOX 918, MAYFIELD, KY, 42066
Administrator’s telephone number 2702478710

Signature of

Role Plan administrator
Date 2010-06-07
Name of individual signing JOHN BEASLEY
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JOHN J. BEASLEY, MD Registered Agent

President

Name Role
John J. Beasley, M.D. President

Secretary

Name Role
Sherrie A. Beasley Secretary

Vice President

Name Role
John J. Beasley, M.D. Vice President

Director

Name Role
John J. Beasley, M.D. Director
JOHN J. BEASLEY Director

Shareholder

Name Role
John J. Beasley, M.D. Shareholder

Incorporator

Name Role
JOHN J. BEASLEY Incorporator

Filings

Name File Date
Dissolution 2023-12-28
Annual Report 2023-05-23
Annual Report 2022-05-16
Annual Report 2021-02-18
Annual Report 2020-02-14
Annual Report 2019-04-19
Annual Report 2018-03-23
Annual Report 2017-02-28
Annual Report 2016-02-26
Annual Report 2015-04-03

Date of last update: 18 Dec 2024

Sources: Kentucky Secretary of State