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ASHLAND RADIATION ONCOLOGY, P.S.C

Company Details

Name: ASHLAND RADIATION ONCOLOGY, P.S.C
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 11 Sep 1990 (34 years ago)
Organization Date: 11 Sep 1990 (34 years ago)
Last Annual Report: 27 Mar 2024 (10 months ago)
Organization Number: 0277175
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 41101
Primary County: Boyd
Principal Office: 706 23RD. ST., ASHLAND, KY 41101
Place of Formation: KENTUCKY
Common No Par Shares: 1000

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FKCMG6SVJLN6 2024-10-17 706 23RD ST, ASHLAND, KY, 41101, 2832, USA TRI-STATE REGIONAL CANCER CENTER, 706 23RD STREET, ASHLAND, KY, 41101, 2832, USA

Business Information

Doing Business As ASHLAND RADIATION ONCOLOGY PSC
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2023-10-20
Initial Registration Date 2004-03-18
Entity Start Date 1990-09-07
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621111

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KELLY LOPEZ
Address TRI-STATE REGIONAL CANCER CENTER, 706 23RD STREET, ASHLAND, KY, 41101, 2832, USA
Title ALTERNATE POC
Name JEFFREY LOPEZ
Address TRI-STATE REGIONAL CANCER CENTER, 706 23RD STREET, ASHLAND, KY, 41101, 2832, USA
Government Business
Title PRIMARY POC
Name KELLY LOPEZ
Address 706 23RD. ST., ASHLAND, KY, 41101, USA
Title ALTERNATE POC
Name JEFFREY LOPEZ
Address 706 23RD. ST., ASHLAND, KY, 41101, USA
Past Performance
Title PRIMARY POC
Name KELLY LOPEZ
Address 706 23RD STREET, ASHLAND, KY, 41101, 2832, USA
Title ALTERNATE POC
Name JEFFREY LOPEZ
Address 706 23RD STREET, ASHLAND, KY, 41101, 2832, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2023 611186316 2024-06-20 ASHLAND RADIATION ONCOLOGY, P.S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Signature of

Role Plan administrator
Date 2024-06-20
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2022 611186316 2023-05-10 ASHLAND RADIATION ONCOLOGY, P.S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Signature of

Role Plan administrator
Date 2023-05-10
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2021 611186316 2022-07-14 ASHLAND RADIATION ONCOLOGY, P.S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2020 611186316 2021-08-16 ASHLAND RADIATION ONCOLOGY, P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Signature of

Role Plan administrator
Date 2021-08-16
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2019 611186316 2020-07-14 ASHLAND RADIATION ONCOLOGY, P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2018 611186316 2019-05-23 ASHLAND RADIATION ONCOLOGY, P.S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2019-05-23
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2017 611186316 2018-06-08 ASHLAND RADIATION ONCOLOGY, P.S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2018-06-08
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2016 611186316 2017-05-18 ASHLAND RADIATION ONCOLOGY, P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2017-05-18
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2015 611186316 2016-10-11 ASHLAND RADIATION ONCOLOGY, P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
ASHLAND RADIATION ONCOLOGY, P.S.C. 401(K) PLAN 2014 611186316 2015-10-14 ASHLAND RADIATION ONCOLOGY, P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/22/20140722123254P030053085169001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/07/20131007144632P040030149633001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2013-10-07
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/19/20120719144417P030000399381001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2012-07-19
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725104313P030100115121001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/24/20100624082018P040335273601001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6063290060
Plan sponsor’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101

Plan administrator’s name and address

Administrator’s EIN 611186316
Plan administrator’s name ASHLAND RADIATION ONCOLOGY, P.S.C.
Plan administrator’s address 706 TWENTY-THIRD STREET, ASHLAND, KY, 41101
Administrator’s telephone number 6063290060

Signature of

Role Plan administrator
Date 2010-06-15
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-15
Name of individual signing JEFFREY LOPEZ
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
Kelly M Lopez Secretary

Director

Name Role
BOBBY C. BAKER, M.D. Director
JEFFREY P. LOPEZ, M.D. Director
Jeffrey P Lopez Director

President

Name Role
Jeffrey P Lopez President

Registered Agent

Name Role
JEFFREY P. LOPEZ, M.D. Registered Agent

Incorporator

Name Role
JEFFREY P. LOPEZ, M.D. Incorporator

Assumed Names

Name Status Expiration Date
ASHLAND AREA CANCER CENTER Inactive 2022-08-11
ASHLAND CANCER CENTER Inactive 2018-01-14
ASHLAND CANCER TREATMENT CENTER Inactive 2018-01-14
TRI-STATE CANCER TREATMENT CENTER Inactive 2018-01-14
TRI-STATE RADIATION ONCOLOGY Inactive 2018-01-14
TRI-STATE REGIONAL CANCER CENTER Inactive 2016-08-25
TRI-STATE CANCER CENTER Inactive 2015-06-25

Filings

Name File Date
Annual Report 2024-03-27
Annual Report Amendment 2023-05-11
Annual Report 2023-05-11
Name Renewal 2022-05-17
Name Renewal 2022-05-17
Annual Report 2022-05-17
Annual Report 2021-06-08
Certificate of Assumed Name 2020-05-11
Certificate of Assumed Name 2020-05-08
Certificate of Assumed Name 2020-05-08

Date of last update: 15 Jan 2025

Sources: Kentucky Secretary of State