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A. BRENT CHUMBLEY, P.S.C.

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Company Details

Name: A. BRENT CHUMBLEY, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Dec 1990 (35 years ago)
Organization Date: 28 Dec 1990 (35 years ago)
Last Annual Report: 17 Jul 2019 (6 years ago)
Organization Number: 0281011
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 727 W COMBERLAND CAP PKWY, SUITE D, CORBIN, KY 40701
Place of Formation: KENTUCKY
Authorized Shares: 100

Sole Officer

Name Role
A Brent Chumbley Sole Officer

Registered Agent

Name Role
DR. A. BRENT CHUMBLEY Registered Agent

Signature

Name Role
A BRENT CHUMBLEY Signature

Shareholder

Name Role
A Brent Chumbley Shareholder

Director

Name Role
DR. A. BRENT CHUMBLEY Director

Incorporator

Name Role
DR. A. BRENT CHUMBLEY Incorporator

National Provider Identifier

NPI Number:
1649543034

Authorized Person:

Name:
DR. ALVIN BRENT CHUMBLEY
Role:
PRESIDENT - OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Fax:
6065232823

Form 5500 Series

Employer Identification Number (EIN):
611190466
Plan Year:
2018
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
11
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2019-07-17
Annual Report 2019-07-17
Annual Report 2018-06-13
Annual Report 2017-04-17
Annual Report 2016-06-15

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Sources: Kentucky Secretary of State