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CAPITAL FAMILY PHYSICIANS, P.S.C.

Company Details

Name: CAPITAL FAMILY PHYSICIANS, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 03 Jul 1991 (34 years ago)
Organization Date: 03 Jul 1991 (34 years ago)
Last Annual Report: 03 Jul 2023 (2 years ago)
Organization Number: 0288247
ZIP code: 40603
Primary County: Franklin
Principal Office: BERRY HILL OFFICE PARK, 1001 LEAWOOD DR., P. O. BOX 4168, FRANKFORT, KY 40603
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2021 611202249 2022-10-02 CAPITAL FAMILY PHYSICIANS, P.S.C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022239909
Plan sponsor’s address 1001 LEAWOOD DRIVE STE. C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2022-10-02
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2021 611202249 2022-09-01 CAPITAL FAMILY PHYSICIANS, P.S.C. 106
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022239909
Plan sponsor’s address 1001 LEAWOOD DRIVE STE. C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2022-08-31
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2020 611202249 2021-06-05 CAPITAL FAMILY PHYSICIANS, P.S.C. 106
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2021-06-04
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2019 611202249 2020-07-05 CAPITAL FAMILY PHYSICIANS, P.S.C. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2020-07-05
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2018 611202249 2019-08-01 CAPITAL FAMILY PHYSICIANS, P.S.C. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2019-08-01
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2017 611202249 2018-06-23 CAPITAL FAMILY PHYSICIANS, P.S.C. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5028750872
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2018-06-23
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2016 611202249 2017-06-24 CAPITAL FAMILY PHYSICIANS, P.S.C. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5028750872
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2017-06-24
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2015 611202249 2016-10-13 CAPITAL FAMILY PHYSICIANS, P.S.C. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2014 611202249 2015-10-08 CAPITAL FAMILY PHYSICIANS, P.S.C. 86
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2015-10-08
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
CAPITAL FAMILY PHYSICIANS, P.S.C. 401(K) PLAN 2014 611202249 2015-10-14 CAPITAL FAMILY PHYSICIANS, P.S.C. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/16/20141016164829P040054721377001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022231202
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2014-10-16
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/27/20130727105500P040118405381001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 406044168

Signature of

Role Plan administrator
Date 2013-07-27
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/22/20120522191832P030001223478001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022239909
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 40604

Plan administrator’s name and address

Administrator’s EIN 611202249
Plan administrator’s name CAPITAL FAMILY PHYSICIANS, P.S.C.
Plan administrator’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 40604
Administrator’s telephone number 5022239909

Signature of

Role Plan administrator
Date 2012-05-22
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/01/20110701101635P040088180817001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022239909
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 611202249
Plan administrator’s name CAPITAL FAMILY PHYSICIANS, P.S.C.
Plan administrator’s address 1001 LEAWOOD DRIVE SUITE C, FRANKFORT, KY, 40601
Administrator’s telephone number 5022239909

Signature of

Role Plan administrator
Date 2011-07-01
Name of individual signing STEVEN CRUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/23/20100923112428P030001585619001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5022230231
Plan sponsor’s address 1001 LEAWOOD DRIVE SUITE A, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 611202249
Plan administrator’s name CAPITAL FAMILY PHYSICIANS, P.S.C.
Plan administrator’s address 1001 LEAWOOD DRIVE SUITE A, FRANKFORT, KY, 40601
Administrator’s telephone number 5022230231

Signature of

Role Plan administrator
Date 2010-09-22
Name of individual signing STEVE CRUM
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
GREGORY L. FUQUA, M.D. Registered Agent

Secretary

Name Role
Matthew Bucher Secretary

Shareholder

Name Role
Kenneth L Bain Shareholder
Anthony Barnes Shareholder
Steven Crum Shareholder
JAMES Gilbert Shareholder
Thomas Hamilton Shareholder
Matthew Bucher Shareholder
Jaime Cooper Shareholder
GREGORY L. FUQUA Shareholder

Vice President

Name Role
GREGORY L. FUQUA Vice President

Incorporator

Name Role
KENNETH E. MARSHALL, M.D Incorporator

President

Name Role
STEVEN CRUM President

Director

Name Role
KENNETH E. MARSHALL, M.D Director

Assumed Names

Name Status Expiration Date
CAPITAL MEDICAL GROUP Expiring 2025-04-11
CAPITAL AESTHETICS Inactive 2023-08-16
CAPITAL CARDIOLOGY Inactive 2018-07-15
HEALTH WORKS Inactive 2013-07-15
OCCUPATIONAL HEALTH CONSULTANTS Inactive 2003-07-15

Filings

Name File Date
Dissolution 2024-05-06
Annual Report 2023-07-03
Annual Report 2022-05-03
Annual Report 2021-05-13
Annual Report 2020-09-28
Name Renewal 2020-04-07
Name Renewal 2019-08-08
Annual Report 2019-06-28
Certificate of Assumed Name 2018-08-21
Name Renewal 2018-08-16

Date of last update: 13 Jan 2025

Sources: Kentucky Secretary of State