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  5. KIMBERLY R. FOUSHEE, D.M.D., P.S.C.

KIMBERLY R. FOUSHEE, D.M.D., P.S.C.

Company Details

Name: KIMBERLY R. FOUSHEE, D.M.D., P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 16 Nov 1992 (32 years ago)
Organization Date: 16 Nov 1992 (32 years ago)
Last Annual Report: 04 Apr 2022 (3 years ago)
Organization Number: 0307555
ZIP code: 40291
Primary County: Jefferson
Principal Office: 9127 FERN CREEK RD., LOUISVILLE, KY 40291
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIMBERLY R FOUSHEE, D.M.D., M.S., P.S.C. PROFIT SHARING PLAN AND TRUST 2012 611228444 2013-04-29 KIMBERLY R. FOUSHEE, D.M.D, M.S., P.S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5022390013
Plan sponsor’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711

Signature of
Role Plan administrator
Date 2013-04-29
Name of individual signing KIMBERLY R FOUSHEE
Valid signature Filed with authorized/valid electronic signature
KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. PROFIT SHARING PLAN AND TRUST 2011 611228444 2012-08-03 KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5022390013
Plan sponsor’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711

Plan administrator’s name and address
Administrator’s EIN 611228444
Plan administrator’s name KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C.
Plan administrator’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711
Administrator’s telephone number 5022390013

Signature of
Role Plan administrator
Date 2012-08-02
Name of individual signing KIMBERLY R. FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-02
Name of individual signing KIMBERLY R. FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature
KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. PROFIT SHARING PLAN AND TRUST 2010 611228444 2011-10-13 KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5022390013
Plan sponsor’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711

Plan administrator’s name and address
Administrator’s EIN 611228444
Plan administrator’s name KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C.
Plan administrator’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711
Administrator’s telephone number 5022390013

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing KIMBERLY R. FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing KIMBERLY R. FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature
KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. PROFIT SHARING PLAN AND TRUST 2010 611228444 2011-10-13 KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. 6
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5022390013
Plan sponsor’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711

Plan administrator’s name and address
Administrator’s EIN 611228444
Plan administrator’s name KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C.
Plan administrator’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711
Administrator’s telephone number 5022390013

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing KIMBERLY R. FOUSHEE DMD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing KIMBERLY R. FOUSHEE DMD
Valid signature Filed with incorrect/unrecognized electronic signature
KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. MONEY PURCHASE PENSION PLAN AND TRUST 2009 611228444 2010-10-15 KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5022390013
Plan sponsor’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711

Plan administrator’s name and address
Administrator’s EIN 611228444
Plan administrator’s name KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C.
Plan administrator’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711
Administrator’s telephone number 5022390013

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing KIMBERLY FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing KIMBERLY FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature
KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. PROFIT SHARING PLAN AND TRUST 2009 611228444 2010-10-15 KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5022390013
Plan sponsor’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711

Plan administrator’s name and address
Administrator’s EIN 611228444
Plan administrator’s name KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C.
Plan administrator’s address 9127 FERN CREEK ROAD, LOUISVILLE, KY, 402912711
Administrator’s telephone number 5022390013

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing KIMBERLY FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing KIMBERLY FOUSHEE DMD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KIMBERLY R. FOUSHEE Registered Agent

Sole Officer

Name Role
Kimberly R. Foushee Sole Officer

Shareholder

Name Role
Kimberly R. Foushee Shareholder

Incorporator

Name Role
KIMBERLY R. FOUSHEE Incorporator

Former Company Names

Name Action
KIMBERLY R. FOUSHEE, D.M.D., M.S., P.S.C. Old Name

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-04-04
Reinstatement Certificate of Existence 2022-01-04
Reinstatement 2022-01-04
Reinstatement Approval Letter Revenue 2021-12-28
Reinstatement Approval Letter UI 2021-12-28
Reinstatement Approval Letter Revenue 2021-12-14
Administrative Dissolution 2021-10-19
Annual Report 2020-03-05
Annual Report 2019-04-01

Related by officers

KIMBERLY R. FOUSHEE

FERN CREEK DENTAL LAB, INC.

Related by address

9127 FERN CREEK RD., LOUISVILLE, KY 40291

FERN CREEK DENTAL LAB, INC.

Date of last update: 29 Jan 2025

Sources: Kentucky Secretary of State

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