| Name: | NORTHERN KENTUCKY DERMATOLOGY, P.S.C. |
| Legal type: | Kentucky Professional Services Corp |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| Organization Date: | 01 Jan 1993 (32 years ago) |
| Last Annual Report: | 29 Mar 2016 (9 years ago) |
| Organization Number: | 0308878 |
| ZIP code: | 41017 |
| City: | Ft Mitchell, Bromley, Covington, Crescent Park, Cresc... |
| Primary County: | Kenton County |
| Principal Office: | 2701 CHANCELLOR DR, CRESTVIEW HILLS, KY 41017 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHERN KENTUCKY DERMATOLOGY, P.S.C. 401K PROFIT SHARING PLAN | 2010 | 611230349 | 2011-05-02 | NORTHERN KENTUCKY DERMATOLOGY, P.S. C. | 15 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 611230349 |
| Plan administrator’s name | NORTHERN KENTUCKY DERMATOLOGY, P.S. C. |
| Plan administrator’s address | 2701 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY, 41017 |
| Administrator’s telephone number | 8593416207 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-02 |
| Name of individual signing | DEBORAH HOPPENJANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8593416207 |
| Plan sponsor’s address | 2701 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY, 41017 |
Plan administrator’s name and address
| Administrator’s EIN | 611230349 |
| Plan administrator’s name | NORTHERN KENTUCKY DERMATOLOGY, P.S. C. |
| Plan administrator’s address | 2701 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY, 41017 |
| Administrator’s telephone number | 8593416207 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-28 |
| Name of individual signing | DEBORAH HOPPENJANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8593416207 |
| Plan sponsor’s address | 2701 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY, 41017 |
Plan administrator’s name and address
| Administrator’s EIN | 611230349 |
| Plan administrator’s name | NORTHERN KENTUCKY DERMATOLOGY, P.S. C. |
| Plan administrator’s address | 2701 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY, 41017 |
| Administrator’s telephone number | 8593416207 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-28 |
| Name of individual signing | DEBORAH HOPPENJANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| William B Hoppenjans | President |
| Name | Role |
|---|---|
| WILLIAM B. HOPPENJANS, M | Incorporator |
| Name | Role |
|---|---|
| WILLIAM B. HOPPENJANS, M.D. | Registered Agent |
| Name | Role |
|---|---|
| Deborah J Hoppenjans | Secretary |
| Name | Role |
|---|---|
| Deborah J Hoppenjans | Director |
| William B Hoppenjans | Director |
| Scott A Neltner | Director |
| WILLIAM B. HOPPENJANS, M | Director |
| DEBORAH HOPPENJANS | Director |
| Name | Role |
|---|---|
| William B Hoppenjans | Shareholder |
| Scott A Neltner | Shareholder |
| Name | Role |
|---|---|
| Scott S Neltner | Vice President |
| Name | Action |
|---|---|
| WILLIAM B. HOPPENJANS, P.S.C. | Old Name |
| Name | File Date |
|---|---|
| Dissolution | 2016-12-13 |
| Annual Report | 2016-03-29 |
| Annual Report | 2015-02-25 |
| Annual Report | 2014-01-23 |
| Annual Report | 2013-01-23 |
| Annual Report | 2012-02-16 |
| Annual Report | 2011-03-10 |
| Annual Report | 2010-04-26 |
| Annual Report | 2009-06-26 |
| Registered Agent name/address change | 2009-06-24 |
Sources: Kentucky Secretary of State
