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TOM HAAS, M.D., P.S.C.

Company Details

Name: TOM HAAS, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
Organization Date: 12 Jan 1994 (31 years ago)
Last Annual Report: 29 May 2018 (7 years ago)
Organization Number: 0325187
ZIP code: 40222
City: Louisville, Bancroft, Bellemeade, Crossgate, Glenvie...
Primary County: Jefferson County
Principal Office: C/O IMAAGE, 7501 NEW LAGRANGE ROAD, LOUISVILLE, KY 40222
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOM HAAS MD PSC 401K PROFIT SHARING PLAN 2019 611253534 2020-07-22 TOM HAAS M.D. P.S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-12
Business code 621111
Plan sponsor’s address 3061 RUNNING DEER CIR, LOUISVILLE, KY, 402416551

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing MARK ZOELLER
Valid signature Filed with authorized/valid electronic signature
TOM HAAS MD PSC 401K PROFIT SHARING PLAN 2018 611253534 2019-09-30 TOM HAAS M.D. P.S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-12
Business code 621111
Sponsor’s telephone number 5025501888
Plan sponsor’s address 5827 BRITTANY WOODS CIR, LOUISVILLE, KY, 402225975

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing MARK ZOELLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-30
Name of individual signing MARK ZOELLER
Valid signature Filed with authorized/valid electronic signature
TOM HAAS MD PSC 401K PROFIT SHARING PLAN 2017 611253534 2018-10-07 TOM HAAS M.D. P.S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-12
Business code 621111
Sponsor’s telephone number 5028948595
Plan sponsor’s address 7501 NEW LA GRANGE RD, LOUISVILLE, KY, 402224815

Signature of

Role Plan administrator
Date 2018-10-07
Name of individual signing MARK ZOELLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-07
Name of individual signing MARK ZOELLER
Valid signature Filed with authorized/valid electronic signature
TOM HAAS MD PSC 401K PROFIT SHARING PLAN 2016 611253534 2017-10-12 TOM HAAS M.D. P.S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-12
Business code 621111
Sponsor’s telephone number 5028948595
Plan sponsor’s address 7501 NEW LAGRANGE ROAD, LOUISVILLE, KY, 40222
TOM HAAS MD PSC 401K PROFIT SHARING PLAN 2015 611253534 2016-10-09 TOM HAAS M.D. P.S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-12
Business code 621111
Sponsor’s telephone number 5028948595
Plan sponsor’s address 7501 NEW LAGRANGE ROAD, LOUISVILLE, KY, 40222
TOM HAAS MD PSC MONEY PURCHASE PLAN & TRUST 2014 611253534 2016-08-25 TOM HAAS M.D. P.S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-12
Business code 621111
Sponsor’s telephone number 5028948595
Plan sponsor’s address 7501 NEW LAGRANGE ROAD, LOUISVILLE, KY, 40222

Shareholder

Name Role
Tom Haas Shareholder

Director

Name Role
Tom Haas Director
TOM HAAS, M.D. Director

Sole Officer

Name Role
Tom Haas Sole Officer

Registered Agent

Name Role
TOM HAAS, M.D. Registered Agent

Incorporator

Name Role
TOM HAAS, M.D. Incorporator

Assumed Names

Name Status Expiration Date
IMAAGE Inactive 2016-06-06

Filings

Name File Date
Administrative Dissolution 2019-10-16
Annual Report 2018-05-29
Annual Report Amendment 2017-07-10
Annual Report 2017-06-21
Annual Report 2016-04-12
Annual Report 2015-03-16
Annual Report 2014-04-01
Annual Report 2013-03-05
Annual Report 2012-07-31
Name Renewal 2011-03-15

Sources: Kentucky Secretary of State