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  5. NEW LEXINGTON CLINIC, P.S.C.

NEW LEXINGTON CLINIC, P.S.C.

Company Details

Name: NEW LEXINGTON CLINIC, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 May 1994 (31 years ago)
Organization Date: 02 May 1994 (31 years ago)
Last Annual Report: 15 May 2024 (10 months ago)
Organization Number: 0330081
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40504
City: Lexington
Primary County: Fayette County
Principal Office: 1221 S. BROADWAY, LEXINGTON, KY 40504
Principal Office: 1221 S. BROADWAY, LEXINGTON, KY 40504
Place of Formation: KENTUCKY
Authorized Shares: 108000

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DES1WBR2MYK7 2024-08-06 1221 S BROADWAY, LEXINGTON, KY, 40504, 2701, USA 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504, USA

Business Information
Doing Business As NEW LEXINGTON CLINIC PSC
Congressional District 06
State/Country of Incorporation KY, USA
Activation Date 2023-08-09
Initial Registration Date 2003-12-02
Entity Start Date 1920-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMBER JENKINS
Address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504, 2701, USA
Title ALTERNATE POC
Name AMBER JENKINS
Address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504, 2701, USA
Government Business
Title PRIMARY POC
Name KIM NEWLAND
Address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504, USA
Title ALTERNATE POC
Name AMBER JENKINS
Address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504, 2701, USA
Past Performance
Title PRIMARY POC
Name KIM NEWLAND
Address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504, USA
Title ALTERNATE POC
Name AMBER JENKINS
Address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504, 2701, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEXINGTON CLINIC LONG TERM DISABILITY INCOME PLAN 2013 611262927 2015-05-19 NEW LEXINGTON CLINIC, P.S.C. 1080
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC GROUP LIFE/ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2013 611262927 2015-05-19 NEW LEXINGTON CLINIC, P.S.C. 1152
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC GROUP HOSPITAL PLAN 2013 611262927 2015-05-19 NEW LEXINGTON CLINIC, P.S.C. 1086
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1960-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC DENTAL ASSISTANCE PLAN 2013 611262927 2015-05-19 NEW LEXINGTON CLINIC, P.S.C. 1013
File View Page
Three-digit plan number (PN) 509
Effective date of plan 1991-04-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC GROUP HOSPITAL PLAN 2013 611262927 2014-07-16 NEW LEXINGTON CLINIC, P.S.C. 1086
Three-digit plan number (PN) 504
Effective date of plan 1960-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1044
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC GROUP LIFE/ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2013 611262927 2014-07-16 NEW LEXINGTON CLINIC, P.S.C. 1152
Three-digit plan number (PN) 506
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1044
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC LONG TERM DISABILITY INCOME PLAN 2013 611262927 2014-07-16 NEW LEXINGTON CLINIC, P.S.C. 1080
Three-digit plan number (PN) 505
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1044
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC DENTAL ASSISTANCE PLAN 2013 611262927 2014-07-16 NEW LEXINGTON CLINIC, P.S.C. 1013
Three-digit plan number (PN) 509
Effective date of plan 1991-04-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1044
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing KENNETH CRAIK
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC LONG TERM DISABILITY INCOME PLAN 2012 611262927 2013-07-24 NEW LEXINGTON CLINIC, P.S.C. 1023
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1080

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
LEXINGTON CLINIC GROUP LIFE/ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2012 611262927 2013-07-24 NEW LEXINGTON CLINIC, P.S.C. 1078
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1152

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/24/20130724141804P030311154051001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1960-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1086

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/24/20130724141732P040040607399001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1991-04-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Number of participants as of the end of the plan year
Active participants 1013

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/22/20120522093918P040019980994001.pdf
Three-digit plan number (PN) 510
Effective date of plan 2001-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 194

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/22/20120522093905P030001191862001.pdf
Three-digit plan number (PN) 506
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 1078

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/22/20120522093843P040019980354001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 1023

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/22/20120522093816P040019979746001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1991-04-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 955

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/22/20120522093741P040019979410001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1960-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 933

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725130557P040103012801001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1991-04-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 866

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725130541P040103012545001.pdf
Three-digit plan number (PN) 510
Effective date of plan 2001-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 191

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725130524P040465374032001.pdf
Three-digit plan number (PN) 506
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 986

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725130510P040465373376001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 933

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725130453P040103011681001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1960-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 892

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing ANDREW HENDERSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728140023P040018435462001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1991-04-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 890
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing RANDALL LEMAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728140003P030136503474001.pdf
Three-digit plan number (PN) 506
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 1040
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing RANDALL LEMAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728140418P040403899585001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 972
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing RANDALL LEMAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728140049P040018435638001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1960-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 933
Retired or separated participants receiving benefits 19
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing RANDALL LEMAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728140037P040015344213001.pdf
Three-digit plan number (PN) 510
Effective date of plan 2001-06-01
Business code 621111
Sponsor’s telephone number 8592584000
Plan sponsor’s mailing address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Plan sponsor’s address RANDALL LEMAY, 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 611262927
Plan administrator’s name NEW LEXINGTON CLINIC, P.S.C.
Plan administrator’s address 1221 SOUTH BROADWAY, LEXINGTON, KY, 40504
Administrator’s telephone number 8592584000

Number of participants as of the end of the plan year
Active participants 189
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing RANDALL LEMAY
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
NICK ROWE Director
PAUL ROOKE Director
JAMIL FAROOQUI Director
JORDAN PRENDERGAST Director
DAVID KIELAR Director
BRANDON DEVERS Director
KIMBERLY HUDSON Director

Shareholder

Name Role
Kristi ADAMS Shareholder
NIKKI PITTMAN Shareholder
VALERIE TAYLOR Shareholder
STEPHEN UMANSKY Shareholder
WALAA AYOUB Shareholder
MARK SLOAN Shareholder
HAIDER ABBAS Shareholder
ROBERT SUMME Shareholder
HARTEJ DHILLON Shareholder
MICHAEL NEWCOMB Shareholder

Incorporator

Name Role
STEPHEN M. SPIRES, M.D. Incorporator

Registered Agent

Name Role
JANET A. CRAIG Registered Agent

Secretary

Name Role
ROBBY K HUTCHINSON Secretary

Treasurer

Name Role
AN-YU CHEN Treasurer

Vice President

Name Role
THARUN KARTHIKEYAN Vice President

President

Name Role
MICHAEL T CECIL President

Assumed Names

Name Status Expiration Date
INTERNAL MEDICINE RICHMOND Active 2030-02-06
LEXINGTON CLINIC RICHMOND Active 2030-02-06
LEXINGTON CLINIC AMBULATORY SURGERY CENTER Active 2029-08-22
FIRST CHOICE WALK-IN CLINIC - BEAUMONT Active 2029-08-22
THE CANCER CENTER AT LEXINGTON CLINIC Active 2029-05-20
RICHMOND REGIONAL ONCOLOGY CENTER Active 2029-05-20
LEXINGTON CLINIC VETERANS PARK Active 2029-05-20
LEXINGTON CLINIC EAST Active 2029-05-20
GEORGETOWN OPTOMETRIC CENTER Active 2029-05-20
JESSAMINE MEDICAL CENTER Active 2029-05-20

Filings

Name File Date
Assumed Name renewal 2025-02-06
Assumed Name renewal 2025-02-06
Assumed Name renewal 2024-08-22
Assumed Name renewal 2024-08-22
Assumed Name renewal 2024-05-20
Assumed Name renewal 2024-05-20
Assumed Name renewal 2024-05-20
Assumed Name renewal 2024-05-20
Assumed Name renewal 2024-05-20
Assumed Name renewal 2024-05-20

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV VA24912D0284 2012-10-01 No data No data
Unique Award Key CONT_IDV_VA24912D0284_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title IGF::CL::IGF "CLOSELY ASSOCIATED" MAMMOGRAPHY, AND BREAST CARE SERVICES OFF-SITE FOR THE LEXINGTON VAMC.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q522: MEDICAL- RADIOLOGY

Recipient Details
Recipient NEW LEXINGTON CLINIC, P.S.C.
UEI DES1WBR2MYK7
Legacy DUNS 932503394
Recipient Address 1221 S BROADWAY, LEXINGTON, 405042701, UNITED STATES
DO AWARD V596DC1025 2010-10-15 2011-09-30 2012-09-30
Unique Award Key CONT_AWD_V596DC1025_3600_VA249P0072_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RADIATION THERAPY SERVICES FOR VAMC LEXINGTON KY
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient NEW LEXINGTON CLINIC, P.S.C.
UEI DES1WBR2MYK7
Legacy DUNS 932503394
Recipient Address 1221 S BROADWAY, LEXINGTON, 405042701, UNITED STATES
No data IDV VA249P0072 2009-06-30 No data No data
Unique Award Key CONT_IDV_VA249P0072_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RADIATION THERAPY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient NEW LEXINGTON CLINIC, P.S.C.
UEI DES1WBR2MYK7
Legacy DUNS 932503394
Recipient Address 1221 S BROADWAY, LEXINGTON, 405042701, UNITED STATES
No data IDV VA249P0088 2008-09-30 No data No data
Unique Award Key CONT_IDV_VA249P0088_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RADIATION THERAPY SERVICES
NAICS Code 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient NEW LEXINGTON CLINIC, P.S.C.
UEI DES1WBR2MYK7
Legacy DUNS 932503394
Recipient Address 1221 S BROADWAY, LEXINGTON, 405042701, UNITED STATES
DO AWARD V596DC8005B 2008-01-01 2008-03-31 2008-10-31
Unique Award Key CONT_AWD_V596DC8005B_3600_VA249P0072_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PRIMARY SERVICE AREA - RADIATION THERAPY
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient NEW LEXINGTON CLINIC, P.S.C.
UEI DES1WBR2MYK7
Legacy DUNS 932503394
Recipient Address 1221 S BROADWAY, LEXINGTON, 405042701, UNITED STATES
DO AWARD V596DC8005A 2007-10-01 2007-12-31 2008-10-31
Unique Award Key CONT_AWD_V596DC8005A_3600_VA249P0072_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PRIMARY SERVICE AREA - RADIATION THERAPY
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient NEW LEXINGTON CLINIC, P.S.C.
UEI DES1WBR2MYK7
Legacy DUNS 932503394
Recipient Address 1221 S BROADWAY, LEXINGTON, 405042701, UNITED STATES
DO AWARD V596C80018 2007-10-01 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_V596C80018_3600_VA249P0088_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title INTERIM CARDIOTHORACIC SURGERY SERVICES
NAICS Code 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS
Product and Service Codes Q523: SURGERY SERVICES

Recipient Details
Recipient NEW LEXINGTON CLINIC, P.S.C.
UEI DES1WBR2MYK7
Legacy DUNS 932503394
Recipient Address 1221 S BROADWAY, LEXINGTON, 405042701, UNITED STATES

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WALAA AYOUB

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MARK SLOAN

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HAIDER ABBAS

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ROBERT SUMME

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

HARTEJ DHILLON

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MICHAEL NEWCOMB

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

BRADLEY IHRIG

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

ERIN MOORE

LEXINGTON RADIATION THERAPY CENTER, P.S.C. MOORE'S TOWING, LLC ELI'S AUTO SALES, LLC RICHMOND TEEN CENTER, INC. EVELYN'S FLOWERS & GIFTS, LLC Elite Auction Group L.L.C.

NATALIA SHRESTHA

LEXINGTON RADIATION THERAPY CENTER, P.S.C. NLC REAL ESTATE, LLC

AMY HIGGINS

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

APRIL RAMSEY

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CHRISTIAN WARNER

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

JENNIFER WILSON

LEXINGTON RADIATION THERAPY CENTER, P.S.C. LEXINGTON BASEBALL SCHOOL, LLC RAINBOW GROUP LLC PLANO ELEMENTARY PTO, INC. SPIRITUAL HIGH PRODUCTIONS, INC. EXCALIBAR MINERALS LLC JW CONSULTING, LLC GRANT COUNTY HIGH SCHOOL JROTC BOOSTER ASSOCIATION, INC.

BUDDY HURT

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DAPHNE HOSINSKI

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LAURIE MASSA

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

MARISA BELCASTRO

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

JAMIL FAROOQUI

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ANNA IDDINGS

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JORDAN PRENDERGAST

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EIYAD ALCHUREIQI

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

FALGUNI AMIN-ZIMMERMAN

LEXINGTON RADIATION THERAPY CENTER, P.S.C. LIVING WITH CANCER LEGAL RESOURCE & ADVOCACY CENTER, INC.

MATTHEW ASHMUN

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ROBERT BRATTON

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DAVID DOME

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JORDON PRENDERGAST

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SLOAN WARNER

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MICHAEL CECIL

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JONATHON KEELING

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JOHN ZIEGLER

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STEPHANIE M HUNT

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

DAVID HUNT

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LINDSEY EASON

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

THOMAS K SLABAUGH

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SHARON MENKUS

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

LYNDA NEWMAN

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LEXINGTON RADIATION THERAPY CENTER, P.S.C.

SCOTT MERKLEY

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ELLEN FLINCHUM

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DEREK HENSON

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BRANDON DEVERS

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WILLIAM GREENMAN

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BENJAMIN SCHNEIDER

LEXINGTON RADIATION THERAPY CENTER, P.S.C. Civitas Chamber of Commerce, Inc.

ASHLEY MEENACH

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

JOHN WEST

UNITED CUMBERLAND BANK, INC. DECO SUPPLY COMPANY, INC. LEXINGTON RADIATION THERAPY CENTER, P.S.C. CHRIST COMMUNITY CHURCH OF HOPKINSVILLE, INC. MCMURRAY & WEST BUILDERS, INC. THE ALANO CLUB OF NORTHERN KENTUCKY, INC. 290 MAIN STREET, INC. WEST DEVELOPMENT, LLC

JANET A. CRAIG

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ERIC SCHMIDT

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

GREGORY SCOTT TRACY

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

MATTHEW JASON ZIMMERMAN

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

ROBERT OWEN

CORPORATION SERVICES, INC. LEXINGTON RADIATION THERAPY CENTER, P.S.C. OHIO VALLEY YORKSHIRE TERRIER CLUB OF KENTUCKY, INC. OWEN FAMILY FARMS, LLC Rotary Club of Cynthiana Foundation, Inc.

PETER HESTER

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KIMBERLY HUDSON

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BRUCE E BRADLEY

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

ROBBY HUTCHINSON

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CASANDRA KENDRICK

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BRANDON GISH

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WILLIAM KROST

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CHARLES ISON

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ROBERT CRAIG MARTIN

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SEAN MARZOLF

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AN-YU CHEN

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THARUN KARTHIKEYAN

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DAVID KIELAR

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WILLIAM CAMP

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MICHAEL EDEN

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LAUREN PODKOWIROW

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LISA HALL

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DEBORAH HAMILTON

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

RACHEL HARPER

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IMRAN KHAN

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SURESH REKHRAJ

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AGATA TOBOREK

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HENRY TUTT

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CLARISSA BEITING

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CRAIG IRWIN

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SUSAN LIDDLE

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YUCHEN MA

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TIMOTHY MAHLOCH

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ANDREW SCHNEIDER

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TERENCE ROSS

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JOSHUA EASON

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WILLIAM JEFFREY GRANTHAM

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SASHA NEACE

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COLLIN ST. CLAIR

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MICHAEL J TOTTEN

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STEVE T VOGELSANG

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REBECCA GEILE

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BRIAN GILLISPIE

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KATRINA HOOD

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DANIEL CRUMP

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DAVID ALEXANDER

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MICHAEL T CECIL

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TIMOTHY ATKINSON

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

KYLE CHILDERS

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MATTHEW TUTT

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MOHAMED ALSHAREDI

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DANIEL BEITING

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REBEKAH MCDANIEL

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GREGORY V OSETINSKY

SUMMA CO., LLC SIBIRI, LLC

LARA MARIEL OSETINSKY

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

ROBERT DAVENPORT

PLANO ENTERPRISES, INC. PREWITT CEMETERY OF SINKS COMMUNITY ASSOCIATION, INCORPORATED FIL-AMERICAN BUILDING, INC. LEXINGTON RADIATION THERAPY CENTER, P.S.C. CREATIVE HOMEBUILDERS, LLC STRATEGIC RESTAURANTS ACQUISITION COMPANY, LLC SRAC HOLDINGS I, INC. REPMD, INC. Farmers Recycling LLC RAD Financial LLC

MARY MCGUFFY

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

STEPHEN MONNIG

LEXINGTON RADIATION THERAPY CENTER, P.S.C. OLDE WORLD INTERIORS, LLC

ANDREW USERY

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

KATHARINE CLEMMER

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

NICHOLAS FAHEY

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

RYAN FISCHER

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CLIFFORD FREEMAN

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

NESSA TIMONEY

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

REBECCA ADAMS

WESTERN HILLS CHORAL BOOSTERS, INC. TURN KEY PROPERTIES LLC

FERNANDO DE CASTRO

LEXINGTON RADIATION THERAPY CENTER, P.S.C.

KATHERINE RODEN

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Related by address

1221 S. BROADWAY, LEXINGTON, KY 40504

S. F. H. REALTY, INC. JESSAMINE MEDICAL, INC. EXECUTIVE FITNESS & SPORTS MEDICINE, INC. LEXINGTON CLINIC ENTERPRISES, INC. HEALTH EQUIPMENT LEASING PLAN, INC. LDC, INC. LEXINGTON CLINIC KIDNEY CENTER, INC. SOCIETY FOR TENNIS MEDICINE & SCIENCE, INC.

1221 S. BROADWAY, LEXINGTON, KY 40504

S. F. H. REALTY, INC. JESSAMINE MEDICAL, INC. EXECUTIVE FITNESS & SPORTS MEDICINE, INC. LEXINGTON CLINIC ENTERPRISES, INC. HEALTH EQUIPMENT LEASING PLAN, INC. LDC, INC. LEXINGTON CLINIC KIDNEY CENTER, INC. SOCIETY FOR TENNIS MEDICINE & SCIENCE, INC.

Sources: Kentucky Secretary of State

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