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DAVID A. LASHEEN, DMD, PSC

Company Details

Name: DAVID A. LASHEEN, DMD, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 21 Jun 1994 (31 years ago)
Organization Date: 21 Jun 1994 (31 years ago)
Last Annual Report: 25 Feb 2020 (5 years ago)
Organization Number: 0332234
ZIP code: 40383
Primary County: Woodford
Principal Office: 360 AMSDEN AVE., VERSAILLES, KY 40383
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2020 611263897 2021-07-15 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2019 611263897 2020-09-16 DAVID A. LASHEEN, DMD, PSC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2020-09-16
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2019 611263897 2020-10-08 DAVID A. LASHEEN, DMD, PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2019 611263897 2020-10-07 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2018 611263897 2019-10-10 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2018 611263897 2019-09-11 DAVID A. LASHEEN, DMD, PSC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2019-09-11
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2017 611263897 2018-10-15 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2017 611263897 2018-08-08 DAVID A. LASHEEN, DMD, PSC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2018-08-08
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
KEVIN L. ELVIDGE, D.M.D. Incorporator
DAVID A. LASHEEN, D.M.D. Incorporator

Registered Agent

Name Role
DAVID A. LASHEEN, D.M.D. Registered Agent

President

Name Role
David A Lasheen President

Shareholder

Name Role
David A Lasheen Shareholder

Former Company Names

Name Action
ELVIDGE AND LASHEEN, D.M.D., P.S.C. Old Name

Filings

Name File Date
Dissolution 2021-04-21
Annual Report 2020-02-25
Annual Report 2019-06-11
Annual Report 2018-06-13
Annual Report 2017-06-26
Amendment 2016-06-29
Annual Report 2016-03-17
Annual Report 2015-04-17
Annual Report 2014-03-21
Annual Report 2013-07-01

Date of last update: 12 Jan 2025

Sources: Kentucky Secretary of State