| Name: | CHA PROVIDER NETWORK, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Non-profit |
| File Date: | 16 Feb 1995 (30 years ago) |
| Organization Date: | 16 Feb 1995 (30 years ago) |
| Last Annual Report: | 13 Jun 2005 (20 years ago) |
| Organization Number: | 0342678 |
| ZIP code: | 40507 |
| City: | Lexington |
| Primary County: | Fayette County |
| Principal Office: | 300 WEST VINE ST, LEXINGTON, KY 40507 |
| Place of Formation: | KENTUCKY |
| Name | Role |
|---|---|
| JANET CRAIG | Registered Agent |
| Name | Role |
|---|---|
| Teresa L Kline | CEO |
| Name | Role |
|---|---|
| Milton Brooks | Director |
| Frank A Butler | Director |
| Murray B Clark | Director |
| Suvas Desai, MD | Director |
| Doris Ecton | Director |
| James D Frederick, MD | Director |
| Steve Green, MD | Director |
| Pat McSwords | Director |
| Stephen C Hanson | Director |
| Gayla D Harvey | Director |
| Name | Role |
|---|---|
| MURRAY B. CLARK, JR. | Incorporator |
| FRANK BUTLER | Incorporator |
| EMERY A. WILSON | Incorporator |
| VIPUL N. MANKAD, M.D. | Incorporator |
| Name | Action |
|---|---|
| COMMONWEALTH HEALTHCARE ALLIANCE, INC. | Merger |
| Name | File Date |
|---|---|
| Dissolution | 2005-12-27 |
| Annual Report | 2005-06-13 |
| Annual Report | 2003-09-02 |
| Reinstatement | 2003-04-15 |
| Statement of Change | 2003-04-15 |
| Administrative Dissolution | 2002-11-01 |
| Annual Report | 2002-07-01 |
| Statement of Change | 2001-12-18 |
| Annual Report | 2001-12-12 |
| Annual Report | 2000-08-09 |
Sources: Kentucky Secretary of State
