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  5. UNIVERSITY DERMATOPATHOLOGY, PLLC

UNIVERSITY DERMATOPATHOLOGY, PLLC

Company Details

Name: UNIVERSITY DERMATOPATHOLOGY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 24 Aug 1995 (30 years ago)
Organization Date: 24 Aug 1995 (30 years ago)
Last Annual Report: 29 Feb 2024 (a year ago)
Managed By: Members
Organization Number: 0404656
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40241
City: Louisville, Barbourmeade, Broeck Pointe, Brownsboro ...
Primary County: Jefferson County
Principal Office: 3810 SPRINGHURST BLVD, Lower Level, LOUISVILLE, KY 40241
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIV DERMATOPATHOLOGY, PLLC PROFIT SHARING PLAN 2014 611030789 2015-10-02 UNIVERSITY DERMATOPATHOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621510
Sponsor’s telephone number 5025831749
Plan sponsor’s mailing address 3810 SPRINGHURST BLVD, SUITE 200, LOUISVILLE, KY, 40241
Plan sponsor’s address 3810 SPRINGHURST BLVD, SUITE 200, LOUISVILLE, KY, 40241

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
UNIV DERMATOPATHOLOGY, PLLC PROFIT SHARING PLAN 2013 611030789 2014-08-12 UNIVERSITY DERMATOPATHOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621510
Sponsor’s telephone number 5025831749
Plan sponsor’s mailing address 3810 SPRINGHURST BLVD, SUITE 200, LOUISVILLE, KY, 40241
Plan sponsor’s address 3810 SPRINGHURST BLVD, SUITE 200, LOUISVILLE, KY, 40241

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2014-08-12
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-12
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
UNIV DERMATOPATHOLOGY, PLLC PROFIT SHARING PLAN 2012 611030789 2013-09-30 UNIVERSITY DERMATOPATHOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621510
Sponsor’s telephone number 5025831749
Plan sponsor’s mailing address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Plan sponsor’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
UNIV DERMATOPATHOLOGY, PLLC PROFIT SHARING PLAN 2011 611030789 2012-10-04 UNIVERSITY DERMATOPATHOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621510
Sponsor’s telephone number 5025831749
Plan sponsor’s mailing address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Plan sponsor’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611030789
Plan administrator’s name UNIVERSITY DERMATOPATHOLOGY, PLLC
Plan administrator’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Administrator’s telephone number 5025831749

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-04
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
UNIV DERMATOPATHOLOGY, PLLC PROFIT SHARING PLAN 2011 611030789 2012-08-14 UNIVERSITY DERMATOPATHOLOGY, PLLC 4
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621510
Sponsor’s telephone number 5025831749
Plan sponsor’s mailing address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Plan sponsor’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611030789
Plan administrator’s name UNIVERSITY DERMATOPATHOLOGY, PLLC
Plan administrator’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Administrator’s telephone number 5025831749

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2012-08-13
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-13
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
UNIV DERMATOPATHOLOGY, PLLC PROFIT SHARING PLAN 2010 611030789 2011-10-10 UNIVERSITY DERMATOPATHOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621510
Sponsor’s telephone number 5025831749
Plan sponsor’s mailing address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Plan sponsor’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611030789
Plan administrator’s name UNIVERSITY DERMATOPATHOLOGY, PLLC
Plan administrator’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Administrator’s telephone number 5025831749

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2011-10-09
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-09
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
UNIV DERMATOPATHOLOGY, PLLC PROFIT SHARING PLAN 2009 611030789 2010-10-13 UNIVERSITY DERMATOPATHOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-01-01
Business code 621510
Sponsor’s telephone number 5025831749
Plan sponsor’s mailing address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Plan sponsor’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 611030789
Plan administrator’s name UNIVERSITY DERMATOPATHOLOGY, PLLC
Plan administrator’s address 310 E BROADWAY, SUITE 200, LOUISVILLE, KY, 40202
Administrator’s telephone number 5025831749

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing L G OWEN
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
JANINE MALONE Member
Soon Bahrami Member

Registered Agent

Name Role
JANINE MALONE Registered Agent

Organizer

Name Role
STEVE J. HODGE, M.D. Organizer
L.G. OWEN, M.D. Organizer

Former Company Names

Name Action
HODGE AND OWEN DERMATOPATHOLOGY, PLLC Old Name

Filings

Name File Date
Annual Report 2024-02-29
Principal Office Address Change 2024-02-29
Annual Report 2023-03-15
Annual Report 2022-03-11
Annual Report 2021-02-17
Annual Report 2020-04-21
Registered Agent name/address change 2019-06-20
Principal Office Address Change 2019-06-20
Annual Report 2019-06-20
Annual Report 2018-04-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4808457110 2020-04-13 0457 PPP 14307 HARKAWAY AVE, LOUISVILLE, KY, 40299-6840
Loan Status Date 2021-07-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 61400
Loan Approval Amount (current) 61400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40299-6840
Project Congressional District KY-03
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 62106.1
Forgiveness Paid Date 2021-06-10

Related by officers

Soon Bahrami

AID Holdings New Albany LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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