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  5. OWENSBORO PEDIATRICS, PLLC

OWENSBORO PEDIATRICS, PLLC

Company Details

Name: OWENSBORO PEDIATRICS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 26 Mar 1996 (29 years ago)
Organization Date: 26 Mar 1996 (29 years ago)
Last Annual Report: 20 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0413894
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2023 611299446 2024-08-19 OWENSBORO PEDIATRICS, PLLC 57
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2024-08-19
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2023 611299446 2024-10-02 OWENSBORO PEDIATRICS, PLLC 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2022 611299446 2023-09-27 OWENSBORO PEDIATRICS, PLLC 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2023-09-27
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2021 611299446 2022-10-11 OWENSBORO PEDIATRICS, PLLC 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2020 611299446 2021-05-26 OWENSBORO PEDIATRICS, PLLC 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2019 611299446 2020-06-04 OWENSBORO PEDIATRICS, PLLC 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2020-06-04
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2018 611299446 2019-07-22 OWENSBORO PEDIATRICS, PLLC 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2017 611299446 2018-07-24 OWENSBORO PEDIATRICS, PLLC 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2016 611299446 2017-06-29 OWENSBORO PEDIATRICS, PLLC 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2017-06-29
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
OWENSBORO PEDIATRICS, PLLC 401(K) PLAN 2015 611299446 2016-07-28 OWENSBORO PEDIATRICS, PLLC 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/06/20150706160242P040078338071001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/09/20140709145221P030031297191001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/26/20130726153113P040322768595001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/02/20120702131025P030002451063001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1996-04-01
Business code 621111
Sponsor’s telephone number 2706833232
Plan sponsor’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 611299446
Plan administrator’s name OWENSBORO PEDIATRICS, PLLC
Plan administrator’s address 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY, 42303
Administrator’s telephone number 2706833232

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing LYNETTE MARTIN
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
Sara Medsker Member
Andrea P Johnston Member
Michael F Yeister Member
Amy H Ray Member
Jeremiah R Mason Member
Lynette K Martin Member

Registered Agent

Name Role
DR. LYNETTE K. MARTIN Registered Agent

Organizer

Name Role
DR. DAVID E. DANHAUER Organizer

Assumed Names

Name Status Expiration Date
OWENSBORO PEDIATRICS OHIO COUNTY CLINIC Active 2030-02-18

Filings

Name File Date
Certificate of Assumed Name 2025-02-18
Annual Report 2024-03-20
Annual Report 2023-08-10
Annual Report 2022-06-15
Annual Report 2021-06-22
Annual Report 2020-06-16
Annual Report 2019-06-20
Annual Report 2018-06-06
Annual Report 2017-05-10
Registered Agent name/address change 2017-05-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6541487009 2020-04-07 0457 PPP 2200 E. Parrish Ave, Bldg B, Suite 101, OWENSBORO, KY, 42303-1449
Loan Status Date 2021-02-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 467606.52
Loan Approval Amount (current) 467606.52
Undisbursed Amount 0
Franchise Name -
Lender Location ID 57732
Servicing Lender Name Peoples Bank
Servicing Lender Address 138 Putnam St, MARIETTA, OH, 45750-2923
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address OWENSBORO, DAVIESS, KY, 42303-1449
Project Congressional District KY-02
Number of Employees 41
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27049
Originating Lender Name Peoples Bank
Originating Lender Address Louisville, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 470750.8
Forgiveness Paid Date 2021-02-16

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Sources: Kentucky Secretary of State

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