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  5. TRI-STATE PERIODONTICS, PSC

TRI-STATE PERIODONTICS, PSC

Company Details

Name: TRI-STATE PERIODONTICS, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 29 Mar 1996 (29 years ago)
Organization Date: 29 Mar 1996 (29 years ago)
Last Annual Report: 05 May 2024 (a year ago)
Organization Number: 0414041
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 2154 Carter Avenue Suite A, ASHLAND, KY 41101
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRI-STATE PERIODONTICS, PSC PROFIT SHARING PLAN 2023 611299997 2024-10-01 TRI-STATE PERIODONTICS, PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE., SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing GREGORY CRAFAT
Valid signature Filed with authorized/valid electronic signature
TRI-STATE PERIODONTICS, PSC PROFIT SHARING PLAN 2022 611299997 2023-10-04 TRI-STATE PERIODONTICS, PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE., SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing GREGORY CRAFAT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2021 611299997 2022-10-05 TRI STATE PERIODONTICS PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2020 611299997 2021-09-28 TRI STATE PERIODONTICS PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2019 611299997 2020-10-05 TRI STATE PERIODONTICS PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2018 611299997 2019-10-11 TRI STATE PERIODONTICS PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2017 611299997 2018-09-26 TRI STATE PERIODONTICS PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-26
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2016 611299997 2017-09-29 TRI STATE PERIODONTICS PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2017-09-29
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-29
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2015 611299997 2016-10-17 TRI STATE PERIODONTICS PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
TRI STATE PERIODONTICS PSC PROFIT SHARING 2014 611299997 2015-09-28 TRI STATE PERIODONTICS PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-28
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/08/20141008073111P030038390871001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6063246494
Plan sponsor’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Plan administrator’s name and address
Administrator’s EIN 611299997
Plan administrator’s name TRI STATE PERIODONTICS PSC
Plan administrator’s address 2154 CARTER AVE SUITE A, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-08
Name of individual signing GREGORY CRAFT
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
Gregory Craft Director

Shareholder

Name Role
Gregory Craft Shareholder

Incorporator

Name Role
GREGORY CRAFT, D.M.D. Incorporator

Sole Officer

Name Role
Gregory Craft Sole Officer

Registered Agent

Name Role
JOHN ARTIS Registered Agent

Former Company Names

Name Action
GREGORY CRAFT, D.M.D., P.S.C. Old Name

Filings

Name File Date
Annual Report 2024-05-05
Annual Report 2023-04-17
Annual Report 2022-03-11
Annual Report 2021-05-14
Annual Report 2020-05-03
Annual Report 2019-06-07
Annual Report 2018-05-21
Annual Report 2017-05-26
Annual Report 2016-05-21
Annual Report 2015-06-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8225987003 2020-04-08 0457 PPP 2554 CARTER AVE #A, ASHLAND, KY, 41101-7830
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25900
Loan Approval Amount (current) 25900
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address ASHLAND, BOYD, KY, 41101-7830
Project Congressional District KY-05
Number of Employees 3
NAICS code 621391
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 57732
Originating Lender Name Peoples Bank
Originating Lender Address MARIETTA, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 26072.67
Forgiveness Paid Date 2020-12-23

Related by officers

JOHN ARTIS

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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