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  5. TRI-STATE RADIOLOGY, P.S.C.

TRI-STATE RADIOLOGY, P.S.C.

Company Details

Name: TRI-STATE RADIOLOGY, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 24 Oct 1996 (28 years ago)
Organization Date: 24 Oct 1996 (28 years ago)
Last Annual Report: 20 Apr 2012 (13 years ago)
Organization Number: 0423193
ZIP code: 41105
Primary County: Boyd
Principal Office: PO BOX 2617, ASHLAND, KY 41105-2617
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRI-STATE RADIOLOGY, P.S.C. PROFIT SHARING PLAN 2013 611311634 2014-01-15 TRI-STATE RADIOLOGY, P.S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6063299715
Plan sponsor’s address 1200 CORPORATE COURT, ASHLAND, KY, 41105

Signature of
Role Plan administrator
Date 2014-01-15
Name of individual signing MAYOLA W BOYKIN
Valid signature Filed with authorized/valid electronic signature
TRI-STATE RADIOLOGY, P.S.C. CASH BALANCE PENSION PLAN 2012 611311634 2013-07-02 TRI-STATE RADIOLOGY, P.S.C. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6063299715
Plan sponsor’s address 1200 CORPORATE COURT, ASHLAND, KY, 41105

Plan administrator’s name and address
Administrator’s EIN 611311634
Plan administrator’s name TRI-STATE RADIOLOGY, P.S.C.
Plan administrator’s address 1200 CORPORATE COURT, ASHLAND, KY, 41105
Administrator’s telephone number 6063299715

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing MAYOLA BOYKIN
Valid signature Filed with authorized/valid electronic signature
TRI-STATE RADIOLOGY, P.S.C. PROFIT SHARING PLAN 2012 611311634 2014-01-15 TRI-STATE RADIOLOGY, P.S.C. 12
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6063299715
Plan sponsor’s address 1200 CORPORATE COURT, ASHLAND, KY, 41105

Signature of
Role Plan administrator
Date 2014-01-15
Name of individual signing MAYOLA W BOYKIN
Valid signature Filed with authorized/valid electronic signature
TRI-STATE RADIOLOGY, P.S.C. CASH BALANCE PENSION PLAN 2011 611311634 2012-10-11 TRI-STATE RADIOLOGY, P.S.C. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6063299715
Plan sponsor’s address 1200 CORPORATE COURT, ASHLAND, KY, 41105

Plan administrator’s name and address
Administrator’s EIN 611311634
Plan administrator’s name TRI-STATE RADIOLOGY, P.S.C.
Plan administrator’s address 1200 CORPORATE COURT, ASHLAND, KY, 41105
Administrator’s telephone number 6063299715

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing MAYOLA BOYKIN
Valid signature Filed with authorized/valid electronic signature
TRI-STATE RADIOLOGY, P.S.C. CASH BALANCE PENSION PLAN 2010 611311634 2011-04-15 TRI-STATE RADIOLOGY, P.S.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6063299715
Plan sponsor’s address 1200 BATH AVENUE, ASHLAND, KY, 411012659

Plan administrator’s name and address
Administrator’s EIN 611311634
Plan administrator’s name TRI-STATE RADIOLOGY, P.S.C.
Plan administrator’s address 1200 BATH AVENUE, ASHLAND, KY, 411012659
Administrator’s telephone number 6063299715

Signature of
Role Plan administrator
Date 2011-04-15
Name of individual signing MAYOLA BOYKIN
Valid signature Filed with authorized/valid electronic signature
TRI-STATE RADIOLOGY, P.S.C. CASH BALANCE PENSION PLAN 2009 611311634 2010-10-07 TRI-STATE RADIOLOGY, P.S.C. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6063299715
Plan sponsor’s address 1200 BATH AVENUE, ASHLAND, KY, 411012659

Plan administrator’s name and address
Administrator’s EIN 611311634
Plan administrator’s name TRI-STATE RADIOLOGY, P.S.C.
Plan administrator’s address 1200 BATH AVENUE, ASHLAND, KY, 411012659
Administrator’s telephone number 6063299715

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing MAYOLA BOYKIN, M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KENNETH WILLIAMS, JR. Registered Agent

Signature

Name Role
MAYOLA BOYKIN Signature

Director

Name Role
MAYOLA BOYKIN Director
ASH MOTIMAYA Director
MUKESH KUMAR MADUPUR Director
AMINA TARIQ Director
Paul Wes Lewis Director

President

Name Role
MAYOLA BOYKIN President

Shareholder

Name Role
MAYOLA BOYKIN Shareholder
ASH MOTIMAYA Shareholder
PAUL WES LEWIS Shareholder

Incorporator

Name Role
CHUN H. KIM, M.D. Incorporator
ALLEN BOND, M.D. Incorporator
ROBERT DAVIS, M.D. Incorporator
PAUL STEMKOWSKI, M.D. Incorporator

Secretary

Name Role
Paul Wes Lewis Secretary

Filings

Name File Date
Administrative Dissolution 2013-09-28
Annual Report 2012-04-20
Annual Report 2011-02-08
Annual Report 2010-04-07
Annual Report 2009-06-18
Annual Report 2008-06-12
Annual Report 2007-04-20
Annual Report 2006-04-14
Annual Report 2005-04-18
Annual Report 2003-07-16

Related by officers

KENNETH WILLIAMS, JR.

WURTLAND HEALTH CARE CENTER, INC. KING HEALTH CARE CENTER, INC. CARCO, INC. DUBLIN'S, INC. MRO MARKETING INC. WEST LIBERTY HEALTH CARE CENTER, INC. SOUTH SHORE HEALTH CARE CENTER, INC. PAINTSVILLE EYE INSTITUTE, INC. AMERICAN PRESSURE CLEANING, INC. CARTER HEALTH CARE CENTER, INC.

ALLEN BOND, M.D.

ADVANCED IMAGING ASSOCIATES, PSC

Paul Wes Lewis

Ashland Radiology Associates, PSC Appalachian Radiology Consultants, PSC

Related by address

No related companies by address

Date of last update: 24 Dec 2024

Sources: Kentucky Secretary of State

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