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  5. BELHASEN FAMILY CARE CENTER, P.S.C.

BELHASEN FAMILY CARE CENTER, P.S.C.

Company Details

Name: BELHASEN FAMILY CARE CENTER, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 16 Dec 1996 (28 years ago)
Organization Date: 16 Dec 1996 (28 years ago)
Last Annual Report: 14 Aug 2014 (10 years ago)
Organization Number: 0425492
ZIP code: 41240
Primary County: Johnson
Principal Office: 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY 41240
Place of Formation: KENTUCKY
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELHASEN FAMILY CARE CENTER, P.S.C. 401(K) PLAN 2012 611314344 2013-08-29 BELHASEN FAMILY CARE CENTER, P.S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6067898749
Plan sponsor’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240

Plan administrator’s name and address
Administrator’s EIN 611314344
Plan administrator’s name BELHASEN FAMILY CARE CENTER, P.S.C.
Plan administrator’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240
Administrator’s telephone number 6067898749

Signature of
Role Plan administrator
Date 2013-08-29
Name of individual signing LORETTA BELHASEN
Valid signature Filed with authorized/valid electronic signature
BELHASEN FAMILY CARE CENTER, P.S.C. 401(K) PLAN 2012 611314344 2013-08-29 BELHASEN FAMILY CARE CENTER, P.S.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6067898749
Plan sponsor’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240

Plan administrator’s name and address
Administrator’s EIN 611314344
Plan administrator’s name BELHASEN FAMILY CARE CENTER, P.S.C.
Plan administrator’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240
Administrator’s telephone number 6067898749

Signature of
Role Plan administrator
Date 2013-08-29
Name of individual signing LORETTA BELHASEN
Valid signature Filed with authorized/valid electronic signature
BELHASEN FAMILY CARE CENTER, P.S.C. 401(K) PLAN 2011 611314344 2012-10-01 BELHASEN FAMILY CARE CENTER, P.S.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6067898749
Plan sponsor’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240

Plan administrator’s name and address
Administrator’s EIN 611314344
Plan administrator’s name BELHASEN FAMILY CARE CENTER, P.S.C.
Plan administrator’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240
Administrator’s telephone number 6067898749

Signature of
Role Plan administrator
Date 2012-10-01
Name of individual signing LORETTA BELHASEN
Valid signature Filed with authorized/valid electronic signature
BELHASEN FAMILY CARE CENTER, P.S.C. 401(K) PLAN 2010 611314344 2011-05-25 BELHASEN FAMILY CARE CENTER, P.S.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6067898749
Plan sponsor’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240

Plan administrator’s name and address
Administrator’s EIN 611314344
Plan administrator’s name BELHASEN FAMILY CARE CENTER, P.S.C.
Plan administrator’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240
Administrator’s telephone number 6067898749

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing FRANKLEN K. BELHASEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing FRANKLEN K. BELHASEN
Valid signature Filed with authorized/valid electronic signature
BELHASEN FAMILY CARE CENTER, P.S.C. 401(K) PLAN 2009 611314344 2010-10-11 BELHASEN FAMILY CARE CENTER, P.S.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6067898749
Plan sponsor’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240

Plan administrator’s name and address
Administrator’s EIN 611314344
Plan administrator’s name BELHASEN FAMILY CARE CENTER, P.S.C.
Plan administrator’s address 838 SOUTH MAYO TRAIL, PAINTSVILLE, KY, 41240
Administrator’s telephone number 6067898749

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing FRANKLEN K. BELHASEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing FRANKLEN K. BELHASEN
Valid signature Filed with authorized/valid electronic signature

Signature

Name Role
LORETTA P BELHASEN Signature
FRANK K BELHASEN Signature

President

Name Role
Loretta P Belhasen President

Incorporator

Name Role
FRANKLEN K BELHASEN MD Incorporator

Registered Agent

Name Role
FRANKLEN K BELHASEN II Registered Agent

Vice President

Name Role
Sarah M Belhasen Vice President

Treasurer

Name Role
Franklen K Belhasen II Treasurer

Shareholder

Name Role
Franklen K Belhasen Shareholder

Filings

Name File Date
Annual Report 2014-08-14
Dissolution 2014-08-14
Annual Report 2013-03-20
Annual Report 2012-02-22
Annual Report 2011-02-07
Annual Report 2010-09-15
Annual Report 2009-02-11
Annual Report 2008-03-17
Annual Report 2007-04-17
Annual Report 2006-03-21

Related by officers

LORETTA P BELHASEN

MOUNTAIN BUILDING ASSOCIATES, INC. KENTUCKY AESTHETICS & ENHANCED LIVING, INC. PAINTVILLE TOWNHOUSE ECONOMICS LLC PAINTSVILLE PROFESSIONAL PLAZA LLC

Loretta P Belhasen

MOUNTAIN BUILDING ASSOCIATES, INC. EAST KENTUCKY MISSIONS GROUP, INC. PAINTVILLE TOWNHOUSE ECONOMICS LLC PAINTSVILLE PROFESSIONAL PLAZA LLC

FRANKLEN K BELHASEN II

BELHASEN LAW OFFICES, P.S.C.

Sarah M Belhasen

THE SIPP THEATRE FOUNDATION, INC.

Franklen K Belhasen

LICKING VALLEY RADIO CORPORATION

Related by address

838 SOUTH MAYO TRAIL, PAINTSVILLE, KY 41240

KENTUCKY AESTHETICS & ENHANCED LIVING, INC.

Date of last update: 24 Dec 2024

Sources: Kentucky Secretary of State

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