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  5. OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.

OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.

Company Details

Name: OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 17 Dec 1996 (28 years ago)
Organization Date: 17 Dec 1996 (28 years ago)
Last Annual Report: 13 Aug 2024 (5 months ago)
Organization Number: 0425523
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42303
Primary County: Daviess
Principal Office: C/O DR. MICHAEL J. CROWE, 2821 NEW HARTFORD RD., OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. CASH BALANCE PLAN 2023 311488176 2024-10-13 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2024-10-13
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES PROFIT SHARING PLAN 2023 311488176 2024-06-18 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2024-06-18
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES PROFIT SHARING PLAN 2022 311488176 2023-10-02 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. CASH BALANCE PLAN 2022 311488176 2023-10-02 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES PROFIT SHARING PLAN 2021 311488176 2022-07-22 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. CASH BALANCE PLAN 2021 311488176 2022-07-22 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 70
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. CASH BALANCE PLAN 2020 311488176 2021-07-28 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES PROFIT SHARING PLAN 2020 311488176 2021-07-28 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. CASH BALANCE PLAN 2019 311488176 2020-06-01 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 66
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2020-06-01
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
OWENSBORO DERMATOLOGY ASSOCIATES PROFIT SHARING PLAN 2019 311488176 2020-05-21 OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/12/20/20211220142047NAL0004996721001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/10/20191010071117P040071874177001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/10/20191010071355P030068762039001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/05/22/20180522145150P040083723031001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/05/22/20180522145419P040053367517001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/02/20171002144352P030187184481001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/02/20171002144036P030187175697001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/15/20160715110203P040034643127001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/16/20160916091227P040031486615001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/28/20150928101007P040021276337001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/28/20150928101358P040021279361001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/05/20140605095838P040021077938001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2014-06-05
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/03/20140603164420P030369220019001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/19/20130919110740P040049891847001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/25/20130425100814P030066131877001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2708523890
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Signature of
Role Plan administrator
Date 2013-04-25
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/12/20120412141509P030009769346001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Plan administrator’s name and address
Administrator’s EIN 311488176
Plan administrator’s name OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Plan administrator’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
Administrator’s telephone number 2706855777

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/12/20120412141336P030009769122001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Plan administrator’s name and address
Administrator’s EIN 311488176
Plan administrator’s name OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Plan administrator’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
Administrator’s telephone number 2706855777

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Plan administrator’s name and address
Administrator’s EIN 311488176
Plan administrator’s name OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Plan administrator’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
Administrator’s telephone number 2706855777

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing ARTIS TRUETT
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/18/20110718145500P030450418192001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Plan administrator’s name and address
Administrator’s EIN 311488176
Plan administrator’s name OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Plan administrator’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
Administrator’s telephone number 2706855777

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/18/20110718145700P030095868673001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Plan administrator’s name and address
Administrator’s EIN 311488176
Plan administrator’s name OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Plan administrator’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
Administrator’s telephone number 2706855777

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/11/20101011111158P070021232257001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Plan administrator’s name and address
Administrator’s EIN 311488176
Plan administrator’s name OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Plan administrator’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
Administrator’s telephone number 2706855777

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/11/20101011111040P070003035012001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2706855777
Plan sponsor’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320

Plan administrator’s name and address
Administrator’s EIN 311488176
Plan administrator’s name OWENSBORO DERMATOLOGY ASSOCIATES, P.S.C.
Plan administrator’s address 2821 NEW HARTFORD RD, OWENSBORO, KY, 423031320
Administrator’s telephone number 2706855777

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing ARTIS TRUETT
Valid signature Filed with authorized/valid electronic signature

Shareholder

Name Role
Michael Crowe Shareholder
A P Truett III Shareholder

Secretary

Name Role
Michael Crowe Secretary

Incorporator

Name Role
DR MICHAEL J CROWE Incorporator

Registered Agent

Name Role
DR MICHAEL J CROWE Registered Agent

President

Name Role
Michael Crowe President

Vice President

Name Role
A P Truett III Vice President

Assumed Names

Name Status Expiration Date
HENDERSON DERMATOLOGY Inactive 2013-05-14
ADVANCED AESTHETICS Inactive 2011-01-08

Filings

Name File Date
Annual Report 2024-08-13
Annual Report 2023-03-15
Annual Report 2022-08-09
Annual Report 2021-05-24
Annual Report 2020-03-09
Annual Report 2019-07-23
Annual Report 2018-04-19
Annual Report 2017-04-25
Annual Report 2016-03-03
Annual Report 2015-04-24

Related by officers

Michael Crowe

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Related by address

No related companies by address

Date of last update: 10 Jan 2025

Sources: Kentucky Secretary of State

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