| Name: | DR. TIM CRISP PEDIATRIC DENTISTRY, P.S.C. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Professional Services Corp |
| Status: | Inactive |
| Standing: | Bad |
| File Date: | 30 Dec 1996 (28 years ago) |
| Organization Date: | 01 Jan 1997 (28 years ago) |
| Last Annual Report: | 01 May 2023 (2 years ago) |
| Organization Number: | 0426147 |
| ZIP code: | 40391 |
| Primary County: | Clark |
| Principal Office: | 11 CANARY LANE, WINCHESTER, KY 40391 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIM F. CRISP DMD 401(K) PLAN | 2019 | 311495830 | 2020-07-20 | TIM F. CRISP D.M.D., P.S.C. | 12 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2020-07-20 |
| Name of individual signing | DAVID BUSH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-02-13 |
| Business code | 621210 |
| Sponsor’s telephone number | 8597447031 |
| Plan sponsor’s address | 11 CANARY LANE, WINCHESTER, KY, 40391 |
Signature of
| Role | Plan administrator |
| Date | 2019-05-21 |
| Name of individual signing | DAVID BUSH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-02-13 |
| Business code | 621210 |
| Sponsor’s telephone number | 8597447031 |
| Plan sponsor’s address | 11 CANARY LANE, WINCHESTER, KY, 40391 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-26 |
| Name of individual signing | DAVID BUSH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Tim F Crisp | Sole Officer |
| Name | Role |
|---|---|
| Tim F Crisp | Secretary |
| Name | Role |
|---|---|
| TIM CRISP | Treasurer |
| Name | Role |
|---|---|
| Tim F Crisp | Director |
| Name | Role |
|---|---|
| Tim F Crisp | Shareholder |
| Name | Role |
|---|---|
| TIM F. CRISP | Incorporator |
| Name | Role |
|---|---|
| TIM F CRISP | Registered Agent |
| Name | Action |
|---|---|
| TIM F. CRISP, D.M.D., P.S.C. | Old Name |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2024-10-12 |
| Annual Report | 2023-05-01 |
| Annual Report | 2022-04-21 |
| Amendment | 2021-12-28 |
| Annual Report | 2021-08-18 |
| Annual Report | 2020-03-10 |
| Annual Report | 2019-06-12 |
| Annual Report | 2018-06-05 |
| Annual Report | 2017-03-03 |
| Annual Report | 2016-03-22 |
Date of last update: 23 Dec 2024
Sources: Kentucky Secretary of State
