| Name: | WARSAW FAMILY MEDICINE, P.S.C. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Professional Services Corp |
| Status: | Inactive |
| Standing: | Good |
| File Date: | 07 Jan 1997 (28 years ago) |
| Organization Date: | 07 Jan 1997 (28 years ago) |
| Last Annual Report: | 16 Apr 2010 (15 years ago) |
| Organization Number: | 0426645 |
| ZIP code: | 41095 |
| Primary County: | Gallatin |
| Principal Office: | P.O. BOX 128, WARSAW, KY 41095 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 200 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WARSAW FAMILY MEDICINE, P.S.C. PROFIT-SHARING PLAN | 2010 | 311501407 | 2011-07-30 | WARSAW FAMILY MEDICINE, P.S.C. | 7 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 311501407 |
| Plan administrator’s name | WARSAW FAMILY MEDICINE, P.S.C. |
| Plan administrator’s address | 302 WEST MAIN STREET, PO BOX 128, WARSAW, KY, 410950128 |
| Administrator’s telephone number | 8595672754 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-30 |
| Name of individual signing | MILTON KOHLMANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2009-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8595672754 |
| Plan sponsor’s address | 302 WEST MAIN STREET, PO BOX 128, WARSAW, KY, 410950128 |
Plan administrator’s name and address
| Administrator’s EIN | 311501407 |
| Plan administrator’s name | WARSAW FAMILY MEDICINE, P.S.C. |
| Plan administrator’s address | 302 WEST MAIN STREET, PO BOX 128, WARSAW, KY, 410950128 |
| Administrator’s telephone number | 8595672754 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | MILTON KOHLMANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1985-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8595672754 |
| Plan sponsor’s address | 302 WEST MAIN STREET, PO BOX 128, WARSAW, KY, 410950128 |
Plan administrator’s name and address
| Administrator’s EIN | 311501407 |
| Plan administrator’s name | WARSAW FAMILY MEDICINE, P.S.C. |
| Plan administrator’s address | 302 WEST MAIN STREET, PO BOX 128, WARSAW, KY, 410950128 |
| Administrator’s telephone number | 8595672754 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | MILTON KOHLMANN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| BENJAMIN KUTNICKI | Registered Agent |
| Name | Role |
|---|---|
| Saul Davis Kutnicki | Shareholder |
| Faith H Kutnicki | Shareholder |
| Benjamin Kutnicki | Shareholder |
| Name | Role |
|---|---|
| Benjamin Kutnicki | Signature |
| Benjamin Kutnicki, MD | Signature |
| Name | Role |
|---|---|
| Faith H Kutnicki | Treasurer |
| Name | Role |
|---|---|
| Faith H Kutnicki | Secretary |
| Name | Role |
|---|---|
| Benjamin Kutnicki | President |
| Name | File Date |
|---|---|
| Dissolution | 2011-04-07 |
| Annual Report | 2010-04-16 |
| Annual Report | 2009-06-26 |
| Annual Report | 2008-02-05 |
| Annual Report | 2007-02-12 |
| Annual Report | 2006-04-21 |
| Annual Report | 2005-04-08 |
| Annual Report | 2003-06-23 |
| Annual Report | 2001-06-08 |
| Annual Report | 2000-05-19 |
Date of last update: 24 Dec 2024
Sources: Kentucky Secretary of State
