| Name: | PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Inactive |
| Standing: | Good |
| File Date: | 11 Sep 1997 (27 years ago) |
| Organization Date: | 11 Sep 1997 (27 years ago) |
| Last Annual Report: | 05 Jul 2017 (8 years ago) |
| Managed By: | Members |
| Organization Number: | 0438488 |
| ZIP code: | 42141 |
| Primary County: | Barren |
| Principal Office: | 120 BROOKDALE DRIVE, GLASGOW, KY 42141 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY PLLC PROFIT SHARING PLAN & TRUST | 2011 | 611315566 | 2012-07-11 | PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY PLLC | 30 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 611315566 |
| Plan administrator’s name | PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY PLLC |
| Plan administrator’s address | 1330 N. RACE ST., GLASGOW, KY, 42141 |
| Administrator’s telephone number | 2706516791 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-11 |
| Name of individual signing | WILLIAM TRAVIS, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2706516791 |
| Plan sponsor’s address | 1330 N RACE ST. STE. 2, GLASGOW, KY, 42141 |
Plan administrator’s name and address
| Administrator’s EIN | 611315566 |
| Plan administrator’s name | PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC |
| Plan administrator’s address | 1330 N RACE ST. STE. 2, GLASGOW, KY, 42141 |
| Administrator’s telephone number | 2706516791 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-28 |
| Name of individual signing | WILLIAM TRAVIS, M. D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2706516791 |
| Plan sponsor’s address | 1330 N RACE ST. STE. 2, GLASGOW, KY, 42141 |
Plan administrator’s name and address
| Administrator’s EIN | 611315566 |
| Plan administrator’s name | PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC |
| Plan administrator’s address | 1330 N RACE ST. STE. 2, GLASGOW, KY, 42141 |
| Administrator’s telephone number | 2706516791 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-28 |
| Name of individual signing | WILLIAM TRAVIS, M. D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| I SCOTT GILSON | Member |
| RICHARD CLOUSE | Member |
| WILLIAM J TRAVIS | Member |
| Name | Role |
|---|---|
| DERON BIBB | Organizer |
| Name | Role |
|---|---|
| WILLIAM J. TRAVIS | Registered Agent |
| Name | Status | Expiration Date |
|---|---|---|
| GLASGOW PRIMARY CARE | Inactive | 2011-01-29 |
| Name | File Date |
|---|---|
| Dissolution | 2018-04-10 |
| Annual Report | 2017-07-05 |
| Annual Report | 2016-08-25 |
| Annual Report | 2015-06-30 |
| Annual Report | 2014-04-30 |
| Reinstatement Certificate of Existence | 2013-06-17 |
| Reinstatement | 2013-06-17 |
| Reinstatement Approval Letter Revenue | 2013-06-17 |
| Principal Office Address Change | 2013-06-17 |
| Registered Agent name/address change | 2013-06-17 |
Date of last update: 07 Jan 2025
Sources: Kentucky Secretary of State
