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TSAI INTERNAL MEDICINE, INC.

Company Details

Name: TSAI INTERNAL MEDICINE, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 06 Jan 1998 (27 years ago)
Organization Date: 06 Jan 1998 (27 years ago)
Last Annual Report: 08 Mar 2024 (10 months ago)
Organization Number: 0450124
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40205
Primary County: Jefferson
Principal Office: 6400 DUTCHMANS PARKWAY, LOUISVILLE, KY 40205
Place of Formation: KENTUCKY
Authorized Shares: 500

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TSAI INTERNAL MEDICINE INC 401(K) PROFIT SHARING PLAN & TRUST 2023 611320724 2024-07-11 TSAI INTERNAL MEDICINE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2024-07-11
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 611320724 2023-07-13 TSAI INTERNAL MEDICINE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 611320724 2022-06-24 TSAI INTERNAL MEDICINE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2022-06-24
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 611320724 2021-07-22 TSAI INTERNAL MEDICINE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2021-07-22
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 611320724 2020-06-29 TSAI INTERNAL MEDICINE INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2020-06-29
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401 K PROFIT SHARING PLAN TRUST 2018 611320724 2019-07-30 TSAI INTERNAL MEDICINE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401 K PROFIT SHARING PLAN TRUST 2017 611320724 2018-07-23 TSAI INTERNAL MEDICINE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401 K PROFIT SHARING PLAN TRUST 2016 611320724 2017-07-14 TSAI INTERNAL MEDICINE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2017-07-14
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401 K PROFIT SHARING PLAN TRUST 2015 611320724 2016-07-22 TSAI INTERNAL MEDICINE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
TSAI INTERNAL MEDICINE INC 401 K PROFIT SHARING PLAN TRUST 2014 611320724 2015-06-05 TSAI INTERNAL MEDICINE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2015-06-05
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729153041P040020295519001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing SUSAN PARKS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/31/20130731120551P030119353109001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PKWY STE 210, LOUISVILLE, KY, 402053343

Signature of

Role Plan administrator
Date 2013-07-31
Name of individual signing TSAI INTERNAL MEDICINE INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/01/20110801182213P040033931479001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PARKWAY, SUITE 210, LOUISVILLE, KY, 40205

Plan administrator’s name and address

Administrator’s EIN 611320724
Plan administrator’s name TSAI INTERNAL MEDICINE INC
Plan administrator’s address 6400 DUTCHMANS PARKWAY, SUITE 210, LOUISVILLE, KY, 40205
Administrator’s telephone number 5028961294

Signature of

Role Plan administrator
Date 2011-08-01
Name of individual signing TSAI INTERNAL MEDICINE INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/01/20100801125346P030022416390001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 5028961294
Plan sponsor’s address 6400 DUTCHMANS PARKWAY, SUITE 210, LOUISVILLE, KY, 40205

Plan administrator’s name and address

Administrator’s EIN 611320724
Plan administrator’s name TSAI INTERNAL MEDICINE INC
Plan administrator’s address 6400 DUTCHMANS PARKWAY, SUITE 210, LOUISVILLE, KY, 40205
Administrator’s telephone number 5028961294

Signature of

Role Plan administrator
Date 2010-08-01
Name of individual signing TSAI INTERNAL MEDICINE INC
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
BERLIN TSAI Registered Agent

President

Name Role
40205 Yi Tsai President

Treasurer

Name Role
Susan Parks Treasurer

Incorporator

Name Role
BERLIN TSAI Incorporator

Secretary

Name Role
Berlin Tsai Secretary

Filings

Name File Date
Annual Report 2024-03-08
Annual Report 2023-05-23
Annual Report 2022-06-10
Registered Agent name/address change 2021-05-07
Registered Agent name/address change 2021-05-07
Annual Report 2021-05-07
Reinstatement Certificate of Existence 2020-04-29
Reinstatement Approval Letter Revenue 2020-04-29
Reinstatement Approval Letter UI 2020-04-29
Application For Reinstatement 2020-04-29

Date of last update: 25 Dec 2024

Sources: Kentucky Secretary of State