| Name: | UPPER CUMBERLAND OTOLARYNGOLOGY CLINIC OF COOKEVILLE, PROFESSIONAL SERVICE CORPORATION |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Foreign Professional Services Corp. |
| Status: | Inactive |
| Standing: | Bad |
| File Date: | 05 Nov 1998 (26 years ago) |
| Authority Date: | 05 Nov 1998 (26 years ago) |
| Last Annual Report: | 02 Jul 2007 (18 years ago) |
| Organization Number: | 0464411 |
| Principal Office: | 100 WEST FOURTH STREET, COOKEVILLE, TN 38501 |
| Place of Formation: | TENNESSEE |
| Name | Role |
|---|---|
| THOMAS L LAWRENCE | Director |
| CHARLES E JORDAN III MD | Director |
| F.S. BRONN RAYNE | Director |
| SCOTT H KEITH | Director |
| MARK D KRISKOVICH | Director |
| Name | Role |
|---|---|
| F. S. BRONN | Shareholder |
| CHARLES E JORDAN III | Shareholder |
| SCOTT KEITH | Shareholder |
| THOMAS LAWRENCE | Shareholder |
| Name | Role |
|---|---|
| MARK KRISKOVICH | Signature |
| CHARLES JORDAN | Signature |
| Name | Role |
|---|---|
| MARK D KIRSKOVICH | President |
| Name | Role |
|---|---|
| THOMAS L LAWRENCE | Secretary |
| Name | Role |
|---|---|
| F.S. BRONN RAYNE | Treasurer |
| Name | Role |
|---|---|
| SCOTT H KEITH | Vice President |
| CHARLES E JORDAN III, MD | Vice President |
| Name | Role |
|---|---|
| KY SECRETARY OF STATE | Registered Agent |
| Name | Status | Expiration Date |
|---|---|---|
| UPPER CUMBERLAND OTOLARYNGOLOGY CLINIC OF COOKEVILLE, P.C. | Inactive | 2003-11-05 |
| Name | File Date |
|---|---|
| Revocation of Certificate of Authority | 2008-11-01 |
| Annual Report | 2007-07-02 |
| Annual Report | 2006-04-12 |
| Annual Report | 2005-10-28 |
| Annual Report | 2003-08-28 |
| Annual Report | 2002-06-14 |
| Annual Report | 2001-07-25 |
| Annual Report | 2000-06-14 |
| Annual Report | 1999-07-20 |
| Letters | 1999-01-28 |
Date of last update: 09 Jan 2025
Sources: Kentucky Secretary of State
