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  5. WEST KENTUCKY SURGICAL, INC.

WEST KENTUCKY SURGICAL, INC.

Company Details

Name: WEST KENTUCKY SURGICAL, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
File Date: 16 Nov 1998 (26 years ago)
Organization Date: 16 Nov 1998 (26 years ago)
Last Annual Report: 25 Mar 2020 (5 years ago)
Organization Number: 0464831
ZIP code: 42071
Primary County: Calloway
Principal Office: 300 SOUTH 8th ST, SUITE 401E, MURRAY, KY 42071
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2018 611330797 2019-04-17 WEST KENTUCKY SURGICAL, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 2707532444
Plan sponsor’s address 300 SOUTH 8TH STREET, SUITE 401E, MURRAY, KY, 42071
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2017 611330797 2018-06-28 WEST KENTUCKY SURGICAL, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 2707532444
Plan sponsor’s address 300 SOUTH 8TH STREET, SUITE 401E, MURRAY, KY, 42071

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing SHELLEY SHUMAKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing SHELLEY SHUMAKER
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2016 611330797 2017-04-19 WEST KENTUCKY SURGICAL, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 2707532444
Plan sponsor’s address 300 SOUTH 8TH STREET, SUITE 401E, MURRAY, KY, 42071

Signature of
Role Plan administrator
Date 2017-04-19
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-19
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2015 611330797 2016-07-08 WEST KENTUCKY SURGICAL, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH STREET, SUITE 401E, MURRAY, KY, 42071

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-08
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2014 611330797 2015-04-23 WEST KENTUCKY SURGICAL, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH STREET, SUITE 401E, MURRAY, KY, 42071

Signature of
Role Plan administrator
Date 2015-04-23
Name of individual signing JAMES CRAIG DOWDY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-23
Name of individual signing JAMES CRAIG DOWDY MD
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2013 611330797 2014-03-28 WEST KENTUCKY SURGICAL, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071

Signature of
Role Plan administrator
Date 2014-03-28
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-28
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2012 611330797 2013-05-21 WEST KENTUCKY SURGICAL, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing DAVID KOELSCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-21
Name of individual signing DAVID KOELSCH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2011 611330797 2012-05-15 WEST KENTUCKY SURGICAL, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071

Plan administrator’s name and address
Administrator’s EIN 611330797
Plan administrator’s name WEST KENTUCKY SURGICAL, INC.
Plan administrator’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071
Administrator’s telephone number 5027532444

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing JAMES C. DOWDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-15
Name of individual signing JAMES C. DOWDY
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2010 611330797 2011-07-06 WEST KENTUCKY SURGICAL, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071

Plan administrator’s name and address
Administrator’s EIN 611330797
Plan administrator’s name WEST KENTUCKY SURGICAL, INC.
Plan administrator’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071
Administrator’s telephone number 5027532444

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing JAMES DOWDY
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY SURGICAL, INC. 401(K) PROFIT SHARING PLAN 2009 611330797 2010-06-04 WEST KENTUCKY SURGICAL, INC. 17
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071

Plan administrator’s name and address
Administrator’s EIN 611330797
Plan administrator’s name WEST KENTUCKY SURGICAL, INC.
Plan administrator’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071
Administrator’s telephone number 5027532444

Signature of
Role Plan administrator
Date 2010-06-04
Name of individual signing DONNA MCNEELY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/09/20100609123524P030015172774001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5027532444
Plan sponsor’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071

Plan administrator’s name and address
Administrator’s EIN 611330797
Plan administrator’s name WEST KENTUCKY SURGICAL, INC.
Plan administrator’s address 300 SOUTH 8TH ST., SUITE 401E, MURRAY, KY, 42071
Administrator’s telephone number 5027532444

Signature of
Role Plan administrator
Date 2010-06-09
Name of individual signing DAVID KOELSCH
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JAMES CRAIG DOWDY Registered Agent

President

Name Role
JAMES C DOWDY, M.D. President

Director

Name Role
JAMES CRAIG DOWDY Director
DAVID WERNER KOELSCH Director
BRIAN TAU SWAIN Director

Shareholder

Name Role
DAVID W KOELSCH, M.D. Shareholder
BRIAN T SWAIN, M.D. Shareholder

Incorporator

Name Role
JAMES CRAIG DOWDY Incorporator

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-03-25
Annual Report 2019-08-14
Annual Report 2018-08-27
Annual Report 2017-05-03
Annual Report 2016-03-16
Annual Report 2015-04-06
Annual Report 2014-02-13
Annual Report 2013-01-09
Annual Report 2012-02-10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 26 Dec 2024

Sources: Kentucky Secretary of State

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