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  5. LEBANON PHYSICIANS FOR WOMEN, PLLC

LEBANON PHYSICIANS FOR WOMEN, PLLC

Company Details

Name: LEBANON PHYSICIANS FOR WOMEN, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 08 Dec 1998 (26 years ago)
Organization Date: 08 Dec 1998 (26 years ago)
Last Annual Report: 26 Jun 2015 (10 years ago)
Managed By: Members
Organization Number: 0465794
ZIP code: 40033
Primary County: Marion
Principal Office: 330 LORETTO RD, SUITE 500, LEBANON, KY 40033
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2017 611336706 2018-07-25 LEBANON PHYSICIANS FOR WOMEN, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2016 611336706 2017-09-29 LEBANON PHYSICIANS FOR WOMEN, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2015 611336706 2016-06-02 LEBANON PHYSICIANS FOR WOMEN, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2014 611336706 2015-09-16 LEBANON PHYSICIANS FOR WOMEN, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing MARK A.ACKERMANN
Valid signature Filed with authorized/valid electronic signature
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2013 611336706 2014-09-19 LEBANON PHYSICIANS FOR WOMEN, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229

Signature of
Role Plan administrator
Date 2014-09-19
Name of individual signing MARK A.ACKERMANN
Valid signature Filed with authorized/valid electronic signature
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2012 611336706 2013-06-24 LEBANON PHYSICIANS FOR WOMEN, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing MARK A.ACKERMANN
Valid signature Filed with authorized/valid electronic signature
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2011 611336706 2012-09-28 LEBANON PHYSICIANS FOR WOMEN, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing MARK A.ACKERMANN
Valid signature Filed with authorized/valid electronic signature
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2010 611336706 2011-06-17 LEBANON PHYSICIANS FOR WOMEN, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 400331308

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 400331308
Administrator’s telephone number 2706992229

Signature of
Role Plan administrator
Date 2011-06-17
Name of individual signing MARK A.ACKERMAN
Valid signature Filed with authorized/valid electronic signature
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2009 611336706 2010-09-30 LEBANON PHYSICIANS FOR WOMEN, PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 40033

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 40033
Administrator’s telephone number 2706992229

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing LESLIE A. O'BRYAN
Valid signature Filed with authorized/valid electronic signature
LEBANON PHYSICIANS FOR WOMEN, PLLC PROFIT SHARING PLAN & TRUST 2009 611336706 2010-10-01 LEBANON PHYSICIANS FOR WOMEN, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2706992229
Plan sponsor’s address 330 LORETTO ROAD, LEBANON, KY, 40033

Plan administrator’s name and address
Administrator’s EIN 611336706
Plan administrator’s name LEBANON PHYSICIANS FOR WOMEN, PLLC
Plan administrator’s address 330 LORETTO ROAD, LEBANON, KY, 40033
Administrator’s telephone number 2706992229

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing LESLIE A. O'BRYAN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MARK ACKERMANN, M.D. Registered Agent

Member

Name Role
MARK ACKERMANN Member
LYNVAL T REYNOLDS Member

Organizer

Name Role
MARK ACKERMANN, M.D. Organizer

Filings

Name File Date
Administrative Dissolution 2016-10-01
Annual Report 2015-06-26
Annual Report 2014-06-23
Annual Report 2013-06-28
Annual Report 2012-01-26
Annual Report 2011-07-18
Annual Report 2010-03-14
Annual Report 2009-02-05
Annual Report 2008-01-16
Annual Report 2007-02-01

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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