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  5. SID W. BRANTLEY, D.M.D., P.S.C.

SID W. BRANTLEY, D.M.D., P.S.C.

Company Details

Name: SID W. BRANTLEY, D.M.D., P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 01 Feb 1999 (26 years ago)
Organization Date: 01 Feb 1999 (26 years ago)
Last Annual Report: 20 Sep 2013 (11 years ago)
Organization Number: 0468680
ZIP code: 42001
Primary County: McCracken
Principal Office: 166 NORTH FRIENDSHIP RD, PADUCAH, KY 42001
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SID W. BRANTLEY, D.M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2011 611274213 2012-06-25 SID W. BRANTLEY, D.M.D., P.S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2705540123
Plan sponsor’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 611274213
Plan administrator’s name SID W. BRANTLEY, D.M.D., P.S.C.
Plan administrator’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001
Administrator’s telephone number 2705540123

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing SID W. BRANTLEY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SID W. BRANTLEY, D.M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2011 611274213 2012-06-25 SID W. BRANTLEY, D.M.D., P.S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2705540123
Plan sponsor’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 611274213
Plan administrator’s name SID W. BRANTLEY, D.M.D., P.S.C.
Plan administrator’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001
Administrator’s telephone number 2705540123

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing SID W. BRANTLEY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SID W. BRANTLEY, D.M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2010 611274213 2011-06-29 SID W. BRANTLEY, D.M.D., P.S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2705540123
Plan sponsor’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 611274213
Plan administrator’s name SID W. BRANTLEY, D.M.D., P.S.C.
Plan administrator’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001
Administrator’s telephone number 2705540123

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing SID W. BRANTLEY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SID W. BRANTLEY, D.M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2009 611274213 2010-07-16 SID W. BRANTLEY, D.M.D., P.S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2705540123
Plan sponsor’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 611274213
Plan administrator’s name SID W. BRANTLEY, D.M.D., P.S.C.
Plan administrator’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001
Administrator’s telephone number 2705540123

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing SID W. BRANTLEY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SID W. BRANTLEY, D.M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2009 611274213 2010-07-16 SID W. BRANTLEY, D.M.D., P.S.C. 10
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 2705540123
Plan sponsor’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 611274213
Plan administrator’s name SID W. BRANTLEY, D.M.D., P.S.C.
Plan administrator’s address 166 NORTH FRIENDSHIP ROAD, PADUCAH, KY, 42001
Administrator’s telephone number 2705540123

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing SID W. BRANTLEY, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
CATHY BRANTLEY Director

Shareholder

Name Role
Sid Brantley Shareholder

Incorporator

Name Role
SID W. BRANTLEY Incorporator

Registered Agent

Name Role
SID W. BRANTLEY Registered Agent

Sole Officer

Name Role
Sid Brantley Sole Officer

Filings

Name File Date
Dissolution 2014-01-22
Annual Report 2013-09-20
Annual Report 2012-06-25
Annual Report 2011-02-10
Annual Report 2010-04-07
Annual Report 2009-06-10
Annual Report 2008-03-12
Annual Report 2007-04-30
Annual Report 2006-06-27
Statement of Change 2005-06-18

Related by officers

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SID W. BRANTLEY

SID W. BRANTLEY, D.M.D., P.S.C.

Related by address

No related companies by address

Date of last update: 04 Nov 2024

Sources: Kentucky Secretary of State

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