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  5. FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C.

FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C.

Company Details

Name: FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 08 Apr 1999 (26 years ago)
Organization Date: 08 Apr 1999 (26 years ago)
Last Annual Report: 15 Apr 2024 (9 months ago)
Organization Number: 0472341
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40422
Primary County: Boyle
Principal Office: 640 E LEXINGTON RD, DANVILLE, KY 40422
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2018 611347705 2019-04-19 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2019-04-19
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-19
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P. S. C. 2018 611347705 2019-11-14 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2019-11-14
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-11-14
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2017 611347705 2018-07-25 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2016 611347705 2017-10-13 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2015 611347705 2016-04-22 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2016-04-22
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-22
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2014 611347705 2015-09-14 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2015-09-14
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-14
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2013 611347705 2014-08-14 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2014-08-14
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-14
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2012 611347705 2013-09-25 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2013-09-25
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-25
Name of individual signing SARAH HEMPEL
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2011 611347705 2012-07-16 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 611347705
Plan administrator’s name FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C.
Plan administrator’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422
Administrator’s telephone number 8592361250

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-16
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 401(K) PROFIT SHARING PLAN 2010 611347705 2011-06-29 FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 611347705
Plan administrator’s name FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C.
Plan administrator’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422
Administrator’s telephone number 8592361250

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-29
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/11/20101011124933P030007565906001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 611347705
Plan administrator’s name FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C.
Plan administrator’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422
Administrator’s telephone number 8592361250

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621111
Sponsor’s telephone number 8592361250
Plan sponsor’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 611347705
Plan administrator’s name FAMILY MEDICINE CLINIC OF DANVILLE, P.S.C.
Plan administrator’s address 640 EAST LEXINGTON ROAD, DANVILLE, KY, 40422
Administrator’s telephone number 8592361250

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-05
Name of individual signing RICHARD J. HEMPEL, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Registered Agent

Name Role
RICHARD J. HEMPEL Registered Agent

Director

Name Role
Sarah S Hempel Director
Richard J Hempel Director

Shareholder

Name Role
Richard J Hempel Shareholder

Incorporator

Name Role
RICHARD J. HEMPEL MD Incorporator

President

Name Role
Richard J Hempel President

Filings

Name File Date
Annual Report 2024-04-15
Annual Report 2023-03-21
Annual Report 2022-04-11
Annual Report 2021-02-18
Annual Report 2020-03-10
Annual Report 2019-04-23
Annual Report 2018-05-01
Annual Report 2017-05-11
Annual Report 2016-03-21
Annual Report 2015-04-03

Related by officers

RICHARD J. HEMPEL

HRH, INC.

Richard J Hempel

HRH, INC.

Related by address

No related companies by address

Date of last update: 26 Dec 2024

Sources: Kentucky Secretary of State

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