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  5. AMERICAN FAMILY ORTHODONTICS, LLC

AMERICAN FAMILY ORTHODONTICS, LLC

Company Details

Name: AMERICAN FAMILY ORTHODONTICS, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 30 Jul 1999 (26 years ago)
Organization Date: 30 Jul 1999 (26 years ago)
Last Annual Report: 22 May 2018 (7 years ago)
Managed By: Managers
Organization Number: 0478019
ZIP code: 40243
City: Louisville, Douglass Hills, Douglass Hls, Middletown...
Primary County: Jefferson County
Principal Office: 12802 TOWNEPARK WAY, STE 100, LOUISVILLE, KY 40243
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN FAMILY ORTHODONTICS (DHA DENTAL HEALTH ASSOCIATES OF INDIANA) 2015 611351365 2016-10-17 AMERICAN FAMILY ORTHODONTICS, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5022870286
Plan sponsor’s address 12802 TOWNEPARK WAY, SUITE 100, LOUISVILLE, KY, 40243

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing TIM HOAGLAND
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS (DHA DENTAL HEATH ASSOCIATES OF INDIANA) 2014 611351365 2015-10-14 AMERICAN FAMILY ORTHODONTICS, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5022870286
Plan sponsor’s address 12802 TOWNEPARK WAY, SUITE 100, LOUISVILLE, KY, 402432394

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing TRISH MORGAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 401(K) PROFIT SHARING PLAN 2013 611351365 2014-10-13 AMERICAN FAMILY ORTHODONTICS LLC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s address 12802 TOWNEPARK WAY STE 100, LOUISVILLE, KY, 402432394

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing TIM HOAGLAND
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 2011 611351365 2012-11-06 AMERICAN FAMILY ORTHODONTICS LLC 138
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-06-01
Business code 621210
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5022870286

Number of participants as of the end of the plan year
Active participants 136

Signature of
Role Plan administrator
Date 2012-11-06
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 2011 611351365 2012-11-06 AMERICAN FAMILY ORTHODONTICS LLC 138
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-06-01
Business code 621210
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Number of participants as of the end of the plan year
Active participants 136

Signature of
Role Plan administrator
Date 2012-11-06
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 2010 611351365 2011-09-27 AMERICAN FAMILY ORTHODONTICS LLC 115
Three-digit plan number (PN) 501
Effective date of plan 2010-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 113

Signature of
Role Employer/plan sponsor
Date 2011-09-27
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 2010 611351365 2011-09-27 AMERICAN FAMILY ORTHODONTICS LLC 113
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 113

Signature of
Role Employer/plan sponsor
Date 2011-09-27
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 2010 611351365 2011-09-27 AMERICAN FAMILY ORTHODONTICS LLC 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 113

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 2010 611351365 2011-09-27 AMERICAN FAMILY ORTHODONTICS LLC 113
Three-digit plan number (PN) 001
Effective date of plan 2010-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 113

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
AMERICAN FAMILY ORTHODONTICS LLC 2010 611351365 2011-09-27 AMERICAN FAMILY ORTHODONTICS LLC 115
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2010-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 113

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/27/20110927120713P040636609712001.pdf
Three-digit plan number (PN) 502
Effective date of plan 2010-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 113

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 2010-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 113

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/12/20101012115210P030003316899001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/12/20101012110238P030003301155001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 102

Signature of
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5024239111
Plan sponsor’s mailing address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Plan sponsor’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address
Administrator’s EIN 611351365
Plan administrator’s name AMERICAN FAMILY ORTHODONTICS LLC
Plan administrator’s address 12802 TOWNEPARK WAY SUITE 100, LOUISVILLE, KY, 40243
Administrator’s telephone number 5024239111

Number of participants as of the end of the plan year
Active participants 103

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PATRICIA MORGAN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
TIMOTHY HOAGLAND Registered Agent

Manager

Name Role
Timothy W. Hoagland Manager

Organizer

Name Role
PATRICK J. WELSH Organizer

Former Company Names

Name Action
AMERICAN FAMILY ORTHODONTICS CENTERS, LLC Old Name

Filings

Name File Date
Administrative Dissolution Return 2019-12-11
Sixty Day Notice Return 2019-10-18
Administrative Dissolution 2019-10-16
Annual Report 2018-05-22
Registered Agent name/address change 2017-06-28
Annual Report 2017-06-28
Annual Report 2016-06-30
Annual Report 2015-06-30
Annual Report 2014-07-14
Annual Report 2013-05-29

Related by officers

TIMOTHY HOAGLAND

AMERICAN FAMILY ORTHODONTICS - JACKSON, LLC AMERICAN FAMILY ORTHODONTICS OF LOUISVILLE, INC. AFO, INC. AMERICAN FAMILY ORTHODONTICS - BROOKS, LLC AMERICAN FAMILY ORTHODONTICS - ANGELL, LLC AMERICAN FAMILY ORTHODONTICS - SPRINGHURST, LLC AMERICAN FAMILY ORTHODONTICS - FISHER, LLC AMERICAN FAMILY ORTHODONTICS - SHUSTER, LLC AMERICAN FAMILY DENTAL GROUP, LLC AMERICAN FAMILY ORTHODONTICS - GAITHER, LLC

Timothy W. Hoagland

AMERICAN FAMILY DENTAL GROUP, LLC AMERICAN FAMILY DENTAL GROUP-WASHINGTON SQUARE, LLC

PATRICK J. WELSH

SBC, INC. FUTURE FITNESS, INC. YEAGER'S FOOD MARKET, INC. DERBY CITY BREWING, INC. SHEA ENTERPRISES, INC. PSC TITLE COMPANY SILO ACQUISITIONS, LLC SPATH ENTERPRISES, LLC AMERICAN FAMILY ORTHODONTICS - JACKSON, LLC AUTO ELECTRIC SERVICE CO., INC.

Related by address

12802 TOWNEPARK WAY, STE 100, LOUISVILLE, KY 40243

AMERICAN FAMILY ORTHODONTICS - JACKSON, LLC AMERICAN FAMILY ORTHODONTICS OF LOUISVILLE, INC. AMERICAN FAMILY ORTHODONTICS - ANGELL, LLC AMERICAN FAMILY ORTHODONTICS - SHUSTER, LLC AMERICAN FAMILY DENTAL GROUP-SHEEHAN, LLC AMERICAN FAMILY DENTAL GROUP-PALUGA-STAGGS, LLC AMERICAN FAMILY DENTAL GROUP-BOTTOMLEY, LLC AMERICAN FAMILY DENTAL GROUP-AVON, LLC AMERICAN FAMILY DENTAL GROUP-GREENSBURG, LLC

Sources: Kentucky Secretary of State

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