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ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.

Company Details

Name: ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 01 Oct 1999 (25 years ago)
Organization Date: 01 Oct 1999 (25 years ago)
Last Annual Report: 13 Aug 2013 (11 years ago)
Organization Number: 0478400
ZIP code: 42303
Primary County: Daviess
Principal Office: 2200 E. PARRISH AVENUE, SUITE 201, OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2013 611351496 2014-01-21 ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2706833538
Plan sponsor’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449

Signature of

Role Plan administrator
Date 2014-01-21
Name of individual signing GEOFFREY HULSE
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2012 611351496 2013-02-15 ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2706833538
Plan sponsor’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449

Signature of

Role Plan administrator
Date 2013-02-15
Name of individual signing GEOFFREY HULSE
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2011 611351496 2012-09-17 ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2706833538
Plan sponsor’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449

Plan administrator’s name and address

Administrator’s EIN 611351496
Plan administrator’s name ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.
Plan administrator’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449
Administrator’s telephone number 2706833538

Signature of

Role Plan administrator
Date 2012-09-17
Name of individual signing GEOFFREY HULSE
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2010 611351496 2011-07-12 ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2706833538
Plan sponsor’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449

Plan administrator’s name and address

Administrator’s EIN 611351496
Plan administrator’s name ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.
Plan administrator’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449
Administrator’s telephone number 2706833538

Signature of

Role Plan administrator
Date 2011-07-12
Name of individual signing GEOFFREY HULSE
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2010 611351496 2011-03-25 ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. 8
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2706833538
Plan sponsor’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449

Plan administrator’s name and address

Administrator’s EIN 611351496
Plan administrator’s name ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.
Plan administrator’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449
Administrator’s telephone number 2706833538

Signature of

Role Plan administrator
Date 2011-03-25
Name of individual signing GEOFFREY HULSE
Valid signature Filed with incorrect/unrecognized electronic signature
ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2009 611351496 2010-07-19 ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. 9
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2706833538
Plan sponsor’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449

Plan administrator’s name and address

Administrator’s EIN 611351496
Plan administrator’s name ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.
Plan administrator’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449
Administrator’s telephone number 2706833538

Signature of

Role Plan administrator
Date 2010-07-19
Name of individual signing GEOFFREY HULSE
Valid signature Filed with incorrect/unrecognized electronic signature
ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2009 611351496 2010-07-20 ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2706833538
Plan sponsor’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449

Plan administrator’s name and address

Administrator’s EIN 611351496
Plan administrator’s name ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.
Plan administrator’s address 2200 EAST PARRISH AVE, SUITE 201, OWENSBORO, KY, 423031449
Administrator’s telephone number 2706833538

Signature of

Role Plan administrator
Date 2010-07-20
Name of individual signing GEOFFREY HULSE
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JOSEPH L. POLIO, M.D. Registered Agent

Incorporator

Name Role
GEOFFREY L. HULSE, M.D. Incorporator
JOSEPH L. POLIO, M.D. Incorporator

President

Name Role
Joseph L Polio President

Vice President

Name Role
Geoffrey L Hulse Vice President

Shareholder

Name Role
Geoffrey L Hulse Shareholder
Joseph L Polio Shareholder

Filings

Name File Date
Administrative Dissolution Return 2014-11-20
Administrative Dissolution 2014-09-30
Sixty Day Notice Return 2014-08-07
Annual Report Return 2014-04-22
Annual Report 2013-08-13
Annual Report Return 2013-03-22
Annual Report 2012-06-22
Annual Report 2011-03-18
Annual Report 2010-05-13
Annual Report 2009-06-11

Date of last update: 10 Jan 2025

Sources: Kentucky Secretary of State