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ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.

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Company Details

Name: ORTHOPAEDIC SURGICAL SPECIALISTS, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Oct 1999 (26 years ago)
Organization Date: 01 Oct 1999 (26 years ago)
Last Annual Report: 13 Aug 2013 (12 years ago)
Organization Number: 0478400
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 2200 E. PARRISH AVENUE, SUITE 201, OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

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

Shareholder

Name Role
Joseph L Polio Shareholder
Geoffrey L Hulse Shareholder

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

National Provider Identifier

NPI Number:
1598777468

Authorized Person:

Name:
JOSEPH LEO POLIO
Role:
PRESIDENT OF PSC
Phone:

Taxonomy:

Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2706839494

Form 5500 Series

Employer Identification Number (EIN):
611351496
Plan Year:
2013
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
8
Sponsors Telephone Number:

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

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Sources: Kentucky Secretary of State