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UNIVERSITY PSYCHIATRIC FOUNDATION, INC.

Company Details

Name: UNIVERSITY PSYCHIATRIC FOUNDATION, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
File Date: 24 Nov 1999 (25 years ago)
Organization Date: 24 Nov 1999 (25 years ago)
Last Annual Report: 15 Apr 2015 (10 years ago)
Organization Number: 0484021
ZIP code: 40202
Primary County: Jefferson
Principal Office: 401 E. CHESTNUT ST. , STE. 600, LOUISVILLE, KY 40202
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY PSYCHIATRIC FOUNDATION RET SAVINGS PLA 2013 261266509 2014-06-24 UNIVERSITY PSYCHIATRIC FOUNDATION 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621399
Sponsor’s telephone number 5028136660
Plan sponsor’s address 401 E. CHESTNUT STREET, SUITE 600, LOUISVILLE, KY, 402020000

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing CAROL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-24
Name of individual signing ALLAN TASMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PSYCHIATRIC FOUNDATION RET SAVINGS PLA 2012 261266509 2013-04-10 UNIVERSITY PSYCHIATRIC FOUNDATION 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621399
Sponsor’s telephone number 5028136660
Plan sponsor’s address 401 E. CHESTNUT STREET, SUITE 600, LOUISVILLE, KY, 402020000

Signature of

Role Plan administrator
Date 2013-04-10
Name of individual signing CAROL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-10
Name of individual signing ALLAN TASMAN, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PSYCHIATRIC FOUNDATION RET SAVINGS PLA 2011 261266509 2012-06-08 UNIVERSITY PSYCHIATRIC FOUNDATION 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621399
Sponsor’s telephone number 5028136660
Plan sponsor’s address 401 E. CHESTNUT STREET, SUITE 600, LOUISVILLE, KY, 402020000

Plan administrator’s name and address

Administrator’s EIN 261266509
Plan administrator’s name UNIVERSITY PSYCHIATRIC FOUNDATION
Plan administrator’s address 401 E. CHESTNUT STREET, SUITE 600, LOUISVILLE, KY, 402020000
Administrator’s telephone number 5028136660

Signature of

Role Plan administrator
Date 2012-06-08
Name of individual signing CAROL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-08
Name of individual signing ALLAN TASMAN, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PSY FOUNDATION RET SAVINGS PLAN 2010 261266509 2011-05-10 UNIVERSITY PSYCHIATRIC FOUNDATION 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621399
Sponsor’s telephone number 5028136660
Plan sponsor’s address 401 E. CHESTNUT STREET, SUITE 600, LOUSIVILLE, KY, 402020000

Plan administrator’s name and address

Administrator’s EIN 261266509
Plan administrator’s name UNIVERSITY PSYCHIATRIC FOUNDATION
Plan administrator’s address 401 E. CHESTNUT STREET, SUITE 600, LOUSIVILLE, KY, 402020000
Administrator’s telephone number 5028136660

Signature of

Role Plan administrator
Date 2011-05-10
Name of individual signing CAROL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-10
Name of individual signing ALLAN TASMAN, MD
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PSY FOUNDATION RET SAVINGS PLAN 2009 261266509 2010-07-27 UNIVERSITY PSYCHIATRIC FOUNDATION 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621399
Sponsor’s telephone number 5028136660
Plan sponsor’s address 401 E. CHESTNUT STREET, SUITE 600, LOUSIVILLE, KY, 402020000

Plan administrator’s name and address

Administrator’s EIN 261266509
Plan administrator’s name UNIVERSITY PSYCHIATRIC FOUNDATION
Plan administrator’s address 401 E. CHESTNUT STREET, SUITE 600, LOUSIVILLE, KY, 402020000
Administrator’s telephone number 5028136660

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing CAROL THOMAS
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PSY FOUNDATION RET SAVINGS PLAN 2009 261266509 2010-07-26 UNIVERSITY PSYCHIATRIC FOUNDATION 119
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621399
Sponsor’s telephone number 5028136660
Plan sponsor’s address 401 E. CHESTNUT STREET, SUITE 600, LOUSIVILLE, KY, 402020000

Plan administrator’s name and address

Administrator’s EIN 261266509
Plan administrator’s name UNIVERSITY PSYCHIATRIC FOUNDATION
Plan administrator’s address 401 E. CHESTNUT STREET, SUITE 600, LOUSIVILLE, KY, 402020000
Administrator’s telephone number 5028136660

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing CAROL THOMAS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing ALLAN TASMAN, MD
Valid signature Filed with authorized/valid electronic signature

Signature

Name Role
Allan Tasman Signature
Allan Tasman, MD Signature

Vice President

Name Role
KATHY VINCENT, MD Vice President

President

Name Role
Allan TASMAN, MD President

Treasurer

Name Role
DAVID CASEY Treasurer

Director

Name Role
Kathy VINCENT, MD Director
David CASEY, MD Director
Allan TASMAN, MD Director
ALLAN TASMAN, M.D. Director
DAVID A. CASEY, M.D. Director
LEAH DICKSTEIN, M.D. Director

Incorporator

Name Role
ALLAN TASMAN, M.D. Incorporator

Registered Agent

Name Role
ALLAN TASMAN Registered Agent

Assumed Names

Name Status Expiration Date
BINGHAM CLINIC Inactive 2018-03-19
UNIVERSITY OF LOUISVILLE PSYCHIATRIC GROUP Inactive 2018-03-19

Filings

Name File Date
Dissolution 2015-12-18
Annual Report 2015-04-15
Annual Report 2014-06-05
Annual Report 2013-06-12
Name Renewal 2012-11-27
Name Renewal 2012-11-27
Annual Report 2012-06-13
Annual Report 2011-06-02
Registered Agent name/address change 2010-06-22
Principal Office Address Change 2010-06-22

Date of last update: 11 Jan 2025

Sources: Kentucky Secretary of State