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  5. RENAISSANCE PLASTIC SURGERY, PLLC

RENAISSANCE PLASTIC SURGERY, PLLC

Company Details

Name: RENAISSANCE PLASTIC SURGERY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 29 Feb 2000 (25 years ago)
Organization Date: 29 Feb 2000 (25 years ago)
Last Annual Report: 24 Jun 2024 (10 months ago)
Managed By: Members
Organization Number: 0490216
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY 42003
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RENAISSANCE PLASTIC SURGERY, PLLC 401(K) PROFIT SHARING PLAN 2023 611365496 2024-07-08 RENAISSANCE PLASTIC SURGERY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVE SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC 401(K) PROFIT SHARING PLAN 2022 611365496 2023-05-08 RENAISSANCE PLASTIC SURGERY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVE SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2023-05-08
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC 401(K) PROFIT SHARING PLAN 2021 611365496 2022-07-20 RENAISSANCE PLASTIC SURGERY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVE SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC 401(K) PROFIT SHARING PLAN 2020 611365496 2021-06-22 RENAISSANCE PLASTIC SURGERY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVE SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC 401(K) PROFIT SHARING PLAN 2019 611365496 2020-06-11 RENAISSANCE PLASTIC SURGERY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVE SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC 401(K) PROFIT SHARING PLAN 2018 611263500 2019-06-06 RENAISSANCE PLASTIC SURGERY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC 401(K) PROFIT SHARING PLAN 2017 611263500 2018-07-02 RENAISSANCE PLASTIC SURGERY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-02
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC STANDARD PROTOTYPE PROFIT SHARING PL & TR 2016 611263500 2017-06-21 RENAISSANCE PLASTIC SURGERY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-21
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC STANDARD PROTOTYPE PROFIT SHARING PL & TR 2015 611263500 2016-05-25 RENAISSANCE PLASTIC SURGERY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-25
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
RENAISSANCE PLASTIC SURGERY, PLLC STANDARD PROTOTYPE PROFIT SHARING PL & TR 2014 611263500 2015-06-16 RENAISSANCE PLASTIC SURGERY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-16
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/17/20140717113414P030013358815001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2014-07-17
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-17
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/16/20130516161532P030213960915001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-16
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/21/20120521141835P030001160902001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Plan administrator’s name and address
Administrator’s EIN 611263500
Plan administrator’s name RENAISSANCE PLASTIC SURGERY, PLLC
Plan administrator’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003
Administrator’s telephone number 2704448200

Signature of
Role Plan administrator
Date 2012-05-21
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-21
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/19/20110519142359P040287051008001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Plan administrator’s name and address
Administrator’s EIN 611263500
Plan administrator’s name RENAISSANCE PLASTIC SURGERY, PLLC
Plan administrator’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003
Administrator’s telephone number 2704448200

Signature of
Role Plan administrator
Date 2011-05-19
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/06/20100706131725P030119569362001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2704448200
Plan sponsor’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003

Plan administrator’s name and address
Administrator’s EIN 611263500
Plan administrator’s name RENAISSANCE PLASTIC SURGERY, PLLC
Plan administrator’s address 2601 KENTUCKY AVENUE, SUITE 401, PADUCAH, KY, 42003
Administrator’s telephone number 2704448200

Signature of
Role Plan administrator
Date 2010-07-06
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-06
Name of individual signing DANIEL M. TKACH, M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DANIEL M. TKACH, MD Registered Agent

Member

Name Role
Daniel M TKACH Member

Organizer

Name Role
DANIEL M. TKACH, MD Organizer

Assumed Names

Name Status Expiration Date
RENAISSANCE PLASTIC SURGERY Inactive 2005-03-21

Filings

Name File Date
Annual Report 2024-06-24
Annual Report 2023-06-27
Annual Report 2022-06-29
Annual Report 2021-06-22
Annual Report 2020-07-16
Annual Report 2019-03-12
Annual Report Amendment 2018-10-18
Annual Report 2018-06-08
Annual Report 2017-05-09
Annual Report 2016-04-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9007657005 2020-04-09 0457 PPP 2601 KENTUCKY AVE, PADUCAH, KY, 42003-3817
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38414
Loan Approval Amount (current) 38414
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27217
Servicing Lender Name Independence Bank of Kentucky
Servicing Lender Address 2425 Frederica St, OWENSBORO, KY, 42301-5437
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PADUCAH, MCCRACKEN, KY, 42003-3817
Project Congressional District KY-01
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27217
Originating Lender Name Independence Bank of Kentucky
Originating Lender Address OWENSBORO, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 38671.85
Forgiveness Paid Date 2020-12-17

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Sources: Kentucky Secretary of State

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