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  5. PARK HILLS FAMILY DENTISTRY INC.

PARK HILLS FAMILY DENTISTRY INC.

Company Details

Name: PARK HILLS FAMILY DENTISTRY INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Jun 2000 (25 years ago)
Organization Date: 19 Jun 2000 (25 years ago)
Last Annual Report: 19 Apr 2019 (6 years ago)
Organization Number: 0496424
ZIP code: 40517
City: Lexington
Primary County: Fayette County
Principal Office: 3140 PIMLICO PARKWAY 105, LEXINGTON, KY 40517
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2023 611371387 2024-07-12 PARK HILLS FAMILY DENTISTRY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 22 AVENUE OF CHAMPIONS, SUITE 105, NICHOLASVILLE, KY, 403569721

Signature of
Role Plan administrator
Date 2024-07-12
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2023 611371387 2024-05-17 PARK HILLS FAMILY DENTISTRY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 22 AVENUE OF CHAMPIONS, SUITE 105, NICHOLASVILLE, KY, 403569721

Signature of
Role Plan administrator
Date 2024-05-17
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2022 611371387 2023-04-17 PARK HILLS FAMILY DENTISTRY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 22 AVENUE OF CHAMPIONS, SUITE 105, NICHOLASVILLE, KY, 403569721

Signature of
Role Plan administrator
Date 2023-04-17
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2021 611371387 2022-04-23 PARK HILLS FAMILY DENTISTRY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3122 CUSTER DR, SUITE 105, LEXINGTON, KY, 405174000

Signature of
Role Plan administrator
Date 2022-04-23
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2020 611371387 2021-06-20 PARK HILLS FAMILY DENTISTRY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3122 CUSTER DR, SUITE 105, LEXINGTON, KY, 405174000

Signature of
Role Plan administrator
Date 2021-06-20
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2019 611371387 2020-05-24 PARK HILLS FAMILY DENTISTRY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2020-05-24
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2018 611371387 2019-05-28 PARK HILLS FAMILY DENTISTRY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2019-05-28
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2017 611371387 2018-07-02 PARK HILLS FAMILY DENTISTRY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2016 611371387 2017-06-22 PARK HILLS FAMILY DENTISTRY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
PARK HILLS FAMILY DENTISTRY, INC PROFIT SHARING PLAN 2015 611371387 2016-06-30 PARK HILLS FAMILY DENTISTRY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/11/20150611163028P040039155559001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-11
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/02/15/20140215141012P040032023639001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2014-02-15
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-15
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/09/20130709114835P040296112195001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-09
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/04/20120704081624P040051603106001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Plan administrator’s name and address
Administrator’s EIN 611371387
Plan administrator’s name SAME
Plan administrator’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517
Administrator’s telephone number 8592735020

Signature of
Role Plan administrator
Date 2012-07-04
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-04
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/11/20110511105556P040018364599001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Plan administrator’s name and address
Administrator’s EIN 611371387
Plan administrator’s name SAME
Plan administrator’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517
Administrator’s telephone number 8592735020

Signature of
Role Plan administrator
Date 2011-05-11
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-11
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Plan administrator’s name and address
Administrator’s EIN 611371387
Plan administrator’s name SAME
Plan administrator’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517
Administrator’s telephone number 8592735020

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Plan administrator’s name and address
Administrator’s EIN 611371387
Plan administrator’s name SAME
Plan administrator’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517
Administrator’s telephone number 8592735020

Signature of
Role Plan administrator
Date 2010-07-04
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-04
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/06/20100706172453P040115716546001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Plan administrator’s name and address
Administrator’s EIN 611371387
Plan administrator’s name SAME
Plan administrator’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517
Administrator’s telephone number 8592735020

Signature of
Role Plan administrator
Date 2010-07-06
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-06
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Plan administrator’s name and address
Administrator’s EIN 611371387
Plan administrator’s name SAME
Plan administrator’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517
Administrator’s telephone number 8592735020

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-23
Name of individual signing GLENN SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 8592735020
Plan sponsor’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517

Plan administrator’s name and address
Administrator’s EIN 611371387
Plan administrator’s name SAME
Plan administrator’s address 3140 PIMLICO PKWY, SUITE 105, LEXINGTON, KY, 40517
Administrator’s telephone number 8592735020

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing GLENN E SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-24
Name of individual signing GLENN E SUTHERLAND
Valid signature Filed with incorrect/unrecognized electronic signature

Incorporator

Name Role
KERRY WALSH Incorporator

Registered Agent

Name Role
GLENN SUTHERLAND Registered Agent

Sole Officer

Name Role
Glenn E Sutherland Sole Officer

Director

Name Role
Glenn Sutherland Director

Filings

Name File Date
Dissolution 2020-06-02
Annual Report 2019-04-19
Annual Report 2018-04-12
Annual Report 2017-04-25
Annual Report 2016-03-17
Annual Report 2015-04-07
Annual Report 2014-01-24
Annual Report 2013-07-25
Annual Report 2012-02-10
Annual Report 2011-03-01

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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