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  5. NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.

NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.

Company Details

Name: NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 30 Oct 2000 (24 years ago)
Organization Date: 30 Oct 2000 (24 years ago)
Last Annual Report: 06 Mar 2017 (8 years ago)
Organization Number: 0504530
ZIP code: 41017
Primary County: Kenton
Principal Office: 2845 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY 41017
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2015 611377602 2016-10-12 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2014 611377602 2015-10-15 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2013 611377602 2014-09-10 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 30
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2013 611377602 2015-10-15 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2012 611377602 2013-10-16 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Signature of
Role Plan administrator
Date 2013-10-16
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2011 611377602 2012-10-14 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Plan administrator’s name and address
Administrator’s EIN 611377602
Plan administrator’s name NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.
Plan administrator’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452
Administrator’s telephone number 8593413412

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-14
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2010 611377602 2011-10-16 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Plan administrator’s name and address
Administrator’s EIN 611377602
Plan administrator’s name NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.
Plan administrator’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452
Administrator’s telephone number 8593413412

Signature of
Role Plan administrator
Date 2011-10-16
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-16
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY PSC 401 (K) PLAN 2009 611377602 2010-09-16 NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8593413412
Plan sponsor’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452

Plan administrator’s name and address
Administrator’s EIN 611377602
Plan administrator’s name NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY, P.S.C.
Plan administrator’s address 2845 CHANCELLOR DR, CRESTVIEW HILLS, KY, 410173452
Administrator’s telephone number 8593413412

Signature of
Role Plan administrator
Date 2010-09-16
Name of individual signing JOHN KELLY, M.D.
Valid signature Filed with authorized/valid electronic signature

Sole Officer

Name Role
John Bennett Kelly, MD Sole Officer

Director

Name Role
John Bennett Kelly MD Director

Shareholder

Name Role
John Bennett Kelly, MD Shareholder

Incorporator

Name Role
JOHN KELLY, M.D. Incorporator

Former Company Names

Name Action
THE SOUTHEASTERN CENTER FOR HEADACH AND PAIN, P.S.C. Old Name

Assumed Names

Name Status Expiration Date
NEUROSCIENCE ASSOCIATES OF NORTHERN KENTUCKY Inactive 2012-11-14

Filings

Name File Date
Administrative Dissolution Return 2018-12-28
Administrative Dissolution 2018-05-11
Sixty Day Notice 2018-03-14
Agent Resignation 2018-02-06
Annual Report 2017-03-06
Annual Report 2016-08-01
Annual Report 2015-07-20
Annual Report 2014-01-27
Annual Report 2013-07-03
Annual Report 2012-06-08

Related by officers

No related officers

Related by address

2845 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY 41017

CHANCELLOR PARTNERS, LLC CHANCELLOR HEALTH SERVICES, LLC

Date of last update: 11 Jan 2025

Sources: Kentucky Secretary of State

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