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  5. PAIN MANAGEMENT, KENTUCKY, P.S.C.

PAIN MANAGEMENT, KENTUCKY, P.S.C.

Company Details

Name: PAIN MANAGEMENT, KENTUCKY, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 11 Jan 2001 (24 years ago)
Organization Date: 11 Jan 2001 (24 years ago)
Last Annual Report: 13 Feb 2020 (5 years ago)
Organization Number: 0508658
ZIP code: 40215
Primary County: Jefferson
Principal Office: 4402 CHURCHMAN AVENUE, SUITE 302, LOUISVILLE, KY 40215
Place of Formation: KENTUCKY
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2020 611382296 2021-04-29 PAIN MANAGEMENT KENTUCKY, P.S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-11
Business code 621111
Sponsor’s telephone number 5025929023
Plan sponsor’s address 1907 GOLDEN LEAF WAY, LOUISVILLE, KY, 40245
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2019 611382296 2020-09-18 PAIN MANAGEMENT KENTUCKY, P.S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-11
Business code 621111
Sponsor’s telephone number 5025929023
Plan sponsor’s address 1907 GOLDEN LEAF WAY, LOUISVILLE, KY, 40245
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2018 611382296 2019-09-12 PAIN MANAGEMENT KENTUCKY, P.S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-11
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2017 611382296 2018-10-04 PAIN MANAGEMENT KENTUCKY, P.S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-11
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2016 611382296 2017-08-29 PAIN MANAGEMENT KENTUCKY, P.S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-11
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Signature of
Role Plan administrator
Date 2017-08-29
Name of individual signing ARUL VERGHIS MD
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2015 611382296 2016-10-11 PAIN MANAGEMENT KENTUCKY, P.S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-11
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing KUNNATHU P. GEEVARGHESE, MD
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2014 611382296 2015-09-23 PAIN MANAGEMENT KENTUCKY, P.S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-11
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Signature of
Role Plan administrator
Date 2015-09-23
Name of individual signing KUNNATHU P. GEEVARGHESE, MD
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2013 611382296 2014-09-17 PAIN MANAGEMENT KENTUCKY, P.S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-15
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing KUNNATHU P. GEEVARGHESE, MD
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2012 611382296 2013-09-30 PAIN MANAGEMENT KENTUCKY, P.S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-15
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing KUNNATHU P. GEEVARGHESE, MD
Valid signature Filed with authorized/valid electronic signature
PAIN MANAGEMENT KENTUCKY, P.S.C. 401(K) PROFIT SHARING PLAN 2011 611382296 2012-10-10 PAIN MANAGEMENT KENTUCKY, P.S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-15
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Plan administrator’s name and address
Administrator’s EIN 611382296
Plan administrator’s name PAIN MANAGEMENT KENTUCKY, P.S.C.
Plan administrator’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215
Administrator’s telephone number 5023667317

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing KUNNATHU P. GEEVARGHESE, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017164333P030004415092001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-02-15
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Plan administrator’s name and address
Administrator’s EIN 611382296
Plan administrator’s name PAIN MANAGEMENT KENTUCKY, P.S.C.
Plan administrator’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215
Administrator’s telephone number 5023667317

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing KUNNATHU P. GEEVARGHESE, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014040120P070026265137001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-02-15
Business code 621111
Sponsor’s telephone number 5023667317
Plan sponsor’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215

Plan administrator’s name and address
Administrator’s EIN 611382296
Plan administrator’s name PAIN MANAGEMENT KENTUCKY, P.S.C.
Plan administrator’s address 4402 CHURCHMAN AVE STE 302, LOUISVILLE, KY, 40215
Administrator’s telephone number 5023667317

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing TERRI F. EDELEN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
ARUL VERGHIS, M.D. Registered Agent

Shareholder

Name Role
Arul Verghis MD Shareholder

Incorporator

Name Role
K.P. GEEVARGHEESE, M.D. Incorporator

President

Name Role
Arul Verghis President

Filings

Name File Date
Dissolution 2021-01-11
Annual Report 2020-02-13
Annual Report 2019-04-11
Annual Report 2018-04-16
Registered Agent name/address change 2017-04-06
Principal Office Address Change 2017-04-06
Annual Report 2017-04-06
Annual Report 2016-04-12
Annual Report 2015-04-07
Annual Report 2014-03-31

Related by officers

No related officers

Related by address

4402 CHURCHMAN AVENUE, SUITE 302, LOUISVILLE, KY 40215

KENTUCKIANA SURGICAL NETWORK, LLC

Date of last update: 28 Dec 2024

Sources: Kentucky Secretary of State

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