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  5. FOUR RIVERS INTERNAL MEDICINE, PLLC

FOUR RIVERS INTERNAL MEDICINE, PLLC

Company Details

Name: FOUR RIVERS INTERNAL MEDICINE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 15 Feb 2001 (24 years ago)
Organization Date: 15 Feb 2001 (24 years ago)
Last Annual Report: 06 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0510674
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 3131 PARISA DR., PADUCAH, KY 42003
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUR RIVERS INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN 2023 611367882 2024-09-04 FOUR RIVERS INTERNAL MEDICINE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 2704448000
Plan sponsor’s address 3131 PARISA DRIVE, PADUCAH, KY, 42003
FOUR RIVERS INTERNAL MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2013 611367882 2014-07-10 FOUR RIVERS INTERNAL MEDICINE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 2704448000
Plan sponsor’s address 3131 PARISA DR, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing DONNA FORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-10
Name of individual signing DONNA FORD
Valid signature Filed with authorized/valid electronic signature
FOUR RIVERS INTERNAL MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2012 611367882 2013-07-30 FOUR RIVERS INTERNAL MEDICINE, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 2704448000
Plan sponsor’s address 3131 PARISA DR, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing DONNA FORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing DONNA FORD
Valid signature Filed with authorized/valid electronic signature
FOUR RIVERS INTERNAL MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2011 611367882 2012-06-12 FOUR RIVERS INTERNAL MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 2704448000
Plan sponsor’s address 2603 KENTUCKY AVENUE, SUITE 301, PADUCAH, KY, 42003

Plan administrator’s name and address
Administrator’s EIN 611367882
Plan administrator’s name FOUR RIVERS INTERNAL MEDICINE, PLLC
Plan administrator’s address 2603 KENTUCKY AVENUE, SUITE 301, PADUCAH, KY, 42003
Administrator’s telephone number 2704448000

Signature of
Role Plan administrator
Date 2012-06-12
Name of individual signing CAROLYN MILBURN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-12
Name of individual signing CAROLYN MILBURN
Valid signature Filed with authorized/valid electronic signature
FOUR RIVERS INTERNAL MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2010 611367882 2011-06-15 FOUR RIVERS INTERNAL MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 2704448000
Plan sponsor’s address 2603 KENTUCKY AVENUE, SUITE 301, PADUCAH, KY, 42003

Plan administrator’s name and address
Administrator’s EIN 611367882
Plan administrator’s name FOUR RIVERS INTERNAL MEDICINE, PLLC
Plan administrator’s address 2603 KENTUCKY AVENUE, SUITE 301, PADUCAH, KY, 42003
Administrator’s telephone number 2704448000

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing CAROLYN MILBURN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-15
Name of individual signing CAROLYN MILBURN
Valid signature Filed with authorized/valid electronic signature
FOUR RIVERS INTERNAL MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2009 611367882 2010-09-14 FOUR RIVERS INTERNAL MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 2704448000
Plan sponsor’s address 2603 KENTUCKY AVENUE, SUITE 301, PADUCAH, KY, 42003

Plan administrator’s name and address
Administrator’s EIN 611367882
Plan administrator’s name FOUR RIVERS INTERNAL MEDICINE, PLLC
Plan administrator’s address 2603 KENTUCKY AVENUE, SUITE 301, PADUCAH, KY, 42003
Administrator’s telephone number 2704448000

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing JOSEPH BASSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing JOSEPH BASSI
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
JASON R LORCH Member

Organizer

Name Role
JOSEPH A. BASSI, M.D. Organizer

Registered Agent

Name Role
JASON LORCH DO Registered Agent

Former Company Names

Name Action
DOCTORS BASSI AND LORCH, PLLC Old Name
DRS. BASSI AND JACKSON, PLLC Old Name

Filings

Name File Date
Annual Report 2024-03-06
Annual Report 2023-03-16
Annual Report 2022-03-07
Annual Report 2021-04-19
Annual Report 2020-06-09
Annual Report 2019-06-03
Registered Agent name/address change 2018-06-13
Annual Report 2018-06-13
Annual Report 2017-08-07
Annual Report 2016-03-16

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
308084128 0452110 2004-10-19 2603 KY AVE STE 301, PADUCAH, KY, 42003
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2004-10-20
Case Closed 2004-10-20

Related Activity
Type Complaint
Activity Nr 204244123
Health Yes

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6052128306 2021-01-26 0457 PPS 3131 Parisa Dr, Paducah, KY, 42003-4584
Loan Status Date 2022-05-26
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 216461.67
Loan Approval Amount (current) 216461.67
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21960
Servicing Lender Name The City National Bank of Metropolis
Servicing Lender Address 423 Ferry St, METROPOLIS, IL, 62960-1852
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Paducah, MCCRACKEN, KY, 42003-4584
Project Congressional District KY-01
Number of Employees 24
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 21960
Originating Lender Name The City National Bank of Metropolis
Originating Lender Address METROPOLIS, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 219203.52
Forgiveness Paid Date 2022-04-28

Related by officers

JOSEPH A. BASSI, M.D.

BASSI REAL ESTATE, LLC BASSI INVESTMENTS, LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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