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  5. FOUR RIVERS INTERNAL MEDICINE, PLLC

FOUR RIVERS INTERNAL MEDICINE, PLLC

Company Details

Name: FOUR RIVERS INTERNAL MEDICINE, PLLC
Jurisdiction: Kentucky
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 (10 months ago)
Managed By: Members
Organization Number: 0510674
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42003
Primary County: McCracken
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

Registered Agent

Name Role
JASON LORCH DO Registered Agent

Organizer

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

Member

Name Role
JASON R LORCH Member

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

Related by officers

JOSEPH A. BASSI, M.D.

BASSI REAL ESTATE, LLC BASSI INVESTMENTS, LLC

Related by address

No related companies by address

Date of last update: 10 Jan 2025

Sources: Kentucky Secretary of State

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