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RUSSELLVILLE FAMILY DENTISTRY, LLC

Company Details

Name: RUSSELLVILLE FAMILY DENTISTRY, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 18 May 2001 (24 years ago)
Organization Date: 18 May 2001 (24 years ago)
Last Annual Report: 03 Jun 2024 (8 months ago)
Managed By: Members
Organization Number: 0516099
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42276
Primary County: Logan
Principal Office: 580 HOPKINSVILLE RD., RUSSELLVILLE, KY 42276
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RUSSELLVILLE FAMILY DENTISTRY 401(K) PLAN 2023 611391565 2024-10-04 RUSSELLVILLE FAMILY DENTISTRY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2707266490
Plan sponsor’s address 580 HOPKINSVILLE ROAD, RUSSELLVILLE, KY, 42276

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-04
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature
RUSSELLVILLE FAMILY DENTISTRY 401(K) PLAN 2022 611391565 2023-10-10 RUSSELLVILLE FAMILY DENTISTRY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2707266490
Plan sponsor’s address 580 HOPKINSVILLE ROAD, RUSSELLVILLE, KY, 42276

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
WILLIAM HAM Registered Agent

Member

Name Role
Michelle Rice Ham Member
William Franklin Ham Member

Filings

Name File Date
Annual Report 2024-06-03
Annual Report 2023-05-17
Annual Report 2022-06-06
Annual Report 2021-02-10
Annual Report 2020-03-20
Annual Report 2019-06-28
Annual Report 2018-06-06
Annual Report 2017-05-10
Annual Report 2016-04-08
Annual Report 2015-05-15

Date of last update: 28 Dec 2024

Sources: Kentucky Secretary of State