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  5. WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC.

WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC.

Company Details

Name: WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 30 May 2001 (24 years ago)
Organization Date: 30 May 2001 (24 years ago)
Last Annual Report: 30 Jun 2016 (9 years ago)
Managed By: Members
Organization Number: 0516641
ZIP code: 42240
Primary County: Christian
Principal Office: 105 KEETON DRIVE, HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2015 201213524 2016-08-23 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2016-08-23
Name of individual signing DAVID P BEALLE
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2015 201213524 2016-12-18 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2016-12-18
Name of individual signing FREDERICK G. ROBBE
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2014 201213524 2015-10-09 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing DAVID P BEALLE
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2010 203438093 2011-08-01 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 17
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 203438093
Plan administrator’s name WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Plan administrator’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708890701

Signature of
Role Plan administrator
Date 2011-08-01
Name of individual signing NATALIE PYLE
Valid signature Filed with incorrect/unrecognized electronic signature
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2010 203438093 2011-08-01 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 17
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 203438093
Plan administrator’s name WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Plan administrator’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708890701

Signature of
Role Plan administrator
Date 2011-08-01
Name of individual signing NATALIE PYLE
Valid signature Filed with incorrect/unrecognized electronic signature
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2010 203438093 2011-08-01 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 203438093
Plan administrator’s name WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Plan administrator’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708890701

Signature of
Role Plan administrator
Date 2011-08-01
Name of individual signing NATALIE PYLE
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2010 203438093 2011-08-01 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 17
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 203438093
Plan administrator’s name WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Plan administrator’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708890701

Signature of
Role Plan administrator
Date 2011-08-01
Name of individual signing NATALIE PYLE
Valid signature Filed with incorrect/unrecognized electronic signature
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 401(K) PLAN 2009 203438093 2010-10-06 WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2708890701
Plan sponsor’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 203438093
Plan administrator’s name WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE, PLLC
Plan administrator’s address 105 KEETON DR., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708890701

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing NATALIE PYLE
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JACK N LACKEY JR Registered Agent

Member

Name Role
David P Bealle Member
Frederick G Robbe Member

Organizer

Name Role
DAVID P BEALLE MD Organizer

Former Company Names

Name Action
DAVID P. BEALLE, M.D., PLLC Old Name

Assumed Names

Name Status Expiration Date
WEST KENTUCKY ORTHOPAEDICS AND SPORTS MEDICINE Inactive 2016-07-16

Filings

Name File Date
Administrative Dissolution 2017-10-09
Annual Report 2016-06-30
Annual Report 2015-07-06
Annual Report 2014-08-15
Annual Report 2013-06-20
Annual Report 2012-03-09
Name Renewal 2011-02-25
Annual Report 2011-02-24
Annual Report 2010-04-13
Principal Office Address Change 2009-04-03

Related by officers

JACK N LACKEY JR

STEPHEN P. SCHROERING, M.D., PLLC BS & J LEASING, LLC CARVER TRUCKING, LLC TACKETT HOLDINGS, INC. WEBSTER FARMS, LLC

Related by address

105 KEETON DRIVE, HOPKINSVILLE, KY 42240

WEST KENTUCKY ORTHOPAEDICS HOLDINGS, LLC

Date of last update: 10 Jan 2025

Sources: Kentucky Secretary of State

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