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  5. LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C.

LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C.

Company Details

Name: LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Jun 2001 (24 years ago)
Organization Date: 27 Jun 2001 (24 years ago)
Last Annual Report: 19 Feb 2025 (a month ago)
Organization Number: 0518406
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41031
City: Cynthiana
Primary County: Harrison County
Principal Office: 1210 KENTUCKY HIGHWAY 36 EAST, SUITE 2A, CYNTHIANA, KY 41031
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) PLAN 2023 611385902 2024-05-13 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing DONNA MARTIN
Valid signature Filed with authorized/valid electronic signature
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) PLAN 2022 611385902 2023-04-26 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031

Signature of
Role Plan administrator
Date 2023-04-26
Name of individual signing DONNA MARTIN
Valid signature Filed with authorized/valid electronic signature
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) PLAN 2021 611385902 2022-07-13 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) PLAN 2020 611385902 2021-08-27 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) PLAN 2019 611385902 2020-10-09 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) PLAN 2018 611385902 2019-10-10 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) 2017 611385902 2018-10-05 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) 2016 611385902 2017-10-12 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing STEPHEN A. BESSON
Valid signature Filed with authorized/valid electronic signature
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) 2015 611385902 2016-10-06 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031

Signature of
Role Plan administrator
Date 2016-09-09
Name of individual signing STEPHEN A. BESSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-09
Name of individual signing STEPHEN A BESSON
Valid signature Filed with authorized/valid electronic signature
LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 401(K) 2014 611385902 2015-09-29 LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing STEPHEN A. BESSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-25
Name of individual signing STEPHEN A BESSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/30/20140630092204P030007081885001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing WILLIAM F. MCKEMIE M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/29/20130729150152P040327144819001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, SUITE 2A, CYNTHIANA, KY, 41031

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing WILLIAM F. MCKEMIE M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726102824P030001282052001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, CYNTHIANA, KY, 41031

Plan administrator’s name and address
Administrator’s EIN 611385902
Plan administrator’s name LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C.
Plan administrator’s address 1210 KENTUCKY HWY 36E, CYNTHIANA, KY, 41031
Administrator’s telephone number 8592349611

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing WILLIAM F. MCKEMIE M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/28/20110728092002P040473832192001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, CYNTHIANA, KY, 41031

Plan administrator’s name and address
Administrator’s EIN 611385902
Plan administrator’s name LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C.
Plan administrator’s address 1210 KENTUCKY HWY 36E, CYNTHIANA, KY, 41031
Administrator’s telephone number 8592349611

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing WILLIAM F. MCKEMIE M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/12/22/20101222134835P040000222978001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s mailing address 1210 KENTUCKY HWY 36E, STE 2A, CYNTHIANA, KY, 41031
Plan sponsor’s address 1210 KENTUCKY HWY 36 E, STE 2A, CYNTHIANA, KY, 41031

Plan administrator’s name and address
Administrator’s EIN 611385902
Plan administrator’s name LICKING VALLEY INTERNAL MEDICINE PEDIATRICS, P.S.C
Plan administrator’s address 1210 KENTUCKY HWY 36E, STE 2A, CYNTHIANA, KY, 41031
Administrator’s telephone number 8592349611

Number of participants as of the end of the plan year
Active participants 17
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 19
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2010-12-22
Name of individual signing WILLIAM MCKEMIE, M. D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/19/20100719120339P030087003240001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8592349611
Plan sponsor’s address 1210 KENTUCKY HWY 36E, CYNTHIANA, KY, 41031

Plan administrator’s name and address
Administrator’s EIN 611385902
Plan administrator’s name LICKING VALLEY INTERNAL MEDICINE & PEDIATRICS, P.S.C.
Plan administrator’s address 1210 KENTUCKY HWY 36E, CYNTHIANA, KY, 41031
Administrator’s telephone number 8592349611

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing WILLIAM F. MCKEMIE M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
FBT LLC LEXINGTON Registered Agent

President

Name Role
Stephen A Besson, Md. President

Vice President

Name Role
Kelly R Besson Vice President

Director

Name Role
Stephen Arthur Besson Director

Shareholder

Name Role
Stephen A Besson, Md. Shareholder

Incorporator

Name Role
WILLIAM FRANK MCKEMIE Incorporator

Filings

Name File Date
Annual Report 2025-02-19
Annual Report 2024-04-22
Annual Report 2023-03-22
Annual Report 2022-05-24
Annual Report 2021-03-10
Annual Report 2020-06-02
Annual Report 2019-06-12
Annual Report 2018-06-08
Annual Report 2017-05-10
Annual Report 2016-06-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4756717004 2020-04-04 0457 PPP 1210 KY HIGHWAY 36 E, CYNTHIANA, KY, 41031-7490
Loan Status Date 2021-08-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 234900
Loan Approval Amount (current) 234900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27196
Servicing Lender Name Central Bank & Trust Co.
Servicing Lender Address 300 W Vine St, LEXINGTON, KY, 40507-1621
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address CYNTHIANA, HARRISON, KY, 41031-7490
Project Congressional District KY-04
Number of Employees 18
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 27196
Originating Lender Name Central Bank & Trust Co.
Originating Lender Address LEXINGTON, KY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 237797.1
Forgiveness Paid Date 2021-07-06

Related by officers

Kelly R Besson

M & B MEDICAL PROPERTIES, LLC KRB LAKE HOUSE LLC

Related by address

1210 KENTUCKY HIGHWAY 36 EAST, SUITE 2A, CYNTHIANA, KY 41031

M & B MEDICAL PROPERTIES, LLC

Sources: Kentucky Secretary of State

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