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ASHLAND MEDICAL GROUP, PSC

Company Details

Name: ASHLAND MEDICAL GROUP, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 05 Jul 2001 (24 years ago)
Organization Date: 05 Jul 2001 (24 years ago)
Last Annual Report: 24 Jun 2013 (12 years ago)
Organization Number: 0518809
ZIP code: 41169
Primary County: Greenup
Principal Office: 1061 KENWOOD DRIVE, ASHLAND, KY 41169
Place of Formation: KENTUCKY
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASHLAND MEDICAL GROUP, PSC 401(K) PROFIT SHARING PLAN 2012 611393058 2013-11-26 ASHLAND MEDICAL GROUP, PSC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6068335864
Plan sponsor’s address 1020 WOODTRACE DRIVE, RUSSELL, KY, 411691527

Signature of

Role Plan administrator
Date 2013-11-26
Name of individual signing MOHAMAD ABUL-KHOUDOUD
Valid signature Filed with authorized/valid electronic signature
ASHLAND MEDICAL GROUP, PSC 401(K) PROFIT SHARING PLAN 2012 611393058 2013-05-07 ASHLAND MEDICAL GROUP, PSC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6068335864
Plan sponsor’s address 1020 WOODTRACE DRIVE, RUSSELL, KY, 411691527

Plan administrator’s name and address

Administrator’s EIN 611393058
Plan administrator’s name ASHLAND MEDICAL GROUP, PSC
Plan administrator’s address 1020 WOODTRACE DRIVE, RUSSELL, KY, 41169
Administrator’s telephone number 6068335864

Signature of

Role Plan administrator
Date 2013-05-07
Name of individual signing MOHAMAD ABUL-KHOUDOUD
Valid signature Filed with authorized/valid electronic signature
ASHLAND MEDICAL GROUP, PSC 401(K) PROFIT SHARING PLAN 2011 611393058 2012-05-31 ASHLAND MEDICAL GROUP, PSC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6068335864
Plan sponsor’s address 1061 KENWOOD DRIVE, RUSSELL, KY, 41169

Plan administrator’s name and address

Administrator’s EIN 611393058
Plan administrator’s name ASHLAND MEDICAL GROUP, PSC
Plan administrator’s address 1061 KENWOOD DRIVE, RUSSELL, KY, 41169
Administrator’s telephone number 6068335864

Signature of

Role Plan administrator
Date 2012-05-31
Name of individual signing MOHAMAD ABUL-KHOUDOUD
Valid signature Filed with authorized/valid electronic signature
ASHLAND MEDICAL GROUP, PSC 401(K) PROFIT SHARING PLAN 2010 611393058 2011-06-09 ASHLAND MEDICAL GROUP, PSC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6068335864
Plan sponsor’s address 1061 KENWOOD DRIVE, RUSSELL, KY, 41169

Plan administrator’s name and address

Administrator’s EIN 611393058
Plan administrator’s name ASHLAND MEDICAL GROUP, PSC
Plan administrator’s address 1061 KENWOOD DRIVE, RUSSELL, KY, 41169
Administrator’s telephone number 6068335864

Signature of

Role Plan administrator
Date 2011-06-09
Name of individual signing MOHAMAD ABUL-KHOUDOUD
Valid signature Filed with authorized/valid electronic signature
ASHLAND MEDICAL GROUP, PSC 401(K) PROFIT SHARING PLAN 2009 611393058 2010-07-14 ASHLAND MEDICAL GROUP, PSC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6068335864
Plan sponsor’s address 1061 KENWOOD DRIVE, RUSSELL, KY, 41169

Plan administrator’s name and address

Administrator’s EIN 611393058
Plan administrator’s name ASHLAND MEDICAL GROUP, PSC
Plan administrator’s address 1061 KENWOOD DRIVE, RUSSELL, KY, 41169
Administrator’s telephone number 6068335864

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing MOHAMAD ABUL-KHOUDOUD, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MOHAMAD ABUL-KHOUDOUD, M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MOHAMAD ABUL-KHOUDOUD, MD Registered Agent

President

Name Role
Mohamad Abul-Khoudoud President

Director

Name Role
Mohamad Abul-Khoudoud Director

Shareholder

Name Role
Mohamad Abul-Khoudod, MD Shareholder

Incorporator

Name Role
MOHAMAD ABUL-KHOUDOUD, MD Incorporator

Former Company Names

Name Action
MOHAMAD ABUL-KHOUDOUD, MD, PSC Old Name

Filings

Name File Date
Dissolution 2014-01-28
Annual Report 2013-06-24
Annual Report 2012-05-10
Annual Report 2011-04-29
Annual Report 2010-05-14
Annual Report 2009-06-02
Annual Report 2008-06-12
Annual Report 2007-06-11
Statement of Change 2007-06-11
Reinstatement 2007-02-02

Date of last update: 31 Jan 2025

Sources: Kentucky Secretary of State