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  5. SUSAN RAGHAVAN, MD, PSC

SUSAN RAGHAVAN, MD, PSC

Company Details

Name: SUSAN RAGHAVAN, MD, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Foreign Professional Services Corp.
Status: Active
Standing: Good
File Date: 10 Aug 2001 (23 years ago)
Authority Date: 10 Aug 2001 (23 years ago)
Last Annual Report: 02 Aug 2024 (5 months ago)
Organization Number: 0520747
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40241
Primary County: Jefferson
Principal Office: 9720 PARK PLAZA AVE, STE 202, LOUISVILLE, KY 40241
Place of Formation: INDIANA

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
YM5CHLKN16P6 2024-07-23 9720 PARK PLAZA AVE UNIT 202, LOUISVILLE, KY, 40241, 2290, USA 9720 PARK PLAZA AVE UNIT 202, LOUISVILLE, KY, 40241, 2290, USA

Business Information
Doing Business As CHILDREN'S DIABETES AND ENDOCRINOLOGY
Division Name SUSAN RAGHAVAN MD
Congressional District 03
State/Country of Incorporation KY, USA
Activation Date 2023-07-27
Initial Registration Date 2023-07-24
Entity Start Date 2008-03-11
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111
Product and Service Codes Q301, Q516, Q522, Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name RHONDA BRATCHER
Role BILLING
Address 9720 PARK PLAZA AVE, LOUISVILLE, KY, 40241, USA
Government Business
Title PRIMARY POC
Name RHONDA BRATCHER
Role BILLING
Address 9720 PARK PLAZA AVE, LOUISVILLE, KY, 40241, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2023 352050111 2024-10-10 SUSAN RAGHAVAN, MD, PSC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2022 352050111 2023-10-09 SUSAN RAGHAVAN, MD, PSC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2021 352050111 2022-10-14 SUSAN RAGHAVAN, MD, PSC 13
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2021 352050111 2022-10-14 SUSAN RAGHAVAN, MD, PSC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2020 352050111 2021-10-10 SUSAN RAGHAVAN, MD, PSC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2019 352050111 2020-05-24 SUSAN RAGHAVAN, MD, PSC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2018 352050111 2019-05-31 SUSAN RAGHAVAN, MD, PSC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2017 352050111 2018-04-20 SUSAN RAGHAVAN, MD, PSC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2016 352050111 2017-05-30 SUSAN RAGHAVAN, MD, PSC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
CHILDREN'S DIABETES & ENDOCRINOLOGY 401(K) PLAN 2015 352050111 2016-07-28 SUSAN RAGHAVAN, MD, PSC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 402412290
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/26/20151026131613P040059795623001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2015-10-26
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-26
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730110306P030020950047001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/14/20130614071805P040259543667001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-14
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/16/20120816093552P040031136338001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241

Plan administrator’s name and address
Administrator’s EIN 352050111
Plan administrator’s name SUSAN RAGHAVAN MD, PSC
Plan administrator’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241
Administrator’s telephone number 5023279703

Signature of
Role Plan administrator
Date 2012-08-16
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-16
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/18/20110718081942P030095683841001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241

Plan administrator’s name and address
Administrator’s EIN 352050111
Plan administrator’s name SUSAN RAGHAVAN MD, PSC
Plan administrator’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241
Administrator’s telephone number 5023279703

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/29/20100729083957P030137031682001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5023279703
Plan sponsor’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241

Plan administrator’s name and address
Administrator’s EIN 352050111
Plan administrator’s name SUSAN RAGHAVAN MD, PSC
Plan administrator’s address 9720 PARK PLAZA AVENUE, SUITE 202, LOUISVILLE, KY, 40241
Administrator’s telephone number 5023279703

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing SUSAN RAGHAVAN
Valid signature Filed with authorized/valid electronic signature

Shareholder

Name Role
SUSAN RAGHAVAN Shareholder

Sole Officer

Name Role
SUSAN RAGHAVAN Sole Officer

Registered Agent

Name Role
SUSAN RAGHAVAN Registered Agent

Assumed Names

Name Status Expiration Date
CHILDRENS DIABETES AND ENDOCRINOLOGY Active 2029-05-02
CHILDREN'S DIABETES AND ENDOCRINOLOGY Inactive 2016-10-12

Filings

Name File Date
Annual Report 2024-08-02
Certificate of Assumed Name 2024-05-02
Annual Report 2023-06-05
Annual Report 2022-05-16
Annual Report 2021-02-10
Annual Report 2020-06-01
Annual Report 2019-04-04
Annual Report 2018-04-09
Annual Report 2017-04-26
Annual Report 2016-04-06

Related by officers

SUSAN RAGHAVAN

S. RAGHAVAN, LLC

SUSAN RAGHAVAN

S. RAGHAVAN, 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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