Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Warren
    4. ›
  4. 42104
    5. ›
  5. JESSEN SURGICAL, INC.

JESSEN SURGICAL, INC.

Company Details

Name: JESSEN SURGICAL, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 09 Nov 2001 (23 years ago)
Organization Date: 09 Nov 2001 (23 years ago)
Last Annual Report: 11 Jul 2024 (6 months ago)
Organization Number: 0525291
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42104
Primary County: Warren
Principal Office: 1326 ANDREA STREET, BOWLING GREEN, KY 42104
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JESSEN SURGICAL INC. PROFIT SHARING PLAN 2023 030378424 2024-05-07 JESSEN SURGICAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104
JESSEN SURGICAL INC. PROFIT SHARING PLAN 2022 030378424 2023-06-29 JESSEN SURGICAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104
JESSEN SURGICAL INC. PROFIT SHARING PLAN 2021 030378424 2022-06-13 JESSEN SURGICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104
JESSEN SURGICAL INC. PROFIT SHARING PLAN 2020 030378424 2021-07-19 JESSEN SURGICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-08
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
JESSEN SURGICAL, INC. PROFIT SHARING PLAN 2019 030378424 2020-03-23 JESSEN SURGICAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2020-03-23
Name of individual signing DR. MARK JESSEN
Valid signature Filed with authorized/valid electronic signature
JESSEN SURGICAL, INC. PROFIT SHARING PLAN 2018 030378424 2019-05-13 JESSEN SURGICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing DR. MARK JESSEN
Valid signature Filed with authorized/valid electronic signature
JESSEN SURGICAL, INC. PROFIT SHARING PLAN 2017 030378424 2018-06-26 JESSEN SURGICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing DR. MARK JESSEN
Valid signature Filed with authorized/valid electronic signature
JESSEN SURGICAL, INC. PROFIT SHARING PLAN 2016 030378424 2017-05-05 JESSEN SURGICAL, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2017-05-05
Name of individual signing DR. MARK JESSEN
Valid signature Filed with authorized/valid electronic signature
JESSEN SURGICAL, INC. PROFIT SHARING PLAN 2015 030378424 2016-10-12 JESSEN SURGICAL, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588
JESSEN SURGICAL, INC. PROFIT SHARING PLAN 2014 030378424 2015-05-27 JESSEN SURGICAL, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2015-05-27
Name of individual signing MARK D. JESSEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/15/20140415124003P040302862371001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2014-04-15
Name of individual signing MARK D. JESSEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/01/20130501181227P030067938917001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2013-05-01
Name of individual signing MARK D. JESSEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718094347P030008029762001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing MARK D. JESSEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/05/20110405133812P040037871857001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 421043334
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2011-04-05
Name of individual signing MARK D. JESSEN, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/24/20100824145416P030154758466001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2010-08-24
Name of individual signing CONSTANCE LAFFIN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing MARK D. JESSEN, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2707811588
Plan sponsor’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104

Plan administrator’s name and address
Administrator’s EIN 030378424
Plan administrator’s name JESSEN SURGICAL, INC.
Plan administrator’s address 1326 ANDREA STREET, BOWLING GREEN, KY, 42104
Administrator’s telephone number 2707811588

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing MARK D. JESSEN, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

President

Name Role
Mark D Jessen President

Registered Agent

Name Role
MARK D. JESSEN Registered Agent

Secretary

Name Role
Mark D Jessen Secretary

Vice President

Name Role
Mark D Jessen Vice President

Director

Name Role
Mark D Jessen Director
Lauren Jessen Director
Rhonda Adams Director

Incorporator

Name Role
MARK D. JESSEN Incorporator

Filings

Name File Date
Annual Report 2024-07-11
Annual Report 2023-05-02
Annual Report 2022-03-07
Annual Report 2021-02-10
Annual Report 2020-06-01
Annual Report 2019-05-01
Annual Report 2018-04-17
Annual Report 2017-02-24
Annual Report 2016-03-11
Annual Report 2015-04-13

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 29 Dec 2024

Sources: Kentucky Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 kyprofile.com, Part of Big Data Integrated