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  5. SENTINEL ANESTHESIA SERVICES, INC.

SENTINEL ANESTHESIA SERVICES, INC.

Company Details

Name: SENTINEL ANESTHESIA SERVICES, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Nov 2001 (23 years ago)
Organization Date: 19 Nov 2001 (23 years ago)
Last Annual Report: 22 Apr 2011 (14 years ago)
Organization Number: 0525760
ZIP code: 41144
City: Greenup, Lloyd, Load, Oldtown, Wurtland
Primary County: Greenup County
Principal Office: 332 NEW ORLEANS DRIVE, GREENUP, KY 41144
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SENTINEL ANESTHESIA SERVICES INC PROFIT SHARING PLAN 2012 611399667 2013-08-12 SENTINEL ANESTHESIA SERVICES INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6069228647
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326

Signature of
Role Plan administrator
Date 2013-08-07
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICES INC PROFIT SHARING PLAN 2011 611399667 2012-10-08 SENTINEL ANESTHESIA SERVICES INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6069228647
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES INC
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326
Administrator’s telephone number 6069228647

Signature of
Role Plan administrator
Date 2012-09-26
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICE INC PROFIT SHARING PLAN 2010 611399667 2011-08-31 SENTINEL ANESTHESIA SERVICES, INC. 1
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6069228647
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES, INC.
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326
Administrator’s telephone number 6069228647

Signature of
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICES, INC. PROFIT SHARING PLAN 2010 611399667 2011-08-31 SENTINEL ANESTHESIA SERVICES, INC. 1
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6069228647
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES, INC.
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326
Administrator’s telephone number 6069228647

Signature of
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICE INC PROFIT SHARING PLAN 2010 611399667 2011-08-31 SENTINEL ANESTHESIA SERVICES, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6069228647
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES, INC.
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326
Administrator’s telephone number 6069228647

Signature of
Role Plan administrator
Date 2011-08-31
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICES, INC. PROFIT SHARING PLAN 2010 611399667 2011-08-31 SENTINEL ANESTHESIA SERVICES, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6069228647
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES, INC.
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411449326
Administrator’s telephone number 6069228647

Signature of
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICES, INC. PROFIT SHARING PLAN 2009 611399667 2010-08-19 SENTINEL ANESTHESIA SERVICES INC 1
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6068362848
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411446173

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES INC
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411446173
Administrator’s telephone number 6068362848

Signature of
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICES, INC. PROFIT SHARING PLAN 2009 611399667 2010-09-02 SENTINEL ANESTHESIA SERVICES INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6068362848
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411446173

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES INC
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411446173
Administrator’s telephone number 6068362848

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature
SENTINEL ANESTHESIA SERVICES, INC. PROFIT SHARING PLAN 2009 611399667 2010-09-01 SENTINEL ANESTHESIA SERVICES INC 1
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 6068362848
Plan sponsor’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411446173

Plan administrator’s name and address
Administrator’s EIN 611399667
Plan administrator’s name SENTINEL ANESTHESIA SERVICES INC
Plan administrator’s address 332 NEW ORLEANS DRIVE, GREENUP, KY, 411446173
Administrator’s telephone number 6068362848

Signature of
Role Employer/plan sponsor
Date 2010-09-01
Name of individual signing VICKIE BLAIR
Valid signature Filed with authorized/valid electronic signature

Signature

Name Role
VICKIE L BLAIR Signature

Incorporator

Name Role
VICKIE L BLAIR Incorporator

Registered Agent

Name Role
VICKIE L BLAIR Registered Agent

Treasurer

Name Role
Cassie Blair Treasurer

Vice President

Name Role
Arthur Blair Vice President

Secretary

Name Role
Katie BLAIR-BARRICK Secretary

President

Name Role
Vickie L Blair President

Filings

Name File Date
Dissolution 2011-12-16
Annual Report 2011-04-22
Annual Report 2010-05-13
Annual Report 2009-02-06
Principal Office Address Change 2009-02-06
Annual Report 2008-03-26
Annual Report 2007-02-13
Annual Report 2006-03-09
Statement of Change 2005-04-05
Annual Report 2005-03-22

Related by officers

Cassie Blair

CRACE WRECKER SERVICE, INC.

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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