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  5. PROFESSIONAL PEDIATRICS, PSC

PROFESSIONAL PEDIATRICS, PSC

Company Details

Name: PROFESSIONAL PEDIATRICS, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 17 Dec 2001 (23 years ago)
Organization Date: 17 Dec 2001 (23 years ago)
Last Annual Report: 30 Jun 2013 (12 years ago)
Organization Number: 0527293
ZIP code: 41169
Primary County: Greenup
Principal Office: C/O SUSAN LICHTENBERGER, MD, 105 THOMPSON ROAD, RUSSELL, KY 41169
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROFESSIONAL PEDIATRICS 401K PLAN 2012 611401681 2013-02-05 PROFESSIONAL PEDIATRICS PSC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6068338480
Plan sponsor’s address 105 THOMPSON RD, RUSSELL, KY, 41169

Signature of
Role Plan administrator
Date 2013-02-05
Name of individual signing JOHN LICHTENBERGER
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PEDIATRICS 401K PLAN 2011 611401681 2012-05-29 PROFESSIONAL PEDIATRICS PSC 4
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6068338480
Plan sponsor’s address 105 THOMPSON RD, RUSSELL, KY, 41169

Plan administrator’s name and address
Administrator’s EIN 611401681
Plan administrator’s name PROFESSIONAL PEDIATRICS PSC
Plan administrator’s address 105 THOMPSON RD, RUSSELL, KY, 41169
Administrator’s telephone number 6068338480

Signature of
Role Plan administrator
Date 2012-05-29
Name of individual signing JOHN LICHTENBERGER
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PEDIATRICS 401K PLAN 2011 611401681 2012-06-06 PROFESSIONAL PEDIATRICS PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6068338480
Plan sponsor’s address 105 THOMPSON RD, RUSSELL, KY, 41169

Plan administrator’s name and address
Administrator’s EIN 611401681
Plan administrator’s name PROFESSIONAL PEDIATRICS PSC
Plan administrator’s address 105 THOMPSON RD, RUSSELL, KY, 41169
Administrator’s telephone number 6068338480

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing JOHN LICHTENBERGER
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PEDIATRICS 401K PLAN 2010 611401681 2011-06-23 PROFESSIONAL PEDIATRICS PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6068338480
Plan sponsor’s address 105 THOMPSON RD, RUSSELL, KY, 411690000000

Plan administrator’s name and address
Administrator’s EIN 611401681
Plan administrator’s name PROFESSIONAL PEDIATRICS PSC
Plan administrator’s address 105 THOMPSON RD, RUSSELL, KY, 411690000000
Administrator’s telephone number 6068338480

Signature of
Role Plan administrator
Date 2011-06-23
Name of individual signing JOHN LICHTENBERGER
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PEDIATRICS 401K PLAN 2009 611401681 2010-07-01 PROFESSIONAL PEDIATRICS PSC 4
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6068338480
Plan sponsor’s address 105 THOMPSON RD, RUSSELL, KY, 411690000000

Plan administrator’s name and address
Administrator’s EIN 611401681
Plan administrator’s name PROFESSIONAL PEDIATRICS PSC
Plan administrator’s address 105 THOMPSON RD, RUSSELL, KY, 411690000000
Administrator’s telephone number 6068338480

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing JOHN LICHTENBERGER
Valid signature Filed with incorrect/unrecognized electronic signature
PROFESSIONAL PEDIATRICS 401K PLAN 2009 611401681 2010-07-07 PROFESSIONAL PEDIATRICS PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6068338480
Plan sponsor’s address 105 THOMPSON RD, RUSSELL, KY, 411690000000

Plan administrator’s name and address
Administrator’s EIN 611401681
Plan administrator’s name PROFESSIONAL PEDIATRICS PSC
Plan administrator’s address 105 THOMPSON RD, RUSSELL, KY, 411690000000
Administrator’s telephone number 6068338480

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing JOHN LICHTENBERGER
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
SUSAN LICHTENBERGER, MD Registered Agent

President

Name Role
Susan M. Lichtenberger President

Director

Name Role
Susan M. Lichtenberger Director

Shareholder

Name Role
Susan M. Lichtenberger Shareholder

Incorporator

Name Role
DEBORA HOLLAND TUDOR Incorporator

Filings

Name File Date
Administrative Dissolution Return 2014-10-23
Administrative Dissolution 2014-09-30
Annual Report 2013-06-30
Annual Report 2012-06-22
Annual Report 2011-06-11
Annual Report 2010-06-24
Registered Agent name/address change 2009-06-30
Annual Report 2009-06-11
Annual Report 2008-10-07
Principal Office Address Change 2007-11-13

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

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