| Name: | MT. STERLING CLINIC, PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 04 Jun 2002 (23 years ago) |
| Organization Date: | 04 Jun 2002 (23 years ago) |
| Last Annual Report: | 18 Mar 2024 (10 months ago) |
| Managed By: | Managers |
| Organization Number: | 0538224 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 40353 |
| Primary County: | Montgomery |
| Principal Office: | 100 STERLING WAY, SUITE #1, MT. STERLING, KY 40353 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MT. STERLING CLINIC PLLC CBS BENEFIT PLAN | 2023 | 320012406 | 2024-04-29 | MT. STERLING CLINIC PLLC | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-29 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2022-07-01 |
| Business code | 621491 |
| Sponsor’s telephone number | 8594985003 |
| Plan sponsor’s address | 100 STERLING WAY SUITE 1, MOUNT STERLIN, KY, 40353 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-27 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| B. DANIELLE KING, M.D. | Registered Agent |
| Name | Role |
|---|---|
| BRIGITTE DANIELLE KING | Manager |
| Name | Role |
|---|---|
| L. EDWARD ROBERTS, JR., M.D. | Organizer |
| Name | File Date |
|---|---|
| Annual Report | 2024-03-18 |
| Annual Report | 2023-03-16 |
| Annual Report | 2022-04-30 |
| Annual Report | 2021-06-16 |
| Annual Report | 2020-05-30 |
| Annual Report | 2019-04-19 |
| Annual Report | 2018-04-15 |
| Annual Report | 2017-04-28 |
| Annual Report | 2016-04-09 |
| Annual Report | 2015-08-27 |
Date of last update: 29 Dec 2024
Sources: Kentucky Secretary of State
