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  5. WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC

WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC

Company Details

Name: WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 05 Jul 2002 (23 years ago)
Organization Date: 05 Jul 2002 (23 years ago)
Last Annual Report: 04 Apr 2023 (2 years ago)
Managed By: Members
Organization Number: 0540141
ZIP code: 42240
Primary County: Christian
Principal Office: P.O. BOX 551, HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2023 611392908 2024-01-26 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2024-01-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2022 611392908 2023-03-09 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2023-03-09
Name of individual signing PARESH SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-09
Name of individual signing PARESH SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2021 611392908 2022-03-30 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2022-03-30
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-30
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2020 611392908 2021-05-01 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2019 611392908 2020-04-01 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2020-03-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2018 611392908 2019-03-13 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2019-03-13
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-13
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2017 611392908 2018-04-17 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-17
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2016 611392908 2017-03-14 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2017-03-14
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-14
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2015 611392908 2016-03-28 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2016-03-28
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-28
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 401(K) PLAN 2014 611392908 2015-04-07 WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2015-04-07
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-07
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/25/20140325112102P040309584945001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-25
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/26/20130226144758P030034863061001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2013-02-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-26
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/20/20120320103128P030245595664001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 611392908
Plan administrator’s name WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC
Plan administrator’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708855003

Signature of
Role Plan administrator
Date 2012-03-20
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-20
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/15/20110315103010P030120589200001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 611392908
Plan administrator’s name WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC
Plan administrator’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708855003

Signature of
Role Plan administrator
Date 2011-03-15
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-15
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/09/20100909122335P070060901425001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708855003
Plan sponsor’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 611392908
Plan administrator’s name WEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC
Plan administrator’s address 1721 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708855003

Signature of
Role Plan administrator
Date 2010-09-09
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-09
Name of individual signing MONA SHETH
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
PARESH V SHETH Registered Agent

Member

Name Role
Paresh V Sheth Member

Organizer

Name Role
PARESH V SHETH Organizer

Filings

Name File Date
Dissolution 2023-10-16
Annual Report 2023-04-04
Annual Report 2022-08-09
Annual Report 2021-04-22
Annual Report 2020-04-17
Annual Report 2019-04-24
Annual Report 2018-03-30
Annual Report 2017-04-25
Annual Report 2016-04-05
Annual Report 2015-04-28

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Related by address

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Date of last update: 29 Dec 2024

Sources: Kentucky Secretary of State

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