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MICHELE BEELER, D.M.D., PLLC

Company Details

Name: MICHELE BEELER, D.M.D., PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 02 Apr 2003 (22 years ago)
Organization Date: 02 Apr 2003 (22 years ago)
Last Annual Report: 23 Mar 2020 (5 years ago)
Managed By: Managers
Organization Number: 0557420
ZIP code: 40422
Primary County: Boyle
Principal Office: 1066 BLUEGRASS PIKE, DANVILLE, KY 40422
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2019 113687528 2020-04-17 MICHELE BEELER, D.M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8592279244
Plan sponsor’s address 1066 BLUEGRASS PIKE, DANVILLE, KY, 40422

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address 1066 BLUEGRASS PIKE, DANVILLE, KY, 40422
Administrator’s telephone number 8592279244
MICHELE BEELER, D.M.D. 401(K) PROFIT SHARING PLAN 2019 113687528 2020-04-17 MICHELE BEELER, D.M.D. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8592279244
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2018 113687528 2019-06-27 MICHELE BEELER, D.M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2017 113687528 2018-04-13 MICHELE BEELER, D.M.D. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2016 113687528 2017-10-10 MICHELE BEELER, D.M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2015 113687528 2016-05-31 MICHELE BEELER, D.M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2014 113687528 2015-10-14 MICHELE BEELER, D.M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing MICHELE BEELER, DMD
Valid signature Filed with authorized/valid electronic signature
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2013 113687528 2014-03-30 MICHELE BEELER, D.M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222

Signature of

Role Plan administrator
Date 2014-03-30
Name of individual signing MICHELE BEELER, DMD
Valid signature Filed with authorized/valid electronic signature
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2012 113687528 2013-04-29 MICHELE BEELER, D.M.D. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222

Signature of

Role Plan administrator
Date 2013-04-29
Name of individual signing MICHELE BEELER, DMD
Valid signature Filed with authorized/valid electronic signature
MICHELE BEELER, D.M.D. 401K PROFIT SHARING PLAN 2011 113687528 2012-05-08 MICHELE BEELER, D.M.D. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222

Signature of

Role Plan administrator
Date 2012-05-08
Name of individual signing MICHELE BEELER, DMD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/15/20110715143200P030442438704001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 425391166

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 425391166
Administrator’s telephone number 6067875222

Signature of

Role Plan administrator
Date 2011-07-15
Name of individual signing MICHELE BEELER, DMD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/27/20100727171526P040031322903001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6067875222
Plan sponsor’s address P.O. BOX 1166, LIBERTY, KY, 42539

Plan administrator’s name and address

Administrator’s EIN 113687528
Plan administrator’s name MICHELE BEELER, D.M.D.
Plan administrator’s address P.O. BOX 1166, LIBERTY, KY, 42539
Administrator’s telephone number 6067875222

Signature of

Role Plan administrator
Date 2010-07-27
Name of individual signing MICHELLE BEELER, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing MICHELLE BEELER, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MICHELE BEELER, DMD, PLLC Registered Agent

Manager

Name Role
MICHELE BEELER WHITE Manager

Filings

Name File Date
Dissolution 2020-11-18
Registered Agent name/address change 2020-03-23
Annual Report 2020-03-23
Principal Office Address Change 2020-02-18
Annual Report 2019-04-23
Annual Report 2018-04-12
Annual Report 2017-04-25
Annual Report 2016-03-22
Annual Report 2015-04-09
Annual Report 2014-01-27

Date of last update: 29 Dec 2024

Sources: Kentucky Secretary of State