Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Fayette
    4. ›
  4. 40509
    5. ›
  5. BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC

BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC

Company Details

Name: BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 04 Apr 2003 (22 years ago)
Organization Date: 04 Apr 2003 (22 years ago)
Last Annual Report: 15 Jul 2022 (3 years ago)
Managed By: Members
Organization Number: 0557659
ZIP code: 40509
Primary County: Fayette
Principal Office: 2716 OLD ROSEBUD RD., SUITE 350, LEXINGTON, KY 40509
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BBSA 401K PROFIT SHARING PLAN 2016 161661481 2017-05-26 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5028676744
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
Administrator’s telephone number 5028676744
BBSA 401(K) PROFIT SHARING PLAN 2016 161661481 2017-07-20 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8595431637
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
BBSA 401K PROFIT SHARING PLAN 2015 161661481 2016-06-08 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5028676744
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
Administrator’s telephone number 5028676744
BBSA 401K PROFIT SHARING PLAN 2014 161661481 2015-05-21 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5028676744
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
Administrator’s telephone number 5028676744

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing G. DEREK WEISS, MD
Valid signature Filed with authorized/valid electronic signature
BBSA 401K PROFIT SHARING PLAN 2013 161661481 2014-05-29 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5028676744
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
Administrator’s telephone number 5028676744

Signature of
Role Plan administrator
Date 2014-05-29
Name of individual signing G. DEREK WEISS, MD
Valid signature Filed with authorized/valid electronic signature
BBSA 401K PROFIT SHARING PLAN 2012 161661481 2013-05-03 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5028676744
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
Administrator’s telephone number 5028676744

Signature of
Role Plan administrator
Date 2013-05-03
Name of individual signing G. DEREK WEISS, MD
Valid signature Filed with authorized/valid electronic signature
BBSA 401K PROFIT SHARING PLAN 2011 161661481 2012-05-18 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
Administrator’s telephone number 5028676744

Signature of
Role Plan administrator
Date 2012-05-18
Name of individual signing JOHN S. OLDHAM, JR., MD
Valid signature Filed with authorized/valid electronic signature
BBSA 401K PROFIT SHARING PLAN 2010 161661481 2011-07-27 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5028676744
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098003
Administrator’s telephone number 5028676744

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing JOHN S. OLDHAM, JR., MD
Valid signature Filed with authorized/valid electronic signature
BBSA 401(K) PROFIT SHARING PLAN 2009 161661481 2010-07-27 BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 5028676744
Plan sponsor’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098559

Plan administrator’s name and address
Administrator’s EIN 161661481
Plan administrator’s name BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY, 405098559
Administrator’s telephone number 5028676744

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing JOHN S. OLDHAM, JR., MD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
G. DEREK WEISS., M.D. Registered Agent

Member

Name Role
G Derek Weiss Member

Organizer

Name Role
KENNETH R. SAGAN Organizer

Filings

Name File Date
Dissolution 2022-07-15
Annual Report 2022-07-15
Annual Report 2021-02-15
Annual Report 2020-02-18
Annual Report 2019-04-25
Annual Report 2018-04-21
Annual Report 2017-04-27
Annual Report 2016-06-21
Annual Report 2015-04-09
Annual Report 2014-01-27

Related by officers

KENNETH R. SAGAN

BUFFALO TRACE DISTILLERY, INC. 136-138 WEST VINE, LLC VENGAR, LLC MARKET MAKER ENTERPRISES, LLC S & H FRANKFORT, LLC S & H LEXINGTON, LLC S & H LOUISVILLE, LLC HELNICK KNOXVILLE AIRPORT CONCESSIONS, INC. 3-D ENTERPRISES CONSTRUCTION MANAGEMENT CORPORATION 3-D SERVICES CORPORATION

Related by address

2716 OLD ROSEBUD RD., SUITE 350, LEXINGTON, KY 40509

BBSA PROPERTIES, LLC

Date of last update: 29 Dec 2024

Sources: Kentucky Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 kyprofile.com, Part of Big Data Integrated