| Name: | FAMILY MEDICAL SPECIALTY CLINIC, PLLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 28 Jul 2003 (22 years ago) |
| Organization Date: | 28 Jul 2003 (22 years ago) |
| Last Annual Report: | 02 Mar 2025 (12 days ago) |
| Managed By: | Members |
| Organization Number: | 0564834 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 41339 |
| City: | Jackson, Altro, Athol, Canoe, Decoy, Elkatawa, Fr... |
| Primary County: | Breathitt County |
| Principal Office: | 12 JACKSON HEIGHTS DR, JACKSON, KY 41339 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY MEDICAL SPECIALTY CLINIC CBS BENEFIT PLAN | 2023 | 352212183 | 2024-12-30 | FAMILY MEDICAL SPECIALTY CLINIC | 5 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 846429706 |
| Plan administrator’s name | JOSEPH HSU |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2024-12-30 |
| Name of individual signing | JOSEPH HSU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2023-03-01 |
| Business code | 621491 |
| Sponsor’s telephone number | 6069300199 |
| Plan sponsor’s address | 12 JACKSON HTS, JACKSON, KY, 41339 |
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 |
|---|---|
| MELECIO G. ABORDO, JR. M.D. | Registered Agent |
| Name | Role |
|---|---|
| JUNE ABADILLA | Member |
| Name | Role |
|---|---|
| MELECIO G. ABORDO, JR. | Organizer |
| Name | Action |
|---|---|
| ST. MARK'S FAMILY MEDICAL & SPECIALTY CLINIC, PLLC | Merger |
| Name | Status | Expiration Date |
|---|---|---|
| ST. THERESE CLINIC | Inactive | 2010-11-02 |
| Name | File Date |
|---|---|
| Annual Report | 2025-03-02 |
| Annual Report | 2024-03-05 |
| Annual Report | 2023-03-15 |
| Annual Report | 2022-05-19 |
| Annual Report | 2021-06-16 |
| Annual Report | 2020-06-23 |
| Annual Report | 2019-06-13 |
| Annual Report | 2018-06-19 |
| Annual Report | 2017-04-27 |
| Amendment | 2016-11-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4636977105 | 2020-04-13 | 0457 | PPP | 12 JACKSON Heights, JACKSON, KY, 41339-6500 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8259838401 | 2021-02-13 | 0457 | PPS | 12 Jackson Hts, Jackson, KY, 41339-6500 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Sources: Kentucky Secretary of State
