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LEE W. RICKETTS, II, M.D., PLLC

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Company Details

Name: LEE W. RICKETTS, II, M.D., PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Sep 2003 (22 years ago)
Organization Date: 10 Sep 2003 (22 years ago)
Last Annual Report: 27 Feb 2017 (8 years ago)
Managed By: Members
Organization Number: 0567802
ZIP code: 40505
City: Lexington
Primary County: Fayette County
Principal Office: 405 BRYANWOOD PARKWAY, LEXINGTON, KY 40505
Place of Formation: KENTUCKY

Registered Agent

Name Role
LEE W. RICKETTS II, MD Registered Agent

Member

Name Role
Lee W Ricketts II MD Member

Organizer

Name Role
LEE W. RICKETTS, II Organizer

National Provider Identifier

NPI Number:
1306020979

Authorized Person:

Name:
MR. LEE W RICKETTS II
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8592940078

Form 5500 Series

Employer Identification Number (EIN):
352214400
Plan Year:
2014
Number Of Participants:
3
Sponsors DBA Name:
SAME
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors DBA Name:
SAME
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
3
Sponsors DBA Name:
SAME
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
2
Sponsors DBA Name:
SAME
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
2
Sponsors DBA Name:
SAME
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2018-03-12
Principal Office Address Change 2017-02-27
Registered Agent name/address change 2017-02-27
Annual Report 2017-02-27
Annual Report 2016-03-07

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Sources: Kentucky Secretary of State