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  5. PADUCAH DERMATOLOGY, PLLC

PADUCAH DERMATOLOGY, PLLC

Company Details

Name: PADUCAH DERMATOLOGY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 11 Sep 2003 (22 years ago)
Organization Date: 11 Sep 2003 (22 years ago)
Last Annual Report: 02 Jul 2024 (10 months ago)
Managed By: Members
Organization Number: 0567875
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 3101 PARISA DR, PADUCAH, KY 42003
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PADUCAH DERMATOLOGY RETIREMENT PLAN 2023 611457112 2024-10-03 PADUCAH DERMATOLOGY, PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 3101 PARISA DR., PADUCAH, KY, 42003

Plan administrator’s name and address
Administrator’s EIN 932789379
Plan administrator’s name AMERICANTCS FIDUCIARY SERVICES, LLC
Plan administrator’s address 1251 WATERFRONT PLACE, SUITE 525, PITTSBURGH, PA, 15222
Administrator’s telephone number 8775145600

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2022 611457112 2023-09-19 PADUCAH DERMATOLOGY, PLLC 28
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 3101 PARISA DR., PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing HEIDI HUNTER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2021 611457112 2022-09-27 PADUCAH DERMATOLOGY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 3101 PARISA DR., PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing HEIDI HUNTER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2020 611457112 2021-09-03 PADUCAH DERMATOLOGY, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 3101 PARISA DR., PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing HEIDI HUNTER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2016 611457112 2017-02-20 PADUCAH DERMATOLOGY, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Signature of
Role Plan administrator
Date 2017-02-20
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-20
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2015 611457112 2016-03-14 PADUCAH DERMATOLOGY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Signature of
Role Plan administrator
Date 2016-03-14
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-14
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2014 611457112 2015-08-03 PADUCAH DERMATOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Signature of
Role Plan administrator
Date 2015-08-03
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-03
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2013 611457112 2014-03-06 PADUCAH DERMATOLOGY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Signature of
Role Plan administrator
Date 2014-03-06
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-06
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2012 611457112 2013-05-02 PADUCAH DERMATOLOGY, PLLC 13
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Signature of
Role Plan administrator
Date 2013-05-02
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
PADUCAH DERMATOLOGY RETIREMENT PLAN 2012 611457112 2013-10-14 PADUCAH DERMATOLOGY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/19/20120319165817P030243782848001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Plan administrator’s name and address
Administrator’s EIN 611457112
Plan administrator’s name PADUCAH DERMATOLOGY, PLLC
Plan administrator’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817
Administrator’s telephone number 2704448477

Signature of
Role Plan administrator
Date 2012-03-19
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-19
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/12/20110712115341P030433329328001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Plan administrator’s name and address
Administrator’s EIN 611457112
Plan administrator’s name PADUCAH DERMATOLOGY, PLLC
Plan administrator’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817
Administrator’s telephone number 2704448477

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-12
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/06/20100706164003P070031225809001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Plan administrator’s name and address
Administrator’s EIN 611457112
Plan administrator’s name PADUCAH DERMATOLOGY, PLLC
Plan administrator’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817
Administrator’s telephone number 2704448477

Signature of
Role Plan administrator
Date 2010-07-06
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-06
Name of individual signing ROBIN STAMPER
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2704448477
Plan sponsor’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817

Plan administrator’s name and address
Administrator’s EIN 611457112
Plan administrator’s name PADUCAH DERMATOLOGY, PLLC
Plan administrator’s address 2601 KENTUCKY AVE, PADUCAH, KY, 420033817
Administrator’s telephone number 2704448477

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing ROBIN STAMPER
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-29
Name of individual signing ROBIN STAMPER
Valid signature Filed with incorrect/unrecognized electronic signature

Registered Agent

Name Role
BOBBY R. MILLER, JR. Registered Agent

Organizer

Name Role
BOBBY R. MILLER Organizer

Member

Name Role
Halden H Ford Member
Joseph A. Blackmon Member

Filings

Name File Date
Annual Report 2024-07-02
Annual Report 2023-04-20
Annual Report 2022-03-21
Annual Report 2021-05-19
Annual Report 2020-03-19
Annual Report 2019-05-29
Principal Office Address Change 2018-05-31
Annual Report 2018-05-31
Annual Report 2017-04-24
Annual Report 2016-03-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6071318604 2021-03-20 0457 PPS 3101 Parisa Dr, Paducah, KY, 42003-4584
Loan Status Date 2022-01-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 235000
Loan Approval Amount (current) 235000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27680
Servicing Lender Name The Paducah Bank and Trust Company
Servicing Lender Address 555 Jefferson St, PADUCAH, KY, 42001-1088
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Paducah, MCCRACKEN, KY, 42003-4584
Project Congressional District KY-01
Number of Employees 32
NAICS code 621999
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 27680
Originating Lender Name The Paducah Bank and Trust Company
Originating Lender Address PADUCAH, KY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 236744.79
Forgiveness Paid Date 2021-12-23
6096627004 2020-04-06 0457 PPP 3101 PARISA DR, PADUCAH, KY, 42003-4584
Loan Status Date 2021-04-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 227100
Loan Approval Amount (current) 227100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27680
Servicing Lender Name The Paducah Bank and Trust Company
Servicing Lender Address 555 Jefferson St, PADUCAH, KY, 42001-1088
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PADUCAH, MCCRACKEN, KY, 42003-4584
Project Congressional District KY-01
Number of Employees 25
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 27680
Originating Lender Name The Paducah Bank and Trust Company
Originating Lender Address PADUCAH, KY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 229265.23
Forgiveness Paid Date 2021-03-31

Related by officers

BOBBY R. MILLER, JR.

DYNAMIC SERVICES, INC. NORTHSTAR NAVIGATION, INC. HISTORIC DOWNTOWN PADUCAH, INC. G & H ENTERPRISES OF KENTUCKY, INC. MT MARINE, INC. CARGOTREK, INC. ROBERTSON MARINE, INC. KMA MARINE LEASING, INC. FIRST MARINE TRANSPORTATION CORP., INC. KENDAL8, INC.

BOBBY R. MILLER

B & B STOVE COMPANY, INC.

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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