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KENTUCKY CARDIOLOGY, PLLC

Company Details

Name: KENTUCKY CARDIOLOGY, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 11 Sep 2003 (21 years ago)
Organization Date: 11 Sep 2003 (21 years ago)
Last Annual Report: 28 Mar 2024 (10 months ago)
Managed By: Members
Organization Number: 0567904
Industry: Health Services
Number of Employees: Medium (20-99)
Principal Office: <font face="Book Antiqua">161 NORTH EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509</font>
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CEMFEXJ4KHC5 2025-02-07 161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY, 40509, 2256, USA 161 N EAGLE CREEK DR., STE 400, LEXINGTON, KY, 40509, USA

Business Information
Congressional District 06
State/Country of Incorporation KY, USA
Activation Date 2024-02-12
Initial Registration Date 2020-12-10
Entity Start Date 2004-02-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MELISSA ALDRIDGE
Address 161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY, 40509, USA
Government Business
Title PRIMARY POC
Name AVI ERES
Address 161 N EAGLE CREEK DR, STE 400, LEXINGTON, KY, 40509, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY CARDIOLOGY 401(K) SAVINGS PLAN 2023 200202000 2024-05-20 KENTUCKY CARDIOLOGY PLLC 34
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s DBA name KENTUCKY CARDIOLOGY PLLC
Plan sponsor’s address 161 N EAGLE CREEK DR STE 400, LEXINGTON, KY, 405092256

Signature of
Role Plan administrator
Date 2024-05-20
Name of individual signing KIMBERLY NOVAK
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY 401(K) SAVINGS PLAN 2023 200202000 2024-06-20 KENTUCKY CARDIOLOGY, PLLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 161 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing LARA SANDIFER
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2022 200202000 2023-07-25 KENTUCKY CARDIOLOGY, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 161 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2021 200202000 2022-09-06 KENTUCKY CARDIOLOGY, PLLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 161 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2022-09-06
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2020 200202000 2021-06-27 KENTUCKY CARDIOLOGY, PLLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260041
Plan sponsor’s address 161 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2021-06-27
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2019 200202000 2020-07-22 KENTUCKY CARDIOLOGY, PLLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260041
Plan sponsor’s address 161 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY, 40509
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2018 200202000 2019-06-17 KENTUCKY CARDIOLOGY, PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260041
Plan sponsor’s address 161 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2017 200202000 2018-09-05 KENTUCKY CARDIOLOGY, PLLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260041
Plan sponsor’s address 161 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2018-09-05
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2016 200202000 2017-08-23 KENTUCKY CARDIOLOGY, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 160 NORTH EAGLE CREEK DRIVE, SUITE 307, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2017-08-23
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
KENTUCKY CARDIOLOGY, PLLC 401(K) RETIREMENT SAVINGS PLAN 2015 200202000 2016-06-27 KENTUCKY CARDIOLOGY, PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 160 NORTH EAGLE CREEK DRIVE, SUITE 307, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/30/20150630123932P040003031685001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 160 NORTH EAGLE CREEK DRIVE, SUITE 307, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/14/20141014132842P040019831565001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 160 NORTH EAGLE CREEK DRIVE, SUITE 307, LEXINGTON, KY, 40509

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/08/20131008130452P030032697857001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 160 NORTH EAGLE CREEK DRIVE, SUITE 307, LEXINGTON, KY, 40509

Plan administrator’s name and address
Administrator’s EIN 200202000
Plan administrator’s name KENTUCKY CARDIOLOGY, PLLC
Plan administrator’s address 160 NORTH EAGLE CREEK DRIVE, SUITE 307, LEXINGTON, KY, 40509
Administrator’s telephone number 8592260031

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing AVICHAI ERES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/09/20121009102218P040000433799001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621111
Sponsor’s telephone number 8592260031
Plan sponsor’s address 160 NORTH EAGLE CREEK DRIVE, LEXINGTON, KY, 40509

Plan administrator’s name and address
Administrator’s EIN 200202000
Plan administrator’s name KENTUCKY CARDIOLOGY, PLLC
Plan administrator’s address 160 NORTH EAGLE CREEK DRIVE, LEXINGTON, KY, 40509
Administrator’s telephone number 8592260031

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing AVI ERES, M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MUBASHIR QAZI Registered Agent

Member

Name Role
Avi Eres Member
Mubashir Qazi Member

Organizer

Name Role
MUBASHIR QAZI Organizer

Filings

Name File Date
Annual Report 2024-03-28
Annual Report 2023-03-16
Annual Report 2022-03-07
Annual Report 2021-03-01
Annual Report 2020-02-12
Annual Report 2019-04-27
Annual Report 2018-09-26
Annual Report 2017-04-26
Annual Report 2016-04-05
Principal Office Address Change 2015-06-02

Related by officers

Mubashir Qazi

KENTUCKY CARDIOVASCULAR GROUP, P.S.C.

Related by address

No related companies by address

Date of last update: 28 Jan 2025

Sources: Kentucky Secretary of State

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