BLUEGRASS NEWBORN SPECIALISTS, PLC

Company Details

Name:	BLUEGRASS NEWBORN SPECIALISTS, PLC
Jurisdiction:	Kentucky
Profit or Non-Profit:	Profit
Legal type:	Kentucky Limited Liability Company
Status:	Active
Standing:	Good
File Date:	18 Feb 2004 (21 years ago)
Organization Date:	18 Feb 2004 (21 years ago)
Last Annual Report:	01 Mar 2024 (a year ago)
Managed By:	Managers
Organization Number:	0576288
Industry:	Health Services
Number of Employees:	Small (0-19)
Principal Office:	P.O. BOX 24390, LEXINGTON, KY 40254-4930
Place of Formation:	KENTUCKY

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2016

593782892

2017-07-13

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	1408 BRIANNA COURT, LEXINGTON, KY, 40513

Signature of

Role	Plan administrator
Date	2017-07-10
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2017-07-10
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2015

593782892

2016-07-14

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513

Signature of

Role	Plan administrator
Date	2016-07-08
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2016-07-08
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2014

593782892

2015-07-20

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513

Signature of

Role	Plan administrator
Date	2015-07-20
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2015-07-20
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2013

593782892

2014-07-21

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513

Signature of

Role	Plan administrator
Date	2014-07-21
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2014-07-21
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2012

593782892

2013-07-11

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513

Signature of

Role	Plan administrator
Date	2013-07-09
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-07-09
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2011

593782892

2012-07-16

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513

Plan administrator’s name and address

Administrator’s EIN	593782892
Plan administrator’s name	BLUEGRASS NEWBORN SPECIALISTS, PLC
Plan administrator’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513
Administrator’s telephone number	8592216339

Signature of

Role	Plan administrator
Date	2012-07-14
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-07-14
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2010

593782892

2011-06-20

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513

Plan administrator’s name and address

Administrator’s EIN	593782892
Plan administrator’s name	BLUEGRASS NEWBORN SPECIALISTS, PLC
Plan administrator’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513
Administrator’s telephone number	8592216339

Signature of

Role	Plan administrator
Date	2011-06-17
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-06-17
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

BLUEGRASS NEWBORN SPECIALISTS, PLC 401K PROFIT SHARING PLAN

2009

593782892

2010-06-21

BLUEGRASS NEWBORN SPECIALISTS, PLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-02-18
Business code	621111
Sponsor’s telephone number	8592216339
Plan sponsor’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513

Plan administrator’s name and address

Administrator’s EIN	593782892
Plan administrator’s name	BLUEGRASS NEWBORN SPECIALISTS, PLC
Plan administrator’s address	3220 LINVILLE LANE, LEXINGTON, KY, 40513
Administrator’s telephone number	8592216339

Signature of

Role	Plan administrator
Date	2010-06-21
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-06-21
Name of individual signing	KHALDON JUNDI, M.D.
Valid signature	Filed with authorized/valid electronic signature

Registered Agent

Name	Role
BURLETTA COBURN JUNDI	Registered Agent

Manager

Name	Role
Burletta J Coburn Jundi	Manager
Khaldon Jundi	Manager

Organizer

Name	Role
KHALDON JUNDI, M.D.	Organizer

Filings

Name	File Date
Annual Report	2024-03-01
Annual Report	2024-02-29
Annual Report	2023-03-15
Annual Report	2022-04-04
Annual Report	2021-04-13
Annual Report	2020-02-16
Annual Report	2019-04-22
Annual Report	2018-04-11
Registered Agent name/address change	2017-05-11
Annual Report	2017-05-11
Annual Report	2016-02-09
Annual Report	2015-05-14
Annual Report	2014-01-27
Annual Report	2013-02-11
Annual Report	2012-06-14
Annual Report	2011-04-11
Annual Report	2010-09-03
Annual Report Return	2010-03-19
Registered Agent name/address change	2009-10-16
Annual Report	2009-02-22

Date of last update: 10 Jan 2025

Sources: Kentucky Secretary of State

BLUEGRASS NEWBORN SPECIALISTS, PLC

Company Details

form 5500

Registered Agent

Manager

Organizer

Filings

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