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TAMBERLY L. MCCOY MD, PLLC

Company Details

Name: TAMBERLY L. MCCOY MD, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 09 Feb 2004 (21 years ago)
Organization Date: 09 Feb 2004 (21 years ago)
Last Annual Report: 19 Nov 2024 (2 months ago)
Managed By: Members
Organization Number: 0578432
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 42303
Primary County: Daviess
Principal Office: 2601 New Hartford Road, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMBERLY L. MCCOY, MD PLLC 401(K) PLAN 2023 270079117 2024-09-20 TAMBERLY L. MCCOY MD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2601 NEW HARTFORD ROAD, OWENSBORO, KY, 42303
TAMBERLY L. MCCOY, MD PLLC 401(K) PLAN 2022 270079117 2023-07-17 TAMBERLY L. MCCOY MD PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2816 VEACH ROAD, SUITE 308, OWENSBORO, KY, 42303
TAMBERLY L. MCCOY, MD PLLC 401(K) PLAN 2021 270079117 2022-09-15 TAMBERLY L. MCCOY MD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2816 VEACH ROAD, SUITE 308, OWENSBORO, KY, 42303
TAMBERLY L. MCCOY, MD PLLC 401(K) PLAN 2020 270079117 2021-09-21 TAMBERLY L. MCCOY MD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2816 VEACH ROAD, SUITE 308, OWENSBORO, KY, 42303
TAMBERLY L. MCCOY MD PLLC 401(K) PLAN 2019 270079117 2020-10-12 TAMBERLY L. MCCOY MD PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2816 VEACH ROAD, SUITE 308, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
TAMBERLY L. MCCOY MD PLLC 401(K) PLAN 2018 270079117 2019-10-14 TAMBERLY L. MCCOY MD PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2816 VEACH ROAD, SUITE 308, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing TAMBERLY L MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing TAMBERLY L MCCOY
Valid signature Filed with authorized/valid electronic signature
TAMBERLY L. MCCOY MD PLLC 401(K) PLAN 2017 270079117 2018-10-15 TAMBERLY L. MCCOY MD PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2816 VEACH ROAD, SUITE 308, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
TAMBERLY L. MCCOY MD PLLC 401(K) PLAN 2016 270079117 2017-07-27 TAMBERLY L. MCCOY MD PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2315 MAYFAIR AVENUE, SUITE 3, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2017-07-26
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-26
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
TAMBERLY L. MCCOY MD PLLC 401(K) PLAN 2015 270079117 2016-08-31 TAMBERLY L. MCCOY MD PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2315 MAYFAIR AVENUE, SUITE 3, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2016-08-30
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
TAMBERLY L. MCCOY MD PLLC 401(K) PLAN 2014 270079117 2015-05-11 TAMBERLY L. MCCOY MD PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2709261150
Plan sponsor’s address 2315 MAYFAIR AVENUE, SUITE 3, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2015-05-11
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-11
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/23/20140923131537P030015560359001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2707299272
Plan sponsor’s address 2315 MAYFAIR AVENUE, SUITE 3, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2014-09-23
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-23
Name of individual signing TAMBERLY MCCOY
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MARK STARNES, ESQ. Registered Agent

Member

Name Role
Tamberly L McCoy Member

Organizer

Name Role
E. PHILLIPS MALONE Organizer

Filings

Name File Date
Reinstatement Approval Letter Revenue 2024-11-19
Principal Office Address Change 2024-11-19
Reinstatement 2024-11-19
Reinstatement Certificate of Existence 2024-11-19
Administrative Dissolution 2024-10-12
Annual Report 2023-04-03
Annual Report 2022-05-17
Annual Report 2021-05-20
Annual Report 2020-06-01
Annual Report 2019-04-25

Date of last update: 31 Dec 2024

Sources: Kentucky Secretary of State