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  5. HEARTLAND FAMILY DENTISTRY, PLLC

HEARTLAND FAMILY DENTISTRY, PLLC

Company Details

Name: HEARTLAND FAMILY DENTISTRY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 01 Mar 2004 (21 years ago)
Organization Date: 01 Mar 2004 (21 years ago)
Last Annual Report: 11 Jul 2024 (9 months ago)
Managed By: Members
Organization Number: 0580050
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40162
City: Rineyville
Primary County: Hardin County
Principal Office: 304 Heritage Trail, Rineyville, KY 40162
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2022 300232538 2023-06-12 HEARTLAND FAMILY DENTISTRY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2023-06-12
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2021 300232538 2022-06-16 HEARTLAND FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2022-06-16
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2020 300232538 2021-06-15 HEARTLAND FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2019 300232538 2020-07-08 HEARTLAND FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2018 300232538 2019-07-18 HEARTLAND FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2017 300232538 2018-07-09 HEARTLAND FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2016 300232538 2017-07-27 HEARTLAND FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401(K) PLAN 2015 300232538 2016-07-21 HEARTLAND FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401K PLAN 2014 300232538 2015-07-27 HEARTLAND FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
HEARTLAND FAMILY DENTISTRY 401K PLAN 2013 300232538 2014-07-14 HEARTLAND FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-14
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/06/20130606130552P040086760325001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Signature of
Role Plan administrator
Date 2013-06-06
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-06
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/20/20120620150343P040005648948001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Plan administrator’s name and address
Administrator’s EIN 300232538
Plan administrator’s name HEARTLAND FAMILY DENTISTRY
Plan administrator’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709
Administrator’s telephone number 2707374746

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-20
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725150412P030469970080001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Plan administrator’s name and address
Administrator’s EIN 300232538
Plan administrator’s name HEARTLAND FAMILY DENTISTRY
Plan administrator’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709
Administrator’s telephone number 2707374746

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/11/20101011133446P030020676849001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-02-27
Business code 621210
Sponsor’s telephone number 2707374746
Plan sponsor’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709

Plan administrator’s name and address
Administrator’s EIN 300232538
Plan administrator’s name HEARTLAND FAMILY DENTISTRY
Plan administrator’s address 1205 WOODLAND DR, ELIZABETHTOWN, KY, 427012709
Administrator’s telephone number 2707374746

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing DR TONI IRWIN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
TONI LYNN IRWIN Registered Agent

Member

Name Role
Toni Lynn Irwin Member

Organizer

Name Role
TONI LYNN IRWIN Organizer

Filings

Name File Date
Dissolution 2024-07-15
Annual Report 2024-07-11
Annual Report 2023-06-13
Registered Agent name/address change 2023-06-13
Principal Office Address Change 2023-06-13
Annual Report 2022-04-28
Annual Report 2021-04-22
Annual Report 2020-06-01
Annual Report 2019-06-17
Annual Report 2018-04-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3534148409 2021-02-05 0457 PPS 1205 Woodland Dr, Elizabethtown, KY, 42701-2709
Loan Status Date 2021-10-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57521
Loan Approval Amount (current) 57521
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27585
Servicing Lender Name Magnolia Bank Incorporated
Servicing Lender Address 651, W Dixie Ave, Elizabethtown, KY, 42701
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Elizabethtown, HARDIN, KY, 42701-2709
Project Congressional District KY-02
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27585
Originating Lender Name Magnolia Bank Incorporated
Originating Lender Address Elizabethtown, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57875.71
Forgiveness Paid Date 2021-09-21
4562357800 2020-05-28 0457 PPP 1205 Woodland Drive, ELIZABETHTOWN, KY, 42701-2709
Loan Status Date 2021-04-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 33700
Loan Approval Amount (current) 54100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27585
Servicing Lender Name Magnolia Bank Incorporated
Servicing Lender Address 651, W Dixie Ave, Elizabethtown, KY, 42701
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ELIZABETHTOWN, HARDIN, KY, 42701-2709
Project Congressional District KY-02
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27585
Originating Lender Name Magnolia Bank Incorporated
Originating Lender Address Elizabethtown, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 54508.76
Forgiveness Paid Date 2021-03-02

Related by officers

TONI LYNN IRWIN

AWI ENTERPRISES, LLC

Related by address

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Sources: Kentucky Secretary of State

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