| Name: | AMBULATORY CARE SERVICES, PLLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 04 Mar 2004 (21 years ago) |
| Organization Date: | 04 Mar 2004 (21 years ago) |
| Last Annual Report: | 11 Apr 2025 (9 days ago) |
| Managed By: | Members |
| Organization Number: | 0580567 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 41301 |
| City: | Campton, Bethany, Burkhart, Flat, Gillmore, Lee C... |
| Primary County: | Wolfe County |
| Principal Office: | P.O. BOX 99, 31 MAIN ST, CAMPTON, KY 41301 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMBULATORY CARE SERVICES PLLC CBS BENEFIT PLAN | 2023 | 371486134 | 2024-12-30 | AMBULATORY CARE SERVICES PLLC | 6 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | JOSEPH HSU |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2024-12-30 |
| Name of individual signing | JOSEPH HSU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2023-04-01 |
| Business code | 621491 |
| Sponsor’s telephone number | 6066689076 |
| Plan sponsor’s address | 31 MAIN ST SUITE 1, CAMPTON, KY, 41301 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-27 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| EDWIN M. SANTOS, M.D. | Registered Agent |
| Name | Role |
|---|---|
| EDWIN SANTOS | Member |
| MELECIO ABORDO | Member |
| Name | Role |
|---|---|
| EDWIN M. SANTOS, M.D. | Organizer |
| MELECIO G. ABORDO, M.D. | Organizer |
| Name | Status | Expiration Date |
|---|---|---|
| ST. LUKES FAMILY AND MULTI SPECIALTY CLINIC | Inactive | 2019-12-03 |
| Name | File Date |
|---|---|
| Annual Report | 2025-04-11 |
| Annual Report | 2024-03-04 |
| Annual Report | 2023-03-20 |
| Annual Report | 2022-03-28 |
| Annual Report | 2021-02-10 |
| Principal Office Address Change | 2021-02-10 |
| Annual Report | 2020-02-14 |
| Annual Report | 2019-05-29 |
| Registered Agent name/address change | 2019-05-29 |
| Annual Report | 2018-04-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2949877210 | 2020-04-16 | 0457 | PPP | 31 Main St, CAMPTON, KY, 41301 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Sources: Kentucky Secretary of State
