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  5. CARDIAC SURGICAL ASSOCIATES, PLLC

CARDIAC SURGICAL ASSOCIATES, PLLC

Company Details

Name: CARDIAC SURGICAL ASSOCIATES, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 01 Apr 2004 (21 years ago)
Organization Date: 01 Apr 2004 (21 years ago)
Last Annual Report: 06 Apr 2016 (9 years ago)
Managed By: Managers
Organization Number: 0582815
ZIP code: 40504
Primary County: Fayette
Principal Office: 1451 HARRODSBURG RD, D-302, LEXINGTON, KY 40504
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIAC SURGICAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2014 200941463 2015-07-24 CARDIAC SURGICAL ASSOCIATES, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 8599770898
Plan sponsor’s address 1451 HARRODSBURG RD, STED-302, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing ROBERT SALLEY
Valid signature Filed with authorized/valid electronic signature
CARDIAC SURGICAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2014 200941463 2015-07-22 CARDIAC SURGICAL ASSOCIATES, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 8599770898
Plan sponsor’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing ROBERT K. SALLEY, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC SURGICAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2013 200941463 2014-06-23 CARDIAC SURGICAL ASSOCIATES, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 8599770898
Plan sponsor’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2014-06-23
Name of individual signing ROBERT K. SALLEY, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC SURGICAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2012 200941463 2013-07-09 CARDIAC SURGICAL ASSOCIATES, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 8599770898
Plan sponsor’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing ROBERT K. SALLEY, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC SURGICAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2011 200941463 2012-07-09 CARDIAC SURGICAL ASSOCIATES, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 8599770898
Plan sponsor’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 200941463
Plan administrator’s name CARDIAC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504
Administrator’s telephone number 8599770898

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing ROBERT K. SALLEY, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC SURGICAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2010 200941463 2011-07-05 CARDIAC SURGICAL ASSOCIATES, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 8599770898
Plan sponsor’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 200941463
Plan administrator’s name CARDIAC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504
Administrator’s telephone number 8599770898

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing ROBERT K. SALLEY, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC SURGICAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2009 200941463 2010-07-23 CARDIAC SURGICAL ASSOCIATES, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 8599770898
Plan sponsor’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504

Plan administrator’s name and address
Administrator’s EIN 200941463
Plan administrator’s name CARDIAC SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 1451 HARRODSBURG ROAD, STE D-302, LEXINGTON, KY, 40504
Administrator’s telephone number 8599770898

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROBERT K. SALLEY, M.D.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
ROBERT K. SALLEY Registered Agent

Manager

Name Role
Robert K Salley Manager

Organizer

Name Role
ROBERT K. SALLEY Organizer

Filings

Name File Date
Administrative Dissolution Return 2017-10-30
Administrative Dissolution 2017-10-09
Annual Report 2016-04-06
Annual Report 2015-05-18
Annual Report 2014-04-02
Annual Report 2013-07-23
Annual Report 2012-06-18
Annual Report 2011-03-01
Annual Report 2010-03-16
Annual Report 2009-04-06

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Related by address

No related companies by address

Date of last update: 31 Dec 2024

Sources: Kentucky Secretary of State

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