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STRAUSS FAMILY PRACTICE, LLC

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Company Details

Name: STRAUSS FAMILY PRACTICE, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 10 Nov 2004 (21 years ago)
Organization Date: 10 Nov 2004 (21 years ago)
Last Annual Report: 23 Feb 2011 (14 years ago)
Managed By: Members
Organization Number: 0598918
ZIP code: 40456
City: Mount Vernon, Climax, Conway, Disputanta
Primary County: Rockcastle County
Principal Office: PO BOX 4019, 225 RICHMOND ST, MOUNT VERNON, KY 40456-4019
Place of Formation: KENTUCKY

Registered Agent

Name Role
JON M. STRAUSS Registered Agent

Member

Name Role
Jon M. Strauss Member

Signature

Name Role
jon m. strauss Signature
Jon Strauss Signature

Organizer

Name Role
JON M. STRAUSS Organizer

National Provider Identifier

NPI Number:
1063456390

Authorized Person:

Name:
JON M STRAUSS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6063922304

Form 5500 Series

Employer Identification Number (EIN):
611168644
Plan Year:
2010
Number Of Participants:
19
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution Return 2012-09-26
Administrative Dissolution 2012-09-11
Sixty Day Notice Return 2012-07-18
Annual Report Return 2012-03-01
Annual Report 2011-02-23

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Sources: Kentucky Secretary of State