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ZIA NEUROLOGY ASSOCIATES, LLC

Company Details

Name: ZIA NEUROLOGY ASSOCIATES, LLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 31 Jan 2005 (20 years ago)
Organization Date: 31 Jan 2005 (20 years ago)
Last Annual Report: 18 Feb 2021 (4 years ago)
Managed By: Members
Organization Number: 0604934
ZIP code: 42101
Primary County: Warren
Principal Office: 523 PARK STREET, BOWLING GREEN, KY 42101
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2020 205127711 2021-10-13 ZIA NEUROLOGY ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 523 PARK ST, BOWLING GREEN, KY, 421011765

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2019 205127711 2020-10-12 ZIA NEUROLOGY ASSOCIATES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 523 PARK STREET, BOWLING GREEN, KY, 421011765

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2019 205127711 2020-10-12 ZIA NEUROLOGY ASSOCIATES, LLC 9
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 523 PARK STREET, BOWLING GREEN, KY, 421011765

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2018 205127711 2019-07-23 ZIA NEUROLOGY ASSOCIATES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 523 PARK STREET, BOWLING GREEN, KY, 421011765

Signature of

Role Plan administrator
Date 2019-07-23
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2017 205127711 2018-10-17 ZIA NEUROLOGY ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 523 PARK STREET, BOWLING GREEN, KY, 421011765

Signature of

Role Plan administrator
Date 2018-10-16
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-16
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2016 205127711 2017-10-16 ZIA NEUROLOGY ASSOCIATES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 523 PARK STREET, BOWLING GREEN, KY, 42101

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2015 205127711 2016-05-11 ZIA NEUROLOGY ASSOCIATES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 996 WILKINSON TRACE, SUITE #A-7, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2016-05-11
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-11
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2014 205127711 2015-07-23 ZIA NEUROLOGY ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 996 WILKINSON TRACE, SUITE #A-7, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2015-07-23
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN 2013 205127711 2014-09-25 ZIA NEUROLOGY ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 996 WILKINSON TRACE, SUITE #A-7, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2014-09-25
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-25
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
ZIA NEUROLOGY ASSOCIATES LLC 401K PLAN 2012 200792657 2013-07-15 ZIA NEUROLOGY ASSOCIATES LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 996 WILKINSON TRACE SUITE #A-7, BOWLING GREEN, KY, 42103

Signature of

Role Plan administrator
Date 2013-07-15
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/07/20120807110120P040025065698001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 996 WILKINSON TRACE SUITE #A-7, BOWLING GREEN, KY, 42103

Plan administrator’s name and address

Administrator’s EIN 200792657
Plan administrator’s name ZIA NEUROLOGY ASSOCIATES LLC
Plan administrator’s address 996 WILKINSON TRACE SUITE #A-7, BOWLING GREEN, KY, 42103
Administrator’s telephone number 2703938418

Signature of

Role Plan administrator
Date 2012-08-07
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/19/20110919134507P040614796512001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 996 WILKINSON TRACE, SUITE A-7, BOWLING GREEN, KY, 42103

Plan administrator’s name and address

Administrator’s EIN 200762657
Plan administrator’s name ZIA NEUROLOGY ASSOCIATES LLC
Plan administrator’s address 996 WILKINSON TRACE SUITE A-7, BOWLING GREEN, KY, 42103
Administrator’s telephone number 2703938418

Signature of

Role Plan administrator
Date 2011-09-19
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/08/20100708083856P040116741186028.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 2703938418
Plan sponsor’s address 996 WILKINSON TRACE, SUITE A-7, BOWLING GREEN, KY, 42103

Plan administrator’s name and address

Administrator’s EIN 200762657
Plan administrator’s name ZIA NEUROLOGY ASSOCIATES LLC
Plan administrator’s address 996 WILKINSON TRACE SUITE A-7, BOWLING GREEN, KY, 42103
Administrator’s telephone number 2703938418

Signature of

Role Plan administrator
Date 2010-07-07
Name of individual signing AMIR ZIA
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
AMIR ZIA, M.D. Organizer

Registered Agent

Name Role
AMIR ZIA Registered Agent

Member

Name Role
Amir Zia Member

Filings

Name File Date
Sixty Day Notice Return 2022-10-17
Administrative Dissolution 2022-10-04
Annual Report 2021-02-18
Annual Report 2020-03-20
Annual Report 2019-04-22
Registered Agent name/address change 2018-04-24
Registered Agent name/address change 2018-04-24
Principal Office Address Change 2018-04-24
Annual Report 2018-04-24
Annual Report Amendment 2018-04-24

Date of last update: 04 Nov 2024

Sources: Kentucky Secretary of State