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  5. AMY S. CARRICO, DMD, PLLC

AMY S. CARRICO, DMD, PLLC

Company Details

Name: AMY S. CARRICO, DMD, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 05 Apr 2005 (20 years ago)
Organization Date: 05 Apr 2005 (20 years ago)
Last Annual Report: 17 Feb 2025 (2 months ago)
Managed By: Managers
Organization Number: 0610241
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 2811 NEW HARTFORD RD SUITE D, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMY S. CARRICO DMD PLLC 401(K) PROFIT SHARING PLAN 2023 202821408 2024-07-25 AMY S. CARRICO DMD, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2811 NEW HARTFORD ROAD, SUITE D, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing AMY S. CARRICO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-23
Name of individual signing AMY S. CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) PROFIT SHARING PLAN 2022 202821408 2023-07-21 AMY S. CARRICO DMD, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2811 NEW HARTFORD ROAD, SUITE D, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2023-07-21
Name of individual signing AMY S. CARRICO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-21
Name of individual signing AMY S. CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) PROFIT SHARING PLAN 2021 202821408 2022-07-29 AMY S. CARRICO DMD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2811 NEW HARTFORD ROAD, SUITE D, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing AMY S. CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) P/S PLAN 2020 202821408 2021-09-15 AMY S. CARRICO DMD PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) P/S PLAN 2019 202821408 2020-07-20 AMY S. CARRICO DMD PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) P/S PLAN 2018 202821408 2019-09-20 AMY S. CARRICO DMD PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2019-09-20
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) P/S PLAN 2017 202821408 2018-06-16 AMY S. CARRICO DMD PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 2811 NEW HARTFORD RD STE D, OWENSBORO, KY, 42303
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2018-06-16
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) P/S PLAN 2016 202821408 2017-06-28 AMY S. CARRICO DMD PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2200 E PARRISH AVE STE 201C, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 2200 E PARRISH AVE STE 201C, OWENSBORO, KY, 42303
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) P/S PLAN 2015 202821408 2016-09-07 AMY S. CARRICO DMD PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 2200 E PARRISH AVE STE 201C, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 2200 E PARRISH AVE STE 201C, OWENSBORO, KY, 42303
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2016-09-07
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
AMY S. CARRICO DMD PLLC 401(K) P/S PLAN 2014 202821408 2015-07-22 AMY S. CARRICO DMD PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 1605 SCHERM ROAD, OWENSBORO, KY, 42301

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 1605 SCHERM ROAD, OWENSBORO, KY, 42301
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/09/20140509104553P040383234033001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 1605 SCHERM ROAD, OWENSBORO, KY, 42301

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 1605 SCHERM ROAD, OWENSBORO, KY, 42301
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2014-05-09
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531081010P030305981377001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2709251155
Plan sponsor’s address 1605 SCHERM ROAD, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 202821408
Plan administrator’s name AMY S. CARRICO DMD PLLC
Plan administrator’s address 1605 SCHERM ROAD, OWENSBORO, KY, 42303
Administrator’s telephone number 2709251155

Signature of
Role Plan administrator
Date 2013-05-31
Name of individual signing AMY CARRICO
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
AMY S. CARRICO, D.M.D. Registered Agent

Manager

Name Role
AMY CARRICO Manager

Organizer

Name Role
AMY S. CARRICO D.M.D. Organizer

Filings

Name File Date
Annual Report 2025-02-17
Annual Report 2024-03-12
Annual Report 2023-03-16
Annual Report 2022-03-06
Annual Report 2021-02-10
Annual Report 2020-03-25
Annual Report 2019-05-30
Annual Report 2018-05-11
Principal Office Address Change 2017-06-09
Annual Report 2017-06-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8103647705 2020-05-01 0457 PPP 2811 NEW RD, OWENSBORO, KY, 42303
Loan Status Date 2020-12-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57642
Loan Approval Amount (current) 57642
Undisbursed Amount 0
Franchise Name -
Lender Location ID 53803
Servicing Lender Name U.S. Bank, National Association
Servicing Lender Address 425 Walnut St, CINCINNATI, OH, 45202-3956
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address OWENSBORO, DAVIESS, KY, 42303-0100
Project Congressional District KY-02
Number of Employees 13
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 53803
Originating Lender Name U.S. Bank, National Association
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57973.44
Forgiveness Paid Date 2020-11-30

Related by officers

AMY CARRICO

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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