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  5. CUMBERLAND NEPHROLOGY, PLLC

CUMBERLAND NEPHROLOGY, PLLC

Company Details

Name: CUMBERLAND NEPHROLOGY, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 25 May 2005 (20 years ago)
Organization Date: 25 May 2005 (20 years ago)
Last Annual Report: 06 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0613793
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42503
Primary County: Pulaski
Principal Office: 104 HARDIN LANE, STE A, STE A, 104 HARDIN LANE, STE A, STE A, SOMERSET, SOMERSET, KY 42503
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2023 202804819 2024-05-03 CUMBERLAND NEPHROLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 104 HARDIN LANE, SUITE A, SOMERSET, KY, 42503
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2022 202804819 2023-07-17 CUMBERLAND NEPHROLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 104 HARDIN LANE, SUITE A, SOMERSET, KY, 42503
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2021 202804819 2022-05-24 CUMBERLAND NEPHROLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 104 HARDIN LANE, SUITE A, SOMERSET, KY, 42503
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2020 202804819 2021-04-21 CUMBERLAND NEPHROLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2019 202804819 2020-05-07 CUMBERLAND NEPHROLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2020-05-07
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2018 202804819 2019-06-12 CUMBERLAND NEPHROLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-12
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2017 202804819 2018-06-28 CUMBERLAND NEPHROLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND NEPHROLOGY, PLLC 401(K) PROFIT SHARING PLAN 2016 202804819 2017-07-28 CUMBERLAND NEPHROLOGY, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing DR. HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND NEPHROLOGY PLLC PROFIT SHARING PLAN 2012 202804819 2013-08-22 CUMBERLAND NEPHROLOGY PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND NEPHROLOGY PLLC PROFIT SHARING PLAN 2012 202804819 2013-08-22 CUMBERLAND NEPHROLOGY PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/30/20120730094236P030001703284002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 202804819
Plan administrator’s name CUMBERLAND NEPHROLOGY PLLC
Plan administrator’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503
Administrator’s telephone number 6066782063

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 202804819
Plan administrator’s name CUMBERLAND NEPHROLOGY PLLC
Plan administrator’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503
Administrator’s telephone number 6066782063

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing HAROLD HELTON
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 202804819
Plan administrator’s name CUMBERLAND NEPHROLOGY PLLC
Plan administrator’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503
Administrator’s telephone number 6066782063

Signature of
Role Plan administrator
Date 2011-05-30
Name of individual signing HAROLD HELTON
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/29/20110829160011P030017697266002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 202804819
Plan administrator’s name CUMBERLAND NEPHROLOGY PLLC
Plan administrator’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503
Administrator’s telephone number 6066782063

Signature of
Role Plan administrator
Date 2011-08-29
Name of individual signing HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 202804819
Plan administrator’s name CUMBERLAND NEPHROLOGY PLLC
Plan administrator’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503
Administrator’s telephone number 6066782063

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing PAMELA ELROD
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 202804819
Plan administrator’s name CUMBERLAND NEPHROLOGY PLLC
Plan administrator’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503
Administrator’s telephone number 6066782063

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing PAMELA ELROD
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/29/20100729081506P030404064065002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 6066782063
Plan sponsor’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 202804819
Plan administrator’s name CUMBERLAND NEPHROLOGY PLLC
Plan administrator’s address 100 HARDIN LANE, SUITE D, SOMERSET, KY, 42503
Administrator’s telephone number 6066782063

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing HAROLD HELTON
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
HAROLD HELTON MD Member
MATTHEW L SHEA Member

Organizer

Name Role
HAROLD HELTON, JR. M.D. Organizer

Registered Agent

Name Role
JOSEPH C. BENTON, ESQUIRE Registered Agent

Filings

Name File Date
Annual Report 2024-03-06
Annual Report 2023-03-22
Annual Report 2022-03-08
Principal Office Address Change 2021-04-14
Annual Report 2021-04-14
Annual Report 2020-06-19
Annual Report 2019-05-02
Annual Report 2018-06-25
Annual Report 2017-03-13
Annual Report 2016-03-08

Related by officers

JOSEPH C. BENTON, ESQUIRE

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Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Kentucky Secretary of State

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