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CUMBERLAND NEPHROLOGY, PLLC

Company Details

Name: CUMBERLAND NEPHROLOGY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 May 2005 (20 years ago)
Organization Date: 25 May 2005 (20 years ago)
Last Annual Report: 06 Mar 2025 (a month ago)
Managed By: Members
Organization Number: 0613793
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
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
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
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/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

Registered Agent

Name Role
JOSEPH C. BENTON, ESQUIRE Registered Agent

Member

Name Role
HAROLD HELTON MD Member
MATTHEW L SHEA Member

Organizer

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

Filings

Name File Date
Annual Report 2025-03-06
Annual Report 2024-03-06
Annual Report 2023-03-22
Annual Report 2022-03-08
Annual Report 2021-04-14
Principal Office Address Change 2021-04-14
Annual Report 2020-06-19
Annual Report 2019-05-02
Annual Report 2018-06-25
Annual Report 2017-03-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8701787102 2020-04-15 0457 PPP 100 Hardin Ln. Ste D, SOMERSET, KY, 42503
Loan Status Date 2020-12-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50527
Loan Approval Amount (current) 50527
Undisbursed Amount 0
Franchise Name -
Lender Location ID 26900
Servicing Lender Name First & Farmers National Bank, Inc.
Servicing Lender Address 2020 S Hwy 27, SOMERSET, KY, 42501-2926
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SOMERSET, PULASKI, KY, 42503-1002
Project Congressional District KY-05
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 26900
Originating Lender Name First & Farmers National Bank, Inc.
Originating Lender Address SOMERSET, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 50817.53
Forgiveness Paid Date 2020-11-17

Sources: Kentucky Secretary of State