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  5. PULMONARY AND SLEEP CLINIC, PLLC

PULMONARY AND SLEEP CLINIC, PLLC

Company Details

Name: PULMONARY AND SLEEP CLINIC, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 28 Feb 2006 (19 years ago)
Organization Date: 28 Feb 2006 (19 years ago)
Last Annual Report: 16 May 2024 (8 months ago)
Managed By: Managers
Organization Number: 0633263
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42240
Primary County: Christian
Principal Office: 1739 CANTON ST., HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2016 743167366 2017-02-01 PULMONARY AND SLEEP CLINIC, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2704843775
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2704843775

Signature of
Role Plan administrator
Date 2017-02-01
Name of individual signing GEETA CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2016 743167366 2017-06-28 PULMONARY AND SLEEP CLINIC, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2704843775
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing GEETA CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2015 743167366 2016-05-06 PULMONARY AND SLEEP CLINIC, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2704843775
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2704843775

Signature of
Role Plan administrator
Date 2016-05-06
Name of individual signing GEETA CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2014 743167366 2015-07-21 PULMONARY AND SLEEP CLINIC, PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2704843775
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2704843775

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing GEETA CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2013 743167366 2014-04-23 PULMONARY AND SLEEP CLINIC, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2704843775
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2704843775

Signature of
Role Plan administrator
Date 2014-04-23
Name of individual signing GEETA CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2012 743167366 2013-05-28 PULMONARY AND SLEEP CLINIC, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2708811813
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708811813

Signature of
Role Plan administrator
Date 2013-05-28
Name of individual signing SANJAY CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2011 743167366 2012-05-07 PULMONARY AND SLEEP CLINIC, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708811813

Signature of
Role Plan administrator
Date 2012-05-07
Name of individual signing SANJAY CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2010 743167366 2011-04-13 PULMONARY AND SLEEP CLINIC, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2708811813
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708811813

Signature of
Role Plan administrator
Date 2011-04-13
Name of individual signing SANJAY CHAVDA
Valid signature Filed with authorized/valid electronic signature
PULMONARY AND SLEEP CLINIC, PLLC 401(K) P/S PLAN 2009 743167366 2010-06-21 PULMONARY AND SLEEP CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2708811813
Plan sponsor’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 743167366
Plan administrator’s name PULMONARY AND SLEEP CLINIC, PLLC
Plan administrator’s address 1739 CANTON STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708811813

Signature of
Role Plan administrator
Date 2010-06-21
Name of individual signing SANJAY CHAVDA
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
SANJAY CHAVDA, M.D. Registered Agent

Manager

Name Role
SANJAY CHAVDA MD Manager
GEETA CHAVDA MD Manager

Organizer

Name Role
SANJAY CHAVDA, M.D. Organizer

Filings

Name File Date
Annual Report 2024-05-16
Registered Agent name/address change 2024-05-16
Principal Office Address Change 2024-05-16
Annual Report 2023-03-16
Annual Report 2022-03-24
Annual Report 2021-02-24
Annual Report 2020-02-13
Annual Report 2019-04-29
Annual Report 2018-04-24
Annual Report 2017-04-28

Related by officers

SANJAY CHAVDA, M.D.

WESTERN KENTUCKY PULMONARY CLINIC, P.S.C. SOUTHERN KENTUCKY PRIMARY CARE, P.S.C.

Related by address

1739 CANTON ST., HOPKINSVILLE, KY 42240

CHAVDA RENTAL PROPERTIES, LLC

Date of last update: 11 Nov 2024

Sources: Kentucky Secretary of State

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