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  5. PROFESSIONAL PHARMACY OF HAZARD, PLLC

PROFESSIONAL PHARMACY OF HAZARD, PLLC

Company Details

Name: PROFESSIONAL PHARMACY OF HAZARD, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 28 Mar 2006 (19 years ago)
Organization Date: 28 Mar 2006 (19 years ago)
Last Annual Report: 29 Jun 2014 (11 years ago)
Managed By: Members
Organization Number: 0635479
ZIP code: 41701
Primary County: Perry
Principal Office: 124 GRANDVIEW PLAZA, UNIT #6, HAZARD, KY 41701
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROFESSIONAL PHARMACY OF HAZARD 401(K) PLAN 2014 204576459 2015-11-04 PROFESSIONAL PHARMACY OF HAZARD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 446110
Sponsor’s telephone number 6064361034
Plan sponsor’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842

Signature of
Role Plan administrator
Date 2015-11-04
Name of individual signing DANIEL THIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-11-04
Name of individual signing DANIEL THIES
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PHARMACY OF HAZARD 401(K) PLAN 2014 204576459 2015-05-28 PROFESSIONAL PHARMACY OF HAZARD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 446110
Sponsor’s telephone number 6064361034
Plan sponsor’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing DANIEL THIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-28
Name of individual signing DANIEL THIES
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PHARMACY OF HAZARD 401(K) PLAN 2013 204576459 2014-07-22 PROFESSIONAL PHARMACY OF HAZARD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 446110
Sponsor’s telephone number 6064361034
Plan sponsor’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing DAN THIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing DAN THIES
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PHARMACY OF HAZARD 401(K) PLAN 2012 204576459 2013-07-16 PROFESSIONAL PHARMACY OF HAZARD, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 446110
Sponsor’s telephone number 6064361034
Plan sponsor’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing TERESA THIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing TERESA THIES
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PHARMACY OF HAZARD 401(K) PLAN 2011 204576459 2012-06-13 PROFESSIONAL PHARMACY OF HAZARD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 446110
Sponsor’s telephone number 6064361034
Plan sponsor’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842

Plan administrator’s name and address
Administrator’s EIN 204576459
Plan administrator’s name PROFESSIONAL PHARMACY OF HAZARD, PLLC
Plan administrator’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842
Administrator’s telephone number 6064361034

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing TERESA THIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-13
Name of individual signing TERESA THIES
Valid signature Filed with authorized/valid electronic signature
PROFESSIONAL PHARMACY OF HAZARD 401(K) PLAN 2010 204576459 2011-07-15 PROFESSIONAL PHARMACY OF HAZARD, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 446110
Sponsor’s telephone number 6064361034
Plan sponsor’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842

Plan administrator’s name and address
Administrator’s EIN 204576459
Plan administrator’s name PROFESSIONAL PHARMACY OF HAZARD, PLLC
Plan administrator’s address 124 GRAND VUE PLZ UNIT 6, HAZARD, KY, 417016842
Administrator’s telephone number 6064361034

Signature of
Role Plan administrator
Date 2011-07-15
Name of individual signing TERRY THIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-15
Name of individual signing TERRY THIES
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DANIEL GLEN THIES Registered Agent

Member

Name Role
Daniel Glen Thies Member

Organizer

Name Role
DANIEL GLEN THIES Organizer

Filings

Name File Date
Administrative Dissolution 2015-09-12
Sixty Day Notice Return 2015-07-28
Annual Report 2014-06-29
Annual Report 2013-06-25
Annual Report 2012-01-15
Annual Report 2011-06-08
Annual Report 2010-06-24
Annual Report 2009-05-12
Annual Report 2008-01-17
Annual Report 2007-03-08

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Kentucky Secretary of State

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