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  5. COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC

COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC

Company Details

Name: COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 09 Nov 2006 (18 years ago)
Organization Date: 09 Nov 2006 (18 years ago)
Last Annual Report: 12 Jun 2024 (7 months ago)
Organization Number: 0650646
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42502
Primary County: Pulaski
Principal Office: 110 HARDIN LANE, SUITE 2, SOMERSET, KY 42502
Place of Formation: KENTUCKY
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 401(K) PROFIT SHARING PLAN 2023 205808061 2024-08-09 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 580 ALSIP TRAIL, CORBIN, KY, 40701
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 401(K) PROFIT SHARING PLAN 2022 205808061 2023-06-15 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 580 ALSIP TRAIL, CORBIN, KY, 40701
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC CASH BALANCE PLAN 2022 205808061 2023-10-12 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 580 ALSIP TRAIL, CORBIN, KY, 40701
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC CASH BALANCE PLAN 2022 205808061 2023-10-12 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 580 ALSIP TRAIL, CORBIN, KY, 40701
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 401(K) PROFIT SHARING PLAN 2021 205808061 2022-07-12 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 580 ALSIP TRAIL, CORBIN, KY, 40701
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC CASH BALANCE PLAN 2021 205808061 2022-07-14 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 580 ALSIP TRAIL, CORBIN, KY, 40701
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 401(K) PROFIT SHARING PLAN 2021 205808061 2022-06-24 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 15
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 580 ALSIP TRAIL, CORBIN, KY, 40701
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 401(K) PROFIT SHARING PLAN 2020 205808061 2021-07-26 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC CASH BALANCE PLAN 2020 205808061 2021-07-26 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 14
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC CASH BALANCE PLAN 2020 205808061 2021-09-03 COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/07/09/20200709115933NAL0018984896001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/03/17/20200317123545NAL0001290499001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/04/29/20190429163757P040199662455001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/16/20190916114427P030018098839001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/05/20180705113447P030039938417001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/06/27/20180627115649P030016773389001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/27/20170727095826P040055648973001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/27/20170727093956P040060118615001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/10/20160610132247P030094448605001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/04/11/20160411110858P030036635521001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715104123P040035967757001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/03/27/20150327150258P040199980177001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/31/20140331143626P030016065122001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/11/20140711112542P040011418271001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/07/20130307115626P040042064645001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502

Signature of
Role Plan administrator
Date 2013-03-07
Name of individual signing KAREN PARRISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-07
Name of individual signing KAREN PARRISH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/07/20120307065131P030048304849001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502

Plan administrator’s name and address
Administrator’s EIN 205808061
Plan administrator’s name COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC
Plan administrator’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
Administrator’s telephone number 6066789664

Signature of
Role Plan administrator
Date 2012-03-07
Name of individual signing KAREN PARRISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-07
Name of individual signing KAREN PARRISH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/26/20110426104202P030229271216001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502

Plan administrator’s name and address
Administrator’s EIN 205808061
Plan administrator’s name COMMONWEALTH PERIODONTICS & IMPLANT CENTER, PSC
Plan administrator’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
Administrator’s telephone number 6066789664

Signature of
Role Plan administrator
Date 2011-04-26
Name of individual signing KAREN PARRISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-26
Name of individual signing KAREN PARRISH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/07/20100507103933P040023390643001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6066789664
Plan sponsor’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502

Plan administrator’s name and address
Administrator’s EIN 205808061
Plan administrator’s name COMMONWEALTH PERIODONTICS IMPLANT CENTER, PSC
Plan administrator’s address 110 HARDIN LANE, SUITE 2, SOMERSET, KY, 42502
Administrator’s telephone number 6066789664

Signature of
Role Plan administrator
Date 2010-05-05
Name of individual signing KAREN PARRISH
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Lucinda Belcher Registered Agent

Vice President

Name Role
Lucidna Belcher Vice President

President

Name Role
WIL E CARROL President

Shareholder

Name Role
Lucinda Belcher Shareholder
WIL E Carroll Shareholder

Incorporator

Name Role
SUSAN B. GIBSON Incorporator
WILLIAM E. CARROLL Incorporator

Filings

Name File Date
Annual Report 2024-06-12
Annual Report 2023-04-17
Registered Agent name/address change 2023-04-17
Annual Report 2022-05-12
Annual Report 2021-04-19
Annual Report 2020-06-10
Annual Report 2019-06-04
Annual Report 2018-03-30
Annual Report 2017-04-17
Annual Report 2016-03-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

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