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  5. DANVILLE SURGICAL ASSOCIATES, PLLC

DANVILLE SURGICAL ASSOCIATES, PLLC

Company Details

Name: DANVILLE SURGICAL ASSOCIATES, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 08 Feb 2007 (18 years ago)
Organization Date: 08 Feb 2007 (18 years ago)
Last Annual Report: 21 Aug 2023 (a year ago)
Managed By: Members
Organization Number: 0657020
ZIP code: 40422
Primary County: Boyle
Principal Office: 210 WEST MAIN STREET, DANVILLE, KY 40422
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2020 611287456 2021-07-16 DANVILLE SURGICAL ASSOCIATES, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W MAIN ST, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing THERESA ELWOOD
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2020 611287456 2021-10-18 DANVILLE SURGICAL ASSOCIATES, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W MAIN ST, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2021-10-18
Name of individual signing THERESA ELWOOD
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2019 611287456 2020-10-09 DANVILLE SURGICAL ASSOCIATES, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W MAIN ST, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing THERESA ELWOOD
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2018 611287456 2019-09-25 DANVILLE SURGICAL ASSOCIATES, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W MAIN ST, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing THERESA ELWOOD
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2017 611287456 2018-10-03 DANVILLE SURGICAL ASSOCIATES, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W MAIN ST, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing THERESA ELWOOD
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2015 611287456 2016-07-11 DANVILLE SURGICAL ASSOCIATES, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W. MAIN STREET, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing BARRY A. SPOONAMORE, M.D.
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2014 611287456 2015-07-16 DANVILLE SURGICAL ASSOCIATES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W. MAIN STREET, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing BARRY A. SPOONAMORE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing BARRY A. SPOONAMORE, M.D.
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2013 611287456 2014-06-12 DANVILLE SURGICAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W. MAIN STREET, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2014-06-12
Name of individual signing BARRY A. SPOONAMORE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-12
Name of individual signing BARRY A. SPOONAMORE, M.D.
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2012 611287456 2013-05-24 DANVILLE SURGICAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W. MAIN STREET, DANVILLE, KY, 40422

Signature of
Role Plan administrator
Date 2013-05-24
Name of individual signing BARRY A. SPOONAMORE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-24
Name of individual signing BARRY A. SPOONAMORE, M.D.
Valid signature Filed with authorized/valid electronic signature
DANVILLE SURGICAL ASSOCIATES, PLLC 401(K) PLAN 2011 611287456 2012-07-18 DANVILLE SURGICAL ASSOCIATES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W. MAIN STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 611287456
Plan administrator’s name DANVILLE SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 210 W. MAIN STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592360712

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing BARRY A SPOONAMORE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing DANVILLE SURGICAL ASSOCIATES, PLLC
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W. MAIN STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 611287456
Plan administrator’s name DANVILLE SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 210 W. MAIN STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592360712

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing BARRY A SPOONAMORE, MD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing BARRY A SPOONAMORE, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726162019P030031802503001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8592360712
Plan sponsor’s address 210 W. MAIN STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 611287456
Plan administrator’s name DANVILLE SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 210 W. MAIN STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592360712

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing BARRY A SPOONAMORE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing BARRY A SPOONAMORE, MD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
BARRY A. SPOONAMORE, M.D. Registered Agent

Member

Name Role
BARRY A SPOONAMORE Member

Organizer

Name Role
BARRY A. SPOONAMORE, M.D. Organizer
DAVID O. MONTGOMERY, M.D. Organizer

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-08-21
Annual Report 2022-06-02
Annual Report 2021-06-08
Annual Report 2020-03-11
Annual Report 2019-06-05
Annual Report 2018-04-27
Annual Report 2017-04-28
Annual Report 2016-03-17
Annual Report 2015-04-17

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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