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  5. WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC

WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC

Company Details

Name: WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 21 Feb 2007 (18 years ago)
Organization Date: 21 Feb 2007 (18 years ago)
Last Annual Report: 08 Apr 2016 (9 years ago)
Managed By: Members
Organization Number: 0658122
ZIP code: 42240
Primary County: Christian
Principal Office: 1722 HIGH STREET, HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTERN KENTUCKY SURGICAL ASSOCIATES 401(K) PLAN 2015 208498007 2016-10-09 WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708858505
Plan sponsor’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2016-10-09
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-09
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
WESTERN KENTUCKY SURGICAL ASSOCIATES 401(K) PLAN 2014 208498007 2015-10-12 WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708858505
Plan sponsor’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
WESTERN KENTUCKY SURGICAL ASSOCIATES 401(K) PLAN 2013 208498007 2014-07-30 WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708858505
Plan sponsor’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
WESTERN KENTUCKY SURGICAL ASSOCIATES 401(K) PLAN 2012 208498007 2013-02-25 WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708858505
Plan sponsor’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240

Signature of
Role Plan administrator
Date 2013-02-23
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-23
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
WESTERN KENTUCKY SURGICAL ASSOCIATES 401(K) PLAN 2011 208498007 2012-09-26 WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708858505
Plan sponsor’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 208498007
Plan administrator’s name WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708858505

Signature of
Role Plan administrator
Date 2012-09-24
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
WESTERN KENTUCKY SURGICAL ASSOCIATES 401(K) PLAN 2010 208498007 2011-06-06 WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708858505
Plan sponsor’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 208498007
Plan administrator’s name WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708858505

Signature of
Role Plan administrator
Date 2011-06-06
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature
WESTERN KENTUCKY SURGICAL ASSOCIATES 401(K) PLAN 2009 208498007 2010-07-16 WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2708858505
Plan sponsor’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 208498007
Plan administrator’s name WESTERN KENTUCKY SURGICAL ASSOCIATES, PLLC
Plan administrator’s address 1722 HIGH STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708858505

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing MATTHEW ROBINSON
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
LEE T. WHITE Registered Agent

Organizer

Name Role
LEE T. WHITE Organizer

Member

Name Role
Matthew S Robinson Member

Assumed Names

Name Status Expiration Date
PENNYRILE BARIATRIC SURGERY Inactive 2015-05-04

Filings

Name File Date
Dissolution 2016-09-14
Annual Report 2016-04-08
Annual Report 2015-05-12
Annual Report 2014-04-07
Annual Report 2013-06-17
Annual Report 2012-05-29
Annual Report 2011-02-14
Annual Report 2010-05-10
Certificate of Assumed Name 2010-05-04
Annual Report 2009-06-01

Related by officers

LEE T. WHITE

NATIONAL ALLIANCE, INC. KENTUCKY LAKE SAILING CLUB, INC. MAPLEHURST FARM, INC. RECORD MANAGEMENT SYSTEMS, INC. HEART OF HOPKINSVILLE, INC. MONEY EXPRESS FINANCIAL SERVICES, INC. BUS STATION PROPERTIES, LLC C. LANCE LOVE, M.D., PLLC WHITE HYDRAULICS GLOBAL DEVELOPMENT, LLC COWABUNGA VENTURES, LLC

Matthew S Robinson

LRVW ENTERPRISES, LLC Full House Ventures, LLC

Related by address

1722 HIGH STREET, HOPKINSVILLE, KY 42240

C. LANCE LOVE, M.D., PLLC LRVW ENTERPRISES, LLC

Date of last update: 11 Jan 2025

Sources: Kentucky Secretary of State

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