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  5. HYDEN PEDIATRIC DENTISTRY, PLLC

HYDEN PEDIATRIC DENTISTRY, PLLC

Company Details

Name: HYDEN PEDIATRIC DENTISTRY, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 20 Apr 2007 (18 years ago)
Organization Date: 20 Apr 2007 (18 years ago)
Last Annual Report: 13 Mar 2024 (10 months ago)
Managed By: Members
Organization Number: 0662706
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41653
Primary County: Floyd
Principal Office: 38 GRACE DRIVE, PRESTONSBURG, KY 41653
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HYDEN PEDIATRIC DENTISTRY 401(K) PLAN 2023 208920573 2024-06-05 HYDEN PEDIATRIC DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY 401(K) PLAN 2022 208920573 2023-06-19 HYDEN PEDIATRIC DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2023-06-19
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY CBS BENEFIT PLAN 2022 208920573 2023-12-27 HYDEN PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-09-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY CBS BENEFIT PLAN 2021 208920573 2022-12-29 HYDEN PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-09-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY 401(K) PLAN 2021 208920573 2022-05-31 HYDEN PEDIATRIC DENTISTRY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY CBS BENEFIT PLAN 2020 208920573 2021-12-14 HYDEN PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-09-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY 401(K) PLAN 2020 208920573 2021-07-14 HYDEN PEDIATRIC DENTISTRY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2021-07-14
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY 401(K) PLAN 2019 208920573 2020-06-30 HYDEN PEDIATRIC DENTISTRY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY 401(K) PLAN 2019 208920573 2020-06-17 HYDEN PEDIATRIC DENTISTRY 13
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2020-06-17
Name of individual signing DREED8024
Valid signature Filed with authorized/valid electronic signature
HYDEN PEDIATRIC DENTISTRY 401(K) PLAN 2018 208920573 2019-06-10 HYDEN PEDIATRIC DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/06/20/20180620154128P030008292225001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/12/20170612110821P030004118519001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/28/20160628224413P030013752679001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/23/20150623224238P030072025217001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2015-06-23
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/19/20140619111759P040451760881001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2014-06-19
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/19/20130619110758P040092825909001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Signature of
Role Plan administrator
Date 2013-06-19
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/13/20120613111158P030003108646001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address
Administrator’s EIN 208920573
Plan administrator’s name HYDEN PEDIATRIC DENTISTRY
Plan administrator’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653
Administrator’s telephone number 6068866565

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/20/20110620104603P040002333156001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Business code 621210
Sponsor’s telephone number 6068866565
Plan sponsor’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653

Plan administrator’s name and address
Administrator’s EIN 208920573
Plan administrator’s name HYDEN PEDIATRIC DENTISTRY
Plan administrator’s address 38 GRACE DRIVE, PRESTONSBURG, KY, 41653
Administrator’s telephone number 6068866565

Signature of
Role Plan administrator
Date 2011-06-20
Name of individual signing DIANA REED
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
SETH HYDEN Registered Agent

Member

Name Role
SETH HYDEN Member

Organizer

Name Role
SETH HYDEN Organizer

Filings

Name File Date
Annual Report 2024-03-13
Annual Report 2023-04-12
Annual Report 2022-04-12
Annual Report 2021-04-08
Annual Report 2020-03-11
Annual Report 2019-04-26
Annual Report 2018-04-18
Annual Report 2017-03-20
Annual Report 2016-03-14
Annual Report 2015-04-03

Related by officers

SETH HYDEN

JAVA MANAGEMENT GROUP, LLC

SETH HYDEN

JAVA MANAGEMENT GROUP, LLC

Related by address

38 GRACE DRIVE, PRESTONSBURG, KY 41653

JAVA MANAGEMENT GROUP, LLC

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

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