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TRIPLE CROWN ANESTHESIA, PLLC

Company Details

Name: TRIPLE CROWN ANESTHESIA, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 28 Jun 2007 (18 years ago)
Organization Date: 28 Jun 2007 (18 years ago)
Last Annual Report: 26 Jul 2024 (6 months ago)
Managed By: Managers
Organization Number: 0667782
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40245
Primary County: Jefferson
Principal Office: TRIPLE CROWN ANESTHESIA, 12307 OLD LAGRANGE RD, STE 105 LOUISVILLE, KY 40245
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2019 260269297 2020-07-14 TRIPLE CROWN ANESTHESIA, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2019 260269297 2020-07-14 TRIPLE CROWN ANESTHESIA, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2018 260269297 2019-08-06 TRIPLE CROWN ANESTHESIA, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2017 260269297 2018-10-09 TRIPLE CROWN ANESTHESIA, PLLC 2
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2017 260269297 2019-07-30 TRIPLE CROWN ANESTHESIA, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2015 260269297 2016-09-29 TRIPLE CROWN ANESTHESIA, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416

Signature of

Role Plan administrator
Date 2016-09-29
Name of individual signing DEBRA A. BARBER
Valid signature Filed with authorized/valid electronic signature
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2014 260269297 2015-09-21 TRIPLE CROWN ANESTHESIA, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416

Signature of

Role Plan administrator
Date 2015-09-21
Name of individual signing DEBRA A. BARBER
Valid signature Filed with authorized/valid electronic signature
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2013 260269297 2014-10-01 TRIPLE CROWN ANESTHESIA, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416

Signature of

Role Plan administrator
Date 2014-10-01
Name of individual signing DEBRA A. BARBER
Valid signature Filed with authorized/valid electronic signature
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PENSION PLAN 2012 260269297 2013-10-14 TRIPLE CROWN ANESTHESIA, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing DEBRA A. BARBER
Valid signature Filed with authorized/valid electronic signature
TRIPLE CROWN ANESTHESIA, PLLC DEFINED BENEFIT PEN 2011 260269297 2012-07-11 TRIPLE CROWN ANESTHESIA, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416

Plan administrator’s name and address

Administrator’s EIN 260269297
Plan administrator’s name TRIPLE CROWN ANESTHESIA, PLLC
Plan administrator’s address 444 SOUTH 1ST STREET, SUITE 202, LOUISVILLE, KY, 402021416
Administrator’s telephone number 5027183437

Signature of

Role Plan administrator
Date 2012-07-11
Name of individual signing DEBRA A. BARBER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/19/20110919090709P030132900321001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST ST., SUITE 202, LOUISVILLE, KY, 402021416

Plan administrator’s name and address

Administrator’s EIN 260269297
Plan administrator’s name TRIPLE CROWN ANESTHESIA PLLC
Plan administrator’s address 444 SOUTH 1ST ST., SUITE 202, LOUISVILLE, KY, 402021416
Administrator’s telephone number 5027183437

Signature of

Role Plan administrator
Date 2011-09-19
Name of individual signing DEBRA A. BARBER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/24/20100924181041P030011405569001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5027183437
Plan sponsor’s address 444 SOUTH 1ST ST., SUITE 202, LOUISVILLE, KY, 402021416

Plan administrator’s name and address

Administrator’s EIN 260269297
Plan administrator’s name TRIPLE CROWN ANESTHESIA PLLC
Plan administrator’s address 444 SOUTH 1ST ST., SUITE 202, LOUISVILLE, KY, 402021416
Administrator’s telephone number 5027183437

Signature of

Role Plan administrator
Date 2010-09-24
Name of individual signing THOMAS M. KOCH
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DEBBIE BARBER, CRNA Registered Agent

Manager

Name Role
Debra Ann Barber Manager
Lara A Barrow Manager

Organizer

Name Role
KEITH HORNUNG, MD Organizer
DEBBIE BARBER, CRNA Organizer

Filings

Name File Date
Annual Report 2024-07-26
Annual Report 2023-03-16
Principal Office Address Change 2023-01-25
Annual Report 2022-03-06
Annual Report 2021-02-15
Annual Report 2020-02-12
Annual Report 2019-01-30
Annual Report 2018-03-06
Annual Report 2017-03-03
Annual Report 2016-03-22

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State