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DAVID W BERRY, DMD, LLC

Company Details

Name: DAVID W BERRY, DMD, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 17 Sep 2007 (17 years ago)
Organization Date: 17 Sep 2007 (17 years ago)
Last Annual Report: 16 May 2016 (9 years ago)
Managed By: Members
Organization Number: 0673746
ZIP code: 41051
Primary County: Kenton
Principal Office: 4205 RICHARDSON ROAD, INDEPENDENCE, KY 41051
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2017 261645779 2018-06-23 DAVID W. BERRY DMD, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Signature of

Role Plan administrator
Date 2018-06-23
Name of individual signing DAVID BERRY
Valid signature Filed with authorized/valid electronic signature
DAVID W BERRY DMD, LLC PROFIT SHARING PLAN 2017 261645779 2018-10-20 DAVID W BERRY DMD, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Signature of

Role Plan administrator
Date 2018-10-20
Name of individual signing DAVID BERRY
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2016 261645779 2017-06-27 DAVID W. BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing DAVID BERRY
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2015 261645779 2016-06-19 DAVID W. BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Signature of

Role Plan administrator
Date 2016-06-19
Name of individual signing DAVID BERRY
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2014 261645779 2015-03-24 DAVID W BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Signature of

Role Plan administrator
Date 2015-03-24
Name of individual signing DAVID W. BERRY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-24
Name of individual signing DAVID W. BERRY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2013 261645779 2014-03-25 DAVID W BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Signature of

Role Plan administrator
Date 2014-03-25
Name of individual signing DAVID W BERRY, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-25
Name of individual signing DAVID W BERRY, DMD
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2012 261645779 2013-05-08 DAVID W BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Signature of

Role Plan administrator
Date 2013-05-08
Name of individual signing DAVID W. BERRY, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-08
Name of individual signing DAVID W. BERRY, DMD
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2011 261645779 2012-05-04 DAVID W BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Plan administrator’s name and address

Administrator’s EIN 261645779
Plan administrator’s name SAME
Plan administrator’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051
Administrator’s telephone number 8593717000

Signature of

Role Plan administrator
Date 2012-05-04
Name of individual signing DAVID W. BERRY, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-04
Name of individual signing DAVID W. BERRY, DMD
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2010 261645779 2011-04-27 DAVID W BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Plan administrator’s name and address

Administrator’s EIN 261645779
Plan administrator’s name SAME
Plan administrator’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051
Administrator’s telephone number 8593717000

Signature of

Role Plan administrator
Date 2011-04-27
Name of individual signing DAVID W. BERRY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-27
Name of individual signing DAVID W. BERRY, D.M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID W. BERRY DMD, LLC PROFIT SHARING PLAN 2009 261645779 2010-05-17 DAVID W BERRY DMD, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Plan administrator’s name and address

Administrator’s EIN 261645779
Plan administrator’s name SAME
Plan administrator’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051
Administrator’s telephone number 8593717000

Signature of

Role Plan administrator
Date 2010-05-17
Name of individual signing DAVID W. BERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-17
Name of individual signing DAVID W. BERRY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8593717000
Plan sponsor’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051

Plan administrator’s name and address

Administrator’s EIN 261645779
Plan administrator’s name SAME
Plan administrator’s address 4205 RICHARDSON RD, INDEPENDENCE, KY, 41051
Administrator’s telephone number 8593717000

Signature of

Role Plan administrator
Date 2010-05-17
Name of individual signing DAVID W. BERRY, D.M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-05-17
Name of individual signing DAVID W. BERRY, D.M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Registered Agent

Name Role
DAVID W BERRY, DMD, LLC Registered Agent

Member

Name Role
DAVID W. BERRY Member

Organizer

Name Role
INDEPENDENCE Organizer

Filings

Name File Date
Administrative Dissolution Return 2017-10-30
Administrative Dissolution 2017-10-09
Sixty Day Notice Return 2017-08-28
Annual Report 2016-05-16
Annual Report 2015-04-22
Annual Report 2014-01-28
Annual Report 2013-03-25
Annual Report 2012-03-21
Annual Report 2011-02-24
Annual Report 2010-03-11

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State