Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Pulaski
    4. ›
  4. 42564
    5. ›
  5. DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC

DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC

Company Details

Name: DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 22 Oct 2007 (17 years ago)
Organization Date: 22 Oct 2007 (17 years ago)
Last Annual Report: 31 May 2024 (8 months ago)
Managed By: Members
Organization Number: 0676403
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42564
Primary County: Pulaski
Principal Office: P.O. BOX 3535, WEST SOMERSET, KY 42564
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2023 743252760 2024-08-19 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621111
Sponsor’s telephone number 6067723376
Plan sponsor’s address 85 TOWER CIRCLE, SOMERSET, KY, 42503
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2022 743252760 2023-07-12 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621111
Sponsor’s telephone number 6067723376
Plan sponsor’s address P.O. BOX 3535, SOMERSET, KY, 42564
DERMATOLOGY OF SOUTHERN KENTUCKY PLLC CBS BENEFIT PLAN 2022 743252760 2023-12-27 DERMATOLOGY OF SOUTHERN KENTUCKY PLLC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621491
Sponsor’s telephone number 6066770336
Plan sponsor’s address 85 TOWER CIRCLE, SOMERSET, KY, 42503

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
DERMATOLOGY OF SOUTHERN KENTUCKY PLLC CBS BENEFIT PLAN 2021 743252760 2022-12-29 DERMATOLOGY OF SOUTHERN KENTUCKY PLLC 4
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621491
Sponsor’s telephone number 6066770336
Plan sponsor’s address 85 TOWER CIRCLE, SOMERSET, KY, 42503

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
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2021 743252760 2022-08-31 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621399
Sponsor’s telephone number 6067723376
Plan sponsor’s address PO BOX 3535, SOMERSET, KY, 42564
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2020 743252760 2021-08-06 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621399
Sponsor’s telephone number 6067723376
Plan sponsor’s address PO BOX 3535, SOMERSET, KY, 42564
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2019 743252760 2020-07-23 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621399
Sponsor’s telephone number 6067723376
Plan sponsor’s address PO BOX 3535, SOMERSET, KY, 42564
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2018 743252760 2019-07-26 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621399
Sponsor’s telephone number 6067723376
Plan sponsor’s address PO BOX 3535, SOMERSET, KY, 42564
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2017 743252760 2018-07-20 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621399
Sponsor’s telephone number 6067723376
Plan sponsor’s address PO BOX 3535, SOMERSET, KY, 42564
DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 401(K) PROFIT SHARING PLAN 2016 743252760 2017-07-28 DERMATOLOGY OF SOUTHERN KENTUCKY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621399
Sponsor’s telephone number 6067723376
Plan sponsor’s address PO BOX 3535, SOMERSET, KY, 42564
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/22/20160722115154P030044412119001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2015-04-15
Business code 621399
Sponsor’s telephone number 6067723376
Plan sponsor’s address PO BOX 3535, SOMERSET, KY, 42564

Registered Agent

Name Role
BRIAN L. BAKER Registered Agent

Member

Name Role
Brian L Baker Member

Organizer

Name Role
BRIAN L. BAKER Organizer

Assumed Names

Name Status Expiration Date
BAKER DERMATOLOGY Active 2025-11-03
DERM SOUTH Inactive 2022-10-22

Filings

Name File Date
Annual Report 2024-05-31
Annual Report 2023-03-23
Annual Report 2022-07-12
Annual Report 2021-05-06
Certificate of Assumed Name 2020-11-03
Annual Report 2020-06-16
Annual Report 2019-05-21
Annual Report 2018-06-07
Name Renewal 2017-05-22
Annual Report 2017-03-16

Related by officers

BRIAN L. BAKER

BRIAN BAKER PROPERTIES, LLC

Related by address

No related companies by address

Date of last update: 11 Jan 2025

Sources: Kentucky Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 kyprofile.com, Part of Big Data Integrated