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  5. SOMERSET PEDIATRIC SPECIALISTS, PLLC

SOMERSET PEDIATRIC SPECIALISTS, PLLC

Company Details

Name: SOMERSET PEDIATRIC SPECIALISTS, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 01 Jan 2009 (16 years ago)
Organization Date: 01 Jan 2009 (16 years ago)
Last Annual Report: 18 Aug 2020 (4 years ago)
Managed By: Members
Organization Number: 0718915
ZIP code: 42501
Primary County: Pulaski
Principal Office: 350 LANGDON STREET, SOMERSET, KY 42501
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2018 263918799 2019-06-04 SOMERSET PEDIATRIC SPECIALISTS, PLLC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing LISETTE GARRETT
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2018 263918799 2019-11-22 SOMERSET PEDIATRIC SPECIALISTS, PLLC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2019-11-22
Name of individual signing LISETTE GARRETT
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2017 263918799 2018-05-07 SOMERSET PEDIATRIC SPECIALISTS, PLLC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2018-05-07
Name of individual signing LISETTE GARRETT
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2016 263918799 2017-08-15 SOMERSET PEDIATRIC SPECIALISTS, PLLC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2017-08-15
Name of individual signing LISETTE GARRETT
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2015 263918799 2016-06-14 SOMERSET PEDIATRIC SPECIALISTS, PLLC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2016-06-14
Name of individual signing LISETTE GARRETT
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2014 263918799 2015-07-07 SOMERSET PEDIATRIC SPECIALISTS, PLLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing LISETTE GARRETT
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2013 263918799 2014-08-29 SOMERSET PEDIATRIC SPECIALISTS, PLLC 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2014-08-29
Name of individual signing LISETTE GARRETT, M.D.
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2012 263918799 2013-10-14 SOMERSET PEDIATRIC SPECIALISTS, PLLC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing LISETTE GARRETT, M.D.
Valid signature Filed with authorized/valid electronic signature
SOMERSET PEDIATRIC SPECIALISTS PLLC 401(K) PROFIT SHARING 2011 263918799 2012-07-17 SOMERSET PEDIATRIC SPECIALISTS, PLLC 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6066788155
Plan sponsor’s address 350 LANGDON STREET, SOMERSET, KY, 42503

Plan administrator’s name and address
Administrator’s EIN 263918799
Plan administrator’s name SOMERSET PEDIATRIC SPECIALISTS, PLLC
Plan administrator’s address 350 LANGDON STREET, SOMERSET, KY, 42503
Administrator’s telephone number 6066788155

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing DANA L. GIBSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing DANA L. GIBSON, M.D.
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
DEANNA GRUBBS, MD Member
MELISSA HANSFORD MD Member
CHERICE PATTERSON, MD Member
LISETTE GARRETT, MD Member

Organizer

Name Role
DR. MICHAEL MCBRIDE Organizer
DR. LISETTE GARRETT Organizer
DR. ANITA FACKLER Organizer
DR. CHERICE PATTERSON Organizer
DR. DANA GIBSON Organizer
DR. GLEN BLACKBURN Organizer
DR. MELISSA HANSFORD Organizer

Registered Agent

Name Role
DR. LISETTE GARRETT Registered Agent

Assumed Names

Name Status Expiration Date
CHILDREN'S CLINIC OF SOMERSET Inactive 2024-01-13
SOMERSET PEDIATRIC AND ADOLESCENT ASSOCIATES Inactive 2023-04-23

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-08-18
Annual Report 2019-04-25
Name Renewal 2019-01-03
Annual Report 2018-04-13
Name Renewal 2018-03-26
Name Renewal 2018-03-26
Annual Report 2017-04-25
Annual Report 2016-03-23
Annual Report 2015-04-08

Related by officers

DEANNA GRUBBS, MD

DOCS 4 KIDS, LLC

MELISSA HANSFORD MD

DOCS 4 KIDS, LLC

CHERICE PATTERSON, MD

DOCS 4 KIDS, LLC

Related by address

No related companies by address

Date of last update: 12 Jan 2025

Sources: Kentucky Secretary of State

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