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JENNINGS ORTHODONTICS, PLLC

Company Details

Name: JENNINGS ORTHODONTICS, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 30 Nov 2009 (15 years ago)
Organization Date: 30 Nov 2009 (15 years ago)
Last Annual Report: 22 May 2024 (8 months ago)
Managed By: Members
Organization Number: 0748617
Industry: Business Services
Number of Employees: Small (0-19)
ZIP code: 40047
Primary County: Bullitt
Principal Office: 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY 40047
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JENNINGS ORTHODONTICS, PLLC CASH BALANCE PENSION PLAN 2022 271417189 2023-08-25 JENNINGS ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2023-08-25
Name of individual signing CAROLYN SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC 401(K) PROFIT SHARING PLAN 2022 271417189 2023-05-16 JENNINGS ORTHODONTICS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2023-05-16
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC CASH BALANCE PENSION PLAN 2022 271417189 2023-05-16 JENNINGS ORTHODONTICS, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2023-05-16
Name of individual signing CAROLYN SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC 401(K) PROFIT SHARING PLAN 2022 271417189 2023-08-25 JENNINGS ORTHODONTICS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2023-08-25
Name of individual signing CAROLYN SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC 401(K) PROFIT SHARING PLAN 2021 271417189 2022-04-20 JENNINGS ORTHODONTICS, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2022-04-20
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC CASH BALANCE PENSION PLAN 2021 271417189 2022-05-16 JENNINGS ORTHODONTICS, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2022-05-16
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC 401(K) PROFIT SHARING PLAN 2020 271417189 2021-05-05 JENNINGS ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2021-05-05
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC CASH BALANCE PENSION PLAN 2020 271417189 2021-05-05 JENNINGS ORTHODONTICS, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2021-05-05
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC 401(K) PROFIT SHARING PLAN 2019 271417189 2020-03-12 JENNINGS ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2020-03-12
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
JENNINGS ORTHODONTICS, PLLC 401(K) PROFIT SHARING PLAN 2018 271417189 2019-04-07 JENNINGS ORTHODONTICS, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2019-04-07
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/03/26/20180326083700P040012609357002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2018-03-26
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/20/20170720075508P030050705383002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2017-07-20
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/21/20160721105324P030043101559001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/28/20150428114814P040262526657001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/25/20140625113235P030403786099001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2014-06-25
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/22/20130522094758P040227124051001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Signature of

Role Plan administrator
Date 2013-05-22
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718070941P030018734608001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 5025386555
Plan sponsor’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047

Plan administrator’s name and address

Administrator’s EIN 271417189
Plan administrator’s name JENNINGS ORTHODONTICS, PLLC
Plan administrator’s address 209 HIGH POINT COURT, SUITE 200, MOUNT WASHINGTON, KY, 40047
Administrator’s telephone number 5025386555

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing CAROLYN JENNINGS SOUTHWORTH
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
Carolyn Jennings Southworth Member

Organizer

Name Role
CAROLYN JENNINGS SOUTHWORTH, D.M.D., M.S.D. Organizer

Registered Agent

Name Role
Carolyn Southworth Registered Agent

Filings

Name File Date
Annual Report 2024-05-22
Registered Agent name/address change 2024-05-22
Annual Report 2023-04-26
Registered Agent name/address change 2023-03-03
Annual Report 2022-03-06
Annual Report 2021-02-10
Annual Report 2020-02-17
Annual Report 2019-05-29
Annual Report 2018-04-16
Annual Report 2017-04-25

Date of last update: 17 Jan 2025

Sources: Kentucky Secretary of State