| Name: | SANDRA GREEN MD, PSC. |
| Legal type: | Kentucky Professional Services Corp |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 11 Jan 2010 (15 years ago) |
| Organization Date: | 11 Jan 2010 (15 years ago) |
| Last Annual Report: | 05 Jan 2012 (13 years ago) |
| Organization Number: | 0751329 |
| ZIP code: | 40524 |
| City: | Lexington |
| Primary County: | Fayette County |
| Principal Office: | P.O. BOX 23491, LEXINGTON, KY 40524 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANDRA GREEN MD PSC 401(K) PROFIT SHARING PLAN & TRUST | 2011 | 271630895 | 2012-07-14 | SANDRA GREEN MD PSC | 7 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 271630895 |
| Plan administrator’s name | SANDRA GREEN MD PSC |
| Plan administrator’s address | P.O. BOX 23491, LEXINGTON, KY, 40524 |
| Administrator’s telephone number | 8592608923 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-14 |
| Name of individual signing | SANDRA GREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Sandra D Green | President |
| Name | Role |
|---|---|
| Stephen P Green | Treasurer |
| Name | Role |
|---|---|
| Sandra D Green | Organizer |
| Name | Role |
|---|---|
| Sandra D Green | Director |
| Stephen P Green | Director |
| Name | Role |
|---|---|
| Sandra D Green | Shareholder |
| Name | Role |
|---|---|
| Stephen P. Green | Registered Agent |
| Name | Role |
|---|---|
| Sandra D Green | Incorporator |
| Name | Action |
|---|---|
| Pediatric Care of Lexington, PSC | Old Name |
| Name | File Date |
|---|---|
| Dissolution | 2013-03-26 |
| Annual Report | 2012-01-05 |
| Principal Office Address Change | 2011-05-15 |
| Amendment | 2011-05-09 |
| Annual Report | 2011-02-19 |
| Principal Office Address Change | 2010-02-03 |
Sources: Kentucky Secretary of State
