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  5. PRACTICAL DENTAL ASSISTING PSC

PRACTICAL DENTAL ASSISTING PSC

Company Details

Name: PRACTICAL DENTAL ASSISTING PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 12 Mar 2010 (15 years ago)
Organization Date: 12 Mar 2010 (15 years ago)
Last Annual Report: 07 Mar 2024 (10 months ago)
Organization Number: 0758652
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42001
Primary County: McCracken
Principal Office: 723 WINDSOR WOODS, PADUCAH, KY 42001
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRACTICAL DENTAL ASSISTING, PSC 401(K) PROFIT SHARING PLAN 2017 272104029 2018-05-04 PRACTICAL DENTAL ASSISTING, PSC 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY STREET, PADUCAH, KY, 42001
PRACTICAL DENTAL ASSISTING, PSC DEFINED BENEFIT PENSION PLAN 2016 272104029 2017-09-21 PRACTICAL DENTAL ASSISTING, PSC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY STREET, PADUCAH, KY, 42001
PRACTICAL DENTAL ASSISTING, PSC 401(K) PROFIT SHARING PLAN 2016 272104029 2017-09-21 PRACTICAL DENTAL ASSISTING, PSC 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY STREET, PADUCAH, KY, 42001
BOHLE FAMILY DENTISTRY, PSC 401(K) PROFIT SHARING PLAN 2015 272104029 2016-05-25 BOHLE FAMILY DENTISTRY, PSC 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY STREET, PADUCAH, KY, 42001
CHARLES BOHLE DEFINED BENEFIT PENSION PLAN 2015 272104029 2016-07-12 BOHLE FAMILY DENTISTRY, PSC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY STREET, PADUCAH, KY, 42001
BOHLE FAMILY DENTISTRY, PSC 401(K) PROFIT SHARING PLAN 2014 272104029 2015-06-29 BOHLE FAMILY DENTISTRY, PSC 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY STREET, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing SHARON KENNEDY, APA, QPA, QKA, ERPA
Valid signature Filed with authorized/valid electronic signature
CHARLES BOHLE DEFINED BENEFIT PENSION PLAN 2014 272104029 2015-06-08 BOHLE FAMILY DENTISTRY, PSC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY STREET, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing RUSSELL SNOW, EA, CPC, MSPA
Valid signature Filed with authorized/valid electronic signature
BOHLE FAMILY DENTISTRY, PSC 401(K) PROFIT SHARING PLAN 2013 272104029 2014-05-22 BOHLE FAMILY DENTISTRY, PSC 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY ST, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2014-05-22
Name of individual signing RUSSELL SNOW, EA, CPC, MSPA
Valid signature Filed with authorized/valid electronic signature
CHARLES BOHLE DEFINED BENEFIT PENSION PLAN 2013 272104029 2014-05-22 BOHLE FAMILY DENTISTRY, PSC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY ST, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2014-05-22
Name of individual signing RUSSELL SNOW, EA, CPC, MSPA
Valid signature Filed with authorized/valid electronic signature
BOHLE FAMILY DENTISTRY, PSC 401(K) PROFIT SHARING PLAN 2012 272104029 2013-07-02 BOHLE FAMILY DENTISTRY, PSC 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY ST, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing RUSSELL J. SNOW, EA, CPC, MSPA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/04/20131004172341P030026013633001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY ST, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing RUSSELL SNOW, EA, CPC, MSPA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/31/20120831150824P040003626179001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2704420256
Plan sponsor’s address 1836 BROADWAY ST, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 272104029
Plan administrator’s name BOHLE FAMILY DENTISTRY, PSC
Plan administrator’s address 1836 BROADWAY ST, PADUCAH, KY, 42001
Administrator’s telephone number 2704420256

Signature of
Role Plan administrator
Date 2012-08-31
Name of individual signing RUSSELL J. SNOW, EA, CPC, MSPA
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
CHARLES BOHLE Registered Agent

President

Name Role
CHARLES J BOHLE President

Director

Name Role
CHARLES BOHLE Director

Incorporator

Name Role
DENISE BOHLE Incorporator
CHARLES BOHLE Incorporator

Shareholder

Name Role
CHARLES BOHLE Shareholder

Former Company Names

Name Action
BOHLE FAMILY DENTISTRY, PSC Old Name

Assumed Names

Name Status Expiration Date
THE PADUCAH SEDATION CENTER Inactive 2019-10-31
THE PADUCAH DENTAL IMPLANT CENTER Inactive 2019-10-31

Filings

Name File Date
Annual Report 2024-03-07
Registered Agent name/address change 2024-03-07
Principal Office Address Change 2024-03-07
Annual Report 2023-03-22
Annual Report 2022-03-09
Annual Report 2021-02-23
Annual Report 2020-06-09
Annual Report 2019-04-01
Principal Office Address Change 2018-03-28
Annual Report 2018-03-28

Related by officers

No related officers

Related by address

723 WINDSOR WOODS, PADUCAH, KY 42001

LAKE HOUSE HOLDINGS LLC

Date of last update: 12 Jan 2025

Sources: Kentucky Secretary of State

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