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  5. FREDERICK MEDICAL CLINIC, PSC

FREDERICK MEDICAL CLINIC, PSC

Company Details

Name: FREDERICK MEDICAL CLINIC, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 Jun 2010 (15 years ago)
Organization Date: 02 Jun 2010 (15 years ago)
Last Annual Report: 17 Feb 2025 (25 days ago)
Organization Number: 0764245
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41472
City: West Liberty, Blairs Mill, Blaze, Caney, Cottle, Dingu...
Primary County: Morgan County
Principal Office: 430 LIBERTY ROAD, WEST LIBERTY, KY 41472
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2023 273162907 2024-06-21 FREDERICK MEDICAL CLINIC, PSC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2022 273162907 2023-05-10 FREDERICK MEDICAL CLINIC, PSC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2023-05-09
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2021 273162907 2022-09-07 FREDERICK MEDICAL CLINIC, PSC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2022-09-07
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2020 273162907 2021-09-10 FREDERICK MEDICAL CLINIC, PSC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2021-09-10
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2019 273162907 2020-09-11 FREDERICK MEDICAL CLINIC, PSC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2018 273162907 2019-07-29 FREDERICK MEDICAL CLINIC, PSC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2017 273162907 2018-10-08 FREDERICK MEDICAL CLINIC, PSC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2016 273162907 2017-10-16 FREDERICK MEDICAL CLINIC, PSC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2017-10-15
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2015 273162907 2016-10-14 FREDERICK MEDICAL CLINIC, PSC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK MEDICAL CLINIC, PSC 401(K) PROFIT SHARING PLAN 2014 273162907 2015-10-13 FREDERICK MEDICAL CLINIC, PSC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/14/20141014133930P040019022399001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015083420P040007186343001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 6067433114
Plan sponsor’s address P.O. BOX 607, WEST LIBERTY, KY, 41472

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
James D Frederick, L.L.C. Registered Agent

President

Name Role
James D Frederick President

Treasurer

Name Role
James D Frederick Treasurer

Shareholder

Name Role
James D Frederick Shareholder

Incorporator

Name Role
JAMES FREDERICK Incorporator

Filings

Name File Date
Annual Report 2025-02-17
Annual Report 2024-05-22
Annual Report 2023-05-23
Annual Report 2022-07-01
Annual Report 2021-04-14
Annual Report 2020-06-08
Annual Report 2019-08-05
Annual Report 2018-07-09
Reinstatement 2017-11-06
Reinstatement Approval Letter Revenue 2017-11-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2475668504 2021-02-20 0457 PPS 430 Liberty Rd, West Liberty, KY, 41472-2049
Loan Status Date 2021-10-02
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 118800
Loan Approval Amount (current) 118800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27041
Servicing Lender Name The First National Bank of Grayson
Servicing Lender Address 200 S Carol Malone Blvd, GRAYSON, KY, 41143-1368
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address West Liberty, MORGAN, KY, 41472-2049
Project Congressional District KY-05
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27041
Originating Lender Name The First National Bank of Grayson
Originating Lender Address GRAYSON, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 119390.7
Forgiveness Paid Date 2021-08-23
7900807202 2020-04-28 0457 PPP 430 LIBERTY ROAD, WEST LIBERTY, KY, 41472
Loan Status Date 2021-06-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 111200
Loan Approval Amount (current) 111200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27041
Servicing Lender Name The First National Bank of Grayson
Servicing Lender Address 200 S Carol Malone Blvd, GRAYSON, KY, 41143-1368
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address WEST LIBERTY, MORGAN, KY, 41472-0001
Project Congressional District KY-05
Number of Employees 14
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27041
Originating Lender Name The First National Bank of Grayson
Originating Lender Address GRAYSON, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 112392.31
Forgiveness Paid Date 2021-05-24

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Related by address

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Sources: Kentucky Secretary of State

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