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DENTAL DESIGNS OF OWENSBORO, PLLC

Company Details

Name: DENTAL DESIGNS OF OWENSBORO, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 27 Aug 2010 (15 years ago)
Organization Date: 27 Aug 2010 (15 years ago)
Last Annual Report: 06 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0770124
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 3164 ALVEY PARK DRIVE EAST, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2023 204863075 2024-07-22 DENTAL DESIGNS OF OWENSBORO 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVERY PARK DRIVE E, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2024-07-22
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO CBS BENEFIT PLAN 2023 204863075 2024-12-30 DENTAL DESIGNS OF OWENSBORO 2
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2024-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVEY PARK DRIVE EAST, OWENSBORO, KY, 42303

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO PLLC MEDOVA LIFESTYLE HEALTH PLAN 2022 204863075 2024-02-10 DENTAL DESIGNS OF OWENSBORO PLLC 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVEY PARK DR E, OWENSBORO, KY, 423032132

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT, INC.
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2024-02-10
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2022 204863075 2023-07-12 DENTAL DESIGNS OF OWENSBORO 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVERY PARK DRIVE E, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2023-07-12
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2021 204863075 2023-07-12 DENTAL DESIGNS OF OWENSBORO 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVERY PARK DRIVE E, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2023-07-12
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2021 204863075 2022-10-17 DENTAL DESIGNS OF OWENSBORO 6
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO PLLC MEDOVA LIFESTYLE HEALTH PLAN 2021 204863075 2022-10-02 DENTAL DESIGNS OF OWENSBORO PLLC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVEY PARK DR E, OWENSBORO, KY, 423032132

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2020 204863075 2021-04-13 DENTAL DESIGNS OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2021-04-13
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2019 204863075 2020-09-15 DENTAL DESIGNS OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2020-09-15
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2018 204863075 2019-03-05 DENTAL DESIGNS OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2019-03-05
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/02/13/20180213113417P040091520465001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2018-02-13
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/02/03/20170203130554P030004224685001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2017-02-03
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/02/01/20160201150310P040164705703001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2016-02-01
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715074422P040114630609001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/17/20140317113815P040003365524001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2014-03-17
Name of individual signing ROGER HILDEBRAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/15/20130415082414P040175150579002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of

Role Plan administrator
Date 2013-04-15
Name of individual signing ROGER W HILDEBRAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/16/20120416104912P040314648576001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843348
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Plan administrator’s name and address

Administrator’s EIN 204863075
Plan administrator’s name JAMES WES BOOKER, DMD, PLLC
Plan administrator’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303
Administrator’s telephone number 2706843348

Signature of

Role Plan administrator
Date 2012-04-16
Name of individual signing ROGER W. HILDEBRAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/04/20110404123558P040170829136003.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 922 TRIPLETT STREET, SUITE 8, OWENSBORO, KY, 42033

Plan administrator’s name and address

Administrator’s EIN 204863075
Plan administrator’s name JAMES WES BOOKER, DMD, PLLC
Plan administrator’s address 922 TRIPLETT STREET, SUITE 8, OWENSBORO, KY, 42033
Administrator’s telephone number 2706843377

Signature of

Role Plan administrator
Date 2011-04-04
Name of individual signing ROGER W HILDEBRAND
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
WES BOOKER DMD Member

Signature

Name Role
JAMES WES BOOKER Signature

Organizer

Name Role
JAMES WES BOOKER, DMD Organizer

Registered Agent

Name Role
JAMES WESLEY BOOKER Registered Agent

Former Company Names

Name Action
JAMES WES BOOKER, DMD, PLLC Merger

Filings

Name File Date
Annual Report 2024-03-06
Annual Report 2023-04-17
Annual Report 2022-03-07
Registered Agent name/address change 2021-05-28
Principal Office Address Change 2021-05-28
Annual Report 2021-05-28
Annual Report 2020-06-26
Registered Agent name/address change 2019-06-28
Annual Report 2019-06-28
Annual Report 2018-06-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6956328310 2021-01-27 0457 PPS 3310 Professional Park Ste 103, Owensboro, KY, 42303-2497
Loan Status Date 2021-11-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 179277.92
Loan Approval Amount (current) 179277.92
Undisbursed Amount 0
Franchise Name -
Lender Location ID 23790
Servicing Lender Name German American Bank
Servicing Lender Address 711 Main St, JASPER, IN, 47546-3042
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Owensboro, DAVIESS, KY, 42303-2497
Project Congressional District KY-02
Number of Employees 16
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 23790
Originating Lender Name German American Bank
Originating Lender Address JASPER, IN
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 180510.76
Forgiveness Paid Date 2021-10-08
3013247108 2020-04-11 0457 PPP 3310 PROFESSIONAL PARK, OWENSBORO, KY, 42303-2497
Loan Status Date 2021-03-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65500
Loan Approval Amount (current) 65500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21641
Servicing Lender Name Old National Bank
Servicing Lender Address One Main St, EVANSVILLE, IN, 47708-1449
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address OWENSBORO, DAVIESS, KY, 42303-2497
Project Congressional District KY-02
Number of Employees 6
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 21641
Originating Lender Name Old National Bank
Originating Lender Address EVANSVILLE, IN
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 65938.26
Forgiveness Paid Date 2021-02-12

Sources: Kentucky Secretary of State