| Name: | CRESTVIEW HILLS SURGERY CENTER, PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 23 Nov 2010 (14 years ago) |
| Organization Date: | 23 Nov 2010 (14 years ago) |
| Last Annual Report: | 30 Aug 2024 (5 months ago) |
| Managed By: | Members |
| Organization Number: | 0776107 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 41017 |
| Primary County: | Kenton |
| Principal Office: | 210 THOMAS MORE PARKWAY, CRESTVIEW HILLS, KY 41017 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ICAN 401(K) PLAN | 2018 | 273003180 | 2019-10-25 | MICHAEL FLETCHER MD PLLC | 1 | |||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2019-10-25 |
| Name of individual signing | MICHAEL FLETCHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-10-25 |
| Name of individual signing | MICHAEL FLETCHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Michael Fletcher | Organizer |
| Name | Role |
|---|---|
| KENDALL E. HANSEN | Registered Agent |
| Name | Role |
|---|---|
| Kendall E Hansen | Member |
| Name | Action |
|---|---|
| EDGEWOOD SURGERY CENTER, PLLC | Old Name |
| Michael Fletcher, MD, PLLC | Old Name |
| Name | Status | Expiration Date |
|---|---|---|
| ICAN - INTEGRATED CHEMICAL ADDICTION NETWORK | Inactive | 2021-06-30 |
| Name | File Date |
|---|---|
| Annual Report | 2024-08-30 |
| Annual Report | 2023-08-01 |
| Annual Report | 2022-05-16 |
| Annual Report | 2021-05-24 |
| Annual Report | 2020-07-22 |
| Annual Report Amendment | 2020-07-22 |
| Amendment | 2020-02-04 |
| Administrative Dissolution Return | 2019-12-11 |
| Reinstatement Certificate of Existence | 2019-11-21 |
| Reinstatement | 2019-11-21 |
Date of last update: 14 Jan 2025
Sources: Kentucky Secretary of State
