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  5. M A FITZPATRICK MD PLLC

M A FITZPATRICK MD PLLC

Company Details

Name: M A FITZPATRICK MD PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 21 Jul 2011 (14 years ago)
Organization Date: 21 Jul 2011 (14 years ago)
Last Annual Report: 22 Feb 2021 (4 years ago)
Managed By: Members
Organization Number: 0796349
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 2407 RING RD. STE. 104, ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2018 452825607 2019-10-15 M.A. FITZPATRICK, MD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2018 452825607 2019-10-15 M.A. FITZPATRICK, MD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Plan sponsor’s address 2407 RING ROAD, STE 104, ELIZABETHTOWN, KY, 42701
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2017 452825607 2019-10-15 M.A. FITZPATRICK, MD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2017 452825607 2018-10-15 M.A. FITZPATRICK, MD, PLLC 5
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MICHAEL FITZPATRICK, MD
Valid signature Filed with authorized/valid electronic signature
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2016 452825607 2019-10-15 M.A. FITZPATRICK, MD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2016 452825607 2017-10-09 M.A. FITZPATRICK, MD, PLLC 5
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing MICHAEL FITZPATRICK, MD
Valid signature Filed with authorized/valid electronic signature
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2015 452825607 2016-10-10 M.A. FITZPATRICK, MD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing MICHAEL FITZPATRICK, MD
Valid signature Filed with authorized/valid electronic signature
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2014 452825607 2015-06-03 M.A. FITZPATRICK, MD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing MICHAEL FITZPATRICK, MD
Valid signature Filed with authorized/valid electronic signature
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2013 452825607 2014-06-13 M.A. FITZPATRICK, MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing MICHAEL FITZPATRICK, MD
Valid signature Filed with authorized/valid electronic signature
M.A. FITZPATRICK, MD, PLLC 401(K) PROFIT SHARING PLAN 2012 452825607 2013-07-29 M.A. FITZPATRICK, MD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2707661902
Plan sponsor’s address 2407 RING ROAD, SUITE 104, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing MICHAEL FITZPATRICK, MD
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role
Michael Fitzpatrick, M.D. Manager

Registered Agent

Name Role
MICHAEL FITZPATRICK Registered Agent

Organizer

Name Role
MICHAEL FITZPATRICK Organizer

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-02-22
Annual Report 2020-06-02
Annual Report 2019-06-28
Annual Report 2018-04-17
Annual Report 2017-06-20
Annual Report 2016-04-14
Annual Report 2015-05-01
Annual Report 2014-02-19
Annual Report 2013-03-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8572067308 2020-05-01 0457 PPP 2407 RING RD STE 104, ELIZABETHTOWN, KY, 42701-5938
Loan Status Date 2021-02-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 31248.66
Loan Approval Amount (current) 31248.66
Undisbursed Amount 0
Franchise Name -
Lender Location ID 57732
Servicing Lender Name Peoples Bank
Servicing Lender Address 138 Putnam St, MARIETTA, OH, 45750-2923
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ELIZABETHTOWN, HARDIN, KY, 42701-5938
Project Congressional District KY-02
Number of Employees 4
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 27049
Originating Lender Name Peoples Bank
Originating Lender Address Louisville, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 31457.56
Forgiveness Paid Date 2021-01-07
6774218507 2021-03-04 0457 PPS 2407 Ring Rd Ste 104, Elizabethtown, KY, 42701-5938
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 22153.73
Loan Approval Amount (current) 22153.73
Undisbursed Amount 0
Franchise Name -
Lender Location ID 57732
Servicing Lender Name Peoples Bank
Servicing Lender Address 138 Putnam St, MARIETTA, OH, 45750-2923
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Elizabethtown, HARDIN, KY, 42701-5938
Project Congressional District KY-02
Number of Employees 4
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 27049
Originating Lender Name Peoples Bank
Originating Lender Address Louisville, KY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 22282.4
Forgiveness Paid Date 2021-10-08

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Sources: Kentucky Secretary of State

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