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  5. HEALTHWAY INTERNAL MEDICINE & PEDIATRICS PLLC

HEALTHWAY INTERNAL MEDICINE & PEDIATRICS PLLC

Company Details

Name: HEALTHWAY INTERNAL MEDICINE & PEDIATRICS PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Aug 2011 (14 years ago)
Organization Date: 03 Aug 2011 (14 years ago)
Last Annual Report: 23 Jun 2024 (10 months ago)
Managed By: Members
Organization Number: 0797235
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 1009 N. DIXIE HWY, ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN 2023 453027478 2024-09-19 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2023 453027478 2024-08-29 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2024-08-29
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS CBS BENEFIT PLAN 2023 453027478 2024-12-30 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 621491
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N DIXIE AVE, ELIZABETHTOWN, KY, 427012521

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
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS CBS BENEFIT PLAN 2022 453027478 2023-12-27 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 621491
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N DIXIE AVE, ELIZABETHTOWN, KY, 427012521

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN 2022 453027478 2023-09-22 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2022 453027478 2023-07-27 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2021 453027478 2022-09-10 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2022-09-10
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS CBS BENEFIT PLAN 2021 453027478 2022-12-29 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS 2
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 621491
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N DIXIE AVE, ELIZABETHTOWN, KY, 427012521

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN 2021 453027478 2022-09-10 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2022-09-10
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN 2020 453027478 2021-09-28 HEALTHWAY INTERNAL MEDICINE & PEDIATRICS, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/09/28/20210928221121NAL0002403267001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/09/27/20200927123914NAL0002609152001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2020-09-27
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/09/27/20200927123632NAL0001981089001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2020-09-27
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/22/20190722202027P040131870767001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/22/20190722201438P030370776343001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/18/20180718222900P040043690253001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/18/20180718222438P040043683117001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/24/20170724221245P030057105703001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/13/20170913131027P030147670769001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2017-09-13
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/25/20160725204633P040037294717001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/12/20161012204852P030022060711001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/17/20150617193023P030051075175001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2015-06-17
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/07/20151007195951P030036206145001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2707654361
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 427012521

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/10/20140910224304P030122909911001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/20/20130720174836P030112792805001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 2707370678
Plan sponsor’s address 1009 N. DIXIE HWY, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2013-07-20
Name of individual signing SYED AHMED
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
SYED Z. AHMED MD Registered Agent

Member

Name Role
SYED Z. AHMED Member

Organizer

Name Role
SYED Z AHMED Organizer

Filings

Name File Date
Annual Report 2024-06-23
Annual Report 2023-06-05
Annual Report 2022-06-10
Annual Report 2021-06-27
Annual Report 2020-04-19
Annual Report 2019-05-12
Annual Report 2018-04-07
Annual Report 2017-04-16
Annual Report 2016-06-30
Annual Report 2015-06-16

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
317644706 452110 2015-04-01 1009 NORTH DIXIE HIGHWAY, ELIZABETHTOWN, KY, 42701
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2015-06-10
Case Closed 2016-08-23

Related Activity
Type Complaint
Activity Nr 209264365
Safety Yes
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 D02 I
Issuance Date 2015-07-15
Abatement Due Date 2015-08-07
Current Penalty 3500.0
Initial Penalty 3500.0
Contest Date 2015-08-04
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 3
Related Event Code (REC) Complaint
Gravity 10
FTA Current Penalty 0.0
Citation ID 01002
Citaton Type Serious
Standard Cited 19101030 F01 IID
Issuance Date 2015-07-15
Abatement Due Date 2015-07-28
Current Penalty 3500.0
Initial Penalty 3500.0
Contest Date 2015-08-04
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 10
FTA Current Penalty 0.0
Citation ID 01003
Citaton Type Serious
Standard Cited 19101030 F03 IIA
Issuance Date 2015-07-15
Abatement Due Date 2015-08-03
Current Penalty 1750.0
Initial Penalty 1750.0
Contest Date 2015-08-04
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 03
FTA Current Penalty 0.0
Citation ID 01004
Citaton Type Serious
Standard Cited 19101030 F03 IIIA
Issuance Date 2015-07-15
Abatement Due Date 2015-07-28
Current Penalty 1750.0
Initial Penalty 1750.0
Contest Date 2015-08-04
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 03
FTA Current Penalty 0.0
Citation ID 01005A
Citaton Type Serious
Standard Cited 19101030 F01 IID
Issuance Date 2015-07-15
Abatement Due Date 2015-07-28
Current Penalty 1750.0
Initial Penalty 3500.0
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 10
FTA Current Penalty 0.0
Citation ID 01005B
Citaton Type Serious
Standard Cited 19101030 F03 IIA
Issuance Date 2015-07-15
Abatement Due Date 2015-08-03
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 01
FTA Current Penalty 0.0
Citation ID 01005C
Citaton Type Serious
Standard Cited 19101030 F03 IIIA
Issuance Date 2015-07-15
Abatement Due Date 2015-07-28
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 1
Related Event Code (REC) Complaint
Gravity 01
FTA Current Penalty 0.0
Citation ID 02001
Citaton Type Other
Standard Cited 19101030 G02 VIIA
Issuance Date 2015-07-15
Abatement Due Date 2015-07-23
Current Penalty 0.0
Initial Penalty 0.0
Contest Date 2015-08-04
Final Order 2016-06-14
Nr Instances 1
Nr Exposed 3
Related Event Code (REC) Complaint
Gravity 01
FTA Current Penalty 0.0

Related by officers

SYED Z. AHMED

SYED Z. AHMED, M.D., P.S.C.

SYED Z AHMED

XAVIER HEALTH CARE, P.L.L.C. FAJ PROPERTIES, LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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