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  5. EAST KENTUCKY HEALTHCARE, LLC

EAST KENTUCKY HEALTHCARE, LLC

Company Details

Name: EAST KENTUCKY HEALTHCARE, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 15 Feb 2012 (13 years ago)
Organization Date: 15 Feb 2012 (13 years ago)
Managed By: Managers
Organization Number: 0821735
ZIP code: 41653
Primary County: Floyd
Principal Office: 75 THEATRE COURT, PRESTONSBURG, KY 41653
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST KENTUCKY HEALTHCARE CASH BALANCE PENSION PLAN 2023 611396205 2024-10-11 EAST KENTUCKY HEALTHCARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing MANSOOR MAHMOOD, M.D.
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE PROFIT SHARING PLAN 2023 611396205 2024-10-03 EAST KENTUCKY HEALTHCARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE CASH BALANCE PENSION PLAN 2023 611396205 2024-11-21 EAST KENTUCKY HEALTHCARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2024-11-21
Name of individual signing MANSOOR MAHMOOD, M.D.
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE CASH BALANCE PENSION PLAN 2022 611396205 2023-10-11 EAST KENTUCKY HEALTHCARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing MANSOOR MAHMOOD, M.D.
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE PROFIT SHARING PLAN 2022 611396205 2023-10-05 EAST KENTUCKY HEALTHCARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE PROFIT SHARING PLAN 2021 611396205 2022-08-12 EAST KENTUCKY HEALTHCARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2022-08-12
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE CASH BALANCE PENSION PLAN 2021 611396205 2022-09-30 EAST KENTUCKY HEALTHCARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing MANSOOR MAHMOOD, M.D.
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE PROFIT SHARING PLAN 2020 611396205 2021-09-24 EAST KENTUCKY HEALTHCARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE CASH BALANCE PENSION PLAN 2020 611396205 2021-10-12 EAST KENTUCKY HEALTHCARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing MANSOOR MAHMOOD, M.D.
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTHCARE CASH BALANCE PENSION PLAN 2019 611396205 2020-10-14 EAST KENTUCKY HEALTHCARE 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing MANSOOR MAHMOOD, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/09/04/20200904132902NAL0009586899001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2020-09-04
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/14/20191014104017P030052975805001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing MANSOOR MAHMOOD, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/09/20190909132429P040004314673001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2019-09-09
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/11/20181011133542P040247850631001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing MANSOOR MAHMOOD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/21/20180921141606P030143154221001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/12/20171012101748P030169367181001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing MANSOOR MAHMOOD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/05/20171005131835P030176497959001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/17/20161017104829P040030798199002.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6062371000
Plan sponsor’s address 306 HOSPITAL DRIVE, SUITE #101, SOUTH WILLIAMSON, KY, 41503

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing MANSOOR MAHMOOD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/14/20161014110049P040000874969001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/13/20151013135530P040041567447001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/10/20140910092831P040039907903001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015151204P040002102882001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/12/20121012203818P040000930375001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Plan administrator’s name and address
Administrator’s EIN 611396205
Plan administrator’s name EAST KENTUCKY HEALTHCARE
Plan administrator’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553
Administrator’s telephone number 6064563477

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/10/20111010152758P040149633425001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Plan administrator’s name and address
Administrator’s EIN 611396205
Plan administrator’s name EAST KENTUCKY HEALTHCARE
Plan administrator’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553
Administrator’s telephone number 6064563477

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/12/20101012101833P030022414129002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6064563477
Plan sponsor’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553

Plan administrator’s name and address
Administrator’s EIN 611396205
Plan administrator’s name EAST KENTUCKY HEALTHCARE
Plan administrator’s address 48 PHILLIPS BRANCH ROAD, PHELPS, KY, 41553
Administrator’s telephone number 6064563477

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing MANSOOR MAHMOOD MD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
CAMILLE HELSEL Registered Agent

Organizer

Name Role
STEVE WILLIAMS Organizer

Filings

Name File Date
Administrative Dissolution 2013-09-28
Principal Office Address Change 2012-06-07
Registered Agent name/address change 2012-06-07
Articles of Organization (LLC) 2012-02-15

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No related companies by address

Date of last update: 14 Nov 2024

Sources: Kentucky Secretary of State

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