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ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC

Company Details

Name: ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Feb 2012 (13 years ago)
Organization Date: 22 Feb 2012 (13 years ago)
Last Annual Report: 14 Jun 2021 (4 years ago)
Managed By: Managers
Organization Number: 0822277
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 10300 LINN STATION ROAD, SUITE 100, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN & TRUST 2014 454593914 2015-10-13 ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC 115
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-09-01
Business code 621210
Sponsor’s telephone number 5022449595
Plan sponsor’s address 134 EVERGREEN ROAD, SUITE 200, MIDDLETOWN, KY, 40243

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing BRYAN HILDRETH
Valid signature Filed with authorized/valid electronic signature
ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN & TRUST 2013 454593914 2014-09-19 ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC 76
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-09-01
Business code 621210
Sponsor’s telephone number 5022449595
Plan sponsor’s address 134 EVERGREEN ROAD, SUITE 200, MIDDLETOWN, KY, 40243

Signature of

Role Plan administrator
Date 2014-09-19
Name of individual signing STEPHEN JAMES
Valid signature Filed with authorized/valid electronic signature
ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN & TRUST 2012 454593914 2013-10-14 ABBEVILLE DENTAL HEALTH MANAGEMENT, LLC 65
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-09-01
Business code 621210
Sponsor’s telephone number 5022449595
Plan sponsor’s address 134 EVERGREEN ROAD, SUITE 200, MIDDLETOWN, KY, 40243

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing STEPHEN JAMES
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
FBT LLC Registered Agent

Manager

Name Role
Mortenson Family Dental Holdings, Inc. Manager

Organizer

Name Role
Steven A Goodman Organizer

Former Company Names

Name Action
ABBEVILLE DENTAL CARE, LLC Old Name
Abbeville Dental Health Management, LLC Old Name

Filings

Name File Date
Dissolution 2021-10-29
Annual Report 2021-06-14
Annual Report 2020-04-10
Registered Agent name/address change 2019-07-31
Principal Office Address Change 2019-07-29
Registered Agent name/address change 2019-03-29
Annual Report 2019-03-22
Annual Report 2018-03-14
Registered Agent name/address change 2017-04-26
Principal Office Address Change 2017-04-26

Sources: Kentucky Secretary of State