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  5. GOSS SAMFORD, PLLC

GOSS SAMFORD, PLLC

Company Details

Name: GOSS SAMFORD, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 05 Jun 2012 (13 years ago)
Organization Date: 05 Jun 2012 (13 years ago)
Last Annual Report: 25 Apr 2022 (3 years ago)
Managed By: Members
Organization Number: 0830692
ZIP code: 40504
Primary County: Fayette
Principal Office: 2365 HARRODSBURG RD., SUITE B-325, LEXINGTON, KY 40504
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOSS SAMFORD, PLLC CASH BALANCE PENSION PLAN 2022 455403380 2023-08-30 GOSS SAMFORD, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
GOSS SAMFORD, PLLC, 401 (K) RETIREMENT PLAN 2022 455403380 2023-03-21 GOSS SAMFORD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2023-03-20
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-20
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
GOSS SAMFORD, PLLC, 401 (K) RETIREMENT PLAN 2021 455403380 2022-04-28 GOSS SAMFORD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2022-04-27
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-27
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
GOSS SAMFORD, PLLC CASH BALANCE PENSION PLAN 2021 455403380 2022-06-08 GOSS SAMFORD, PLLC 5
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
GOSS SAMFORD, PLLC, 401 (K) RETIREMENT PLAN 2020 455403380 2021-03-18 GOSS SAMFORD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2021-03-16
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-16
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
GOSS SAMFORD, PLLC CASH BALANCE PENSION PLAN 2020 455403380 2021-03-05 GOSS SAMFORD, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
GOSS SAMFORD, PLLC CASH BALANCE PENSION PLAN 2019 455403380 2020-05-21 GOSS SAMFORD, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
GOSS SAMFORD, PLLC, 401 (K) RETIREMENT PLAN 2019 455403380 2020-06-18 GOSS SAMFORD, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
GOSS SAMFORD, PLLC CASH BALANCE PENSION PLAN 2018 455403380 2019-06-06 GOSS SAMFORD, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
GOSS SAMFORD, PLLC, 401 (K) RETIREMENT PLAN 2018 455403380 2019-06-12 GOSS SAMFORD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-11
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/12/20180712102400P040053837495001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/05/20181005105457P030221892071001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/04/25/20170425133728P040003618359001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2017-04-24
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-24
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/08/20170608141303P030053763863001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2016-02-04
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-04
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/22/20160722150610P040044076631001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/04/18/20160418085420P040039413591001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2016-04-18
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-18
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/05/12/20150512132857P040216854743001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/07/20150407071912P030048936541001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2015-04-06
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-06
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/02/28/20140228141215P030231677107001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2014-02-28
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-28
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/03/20130403101336P040015853351001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541110
Sponsor’s telephone number 8593687740
Plan sponsor’s address 2365 HARRODSBURG ROAD, SUITE B130, LEXINGTON, KY, 40504

Signature of
Role Plan administrator
Date 2013-04-01
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-01
Name of individual signing MARK GOSS
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MARK DAVID GOSS Registered Agent

Member

Name Role
Mark David Goss Member
David Shawn Samford Member

Organizer

Name Role
MARK DAVID GOSS Organizer

Filings

Name File Date
Dissolution 2022-12-31
Annual Report 2022-04-25
Annual Report 2021-05-10
Annual Report 2020-03-03
Annual Report 2019-04-29
Annual Report 2018-03-29
Annual Report 2017-03-01
Annual Report 2016-01-27
Annual Report 2015-04-02
Registered Agent name/address change 2014-02-12

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Related by address

No related companies by address

Date of last update: 14 Nov 2024

Sources: Kentucky Secretary of State

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