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  5. GOSS SAMFORD, PLLC

GOSS SAMFORD, PLLC

Company Details

Name: GOSS SAMFORD, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
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
City: Lexington
Primary County: Fayette County
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 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 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, 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

Member

Name Role
Mark David Goss Member
David Shawn Samford Member

Organizer

Name Role
MARK DAVID GOSS Organizer

Registered Agent

Name Role
MARK DAVID GOSS Registered Agent

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1353077102 2020-04-10 0457 PPP 2365 Harrodsburg Rd, LEXINGTON, KY, 40504-3300
Loan Status Date 2021-02-27
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 75765
Loan Approval Amount (current) 75765
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27616
Servicing Lender Name Monticello Banking Company
Servicing Lender Address 50 N Main St, MONTICELLO, KY, 42633-2851
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LEXINGTON, FAYETTE, KY, 40504-3300
Project Congressional District KY-06
Number of Employees 5
NAICS code 541110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27616
Originating Lender Name Monticello Banking Company
Originating Lender Address MONTICELLO, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 76379.42
Forgiveness Paid Date 2021-02-04

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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