| Name: | Center For Pain Management, PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Deleted |
| Standing: | Bad |
| File Date: | 23 Apr 2013 (12 years ago) |
| Organization Date: | 23 Apr 2013 (12 years ago) |
| Managed By: | Members |
| Organization Number: | 0855839 |
| ZIP code: | 42101 |
| Primary County: | Warren |
| Principal Office: | 440 B High Street, Bowling Green, KY 42101 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTER FOR PAIN MANAGEMENT PLLC CBS BENEFIT PLAN | 2022 | 462598654 | 2023-12-27 | CENTER FOR PAIN MANAGEMENT PLLC | 1 | |||||||||||||||||||||||||||||||
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| 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 |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-02-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2707902254 |
| Plan sponsor’s address | 440B HIGH ST, BOWLING GREEN, KY, 42101 |
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 |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-02-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2707902254 |
| Plan sponsor’s address | 440B HIGH ST, BOWLING GREEN, KY, 42101 |
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 | 2021-12-14 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-02-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2707902254 |
| Plan sponsor’s address | 440B HIGH ST, BOWLING GREEN, KY, 42101 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | KELLY WOLF |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2020-12-23 |
| Name of individual signing | KELLY WOLF |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Ramarao V Pasupuleti | Registered Agent |
| Name | Role |
|---|---|
| Ramarao V Pasupuleti | Organizer |
| Name | File Date |
|---|---|
| Ky.Gov Uploaded Document | 2013-04-23 |
Date of last update: 14 Nov 2024
Sources: Kentucky Secretary of State
