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MOUNTAIN FAMILY MEDICINE, LLC

Company Details

Name: MOUNTAIN FAMILY MEDICINE, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 05 Mar 2014 (11 years ago)
Organization Date: 05 Mar 2014 (11 years ago)
Last Annual Report: 16 Aug 2023 (a year ago)
Managed By: Members
Organization Number: 0881046
ZIP code: 41501
Primary County: Pike
Principal Office: 5425 NORTH MAYO TRAIL, STE 201, PIKEVILLE, KY 41501
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOUNTAIN FAMILY MEDICINE, LLC 401(K) PLAN 2017 465655603 2018-02-02 MOUNTAIN FAMILY MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6064320191
Plan sponsor’s address 419 TOWN MOUNTAIN ROAD, SUITE 206, PIKEVILLE, KY, 41501
MOUNTAIN FAMILY MEDICINE, LLC 401(K) PLAN 2016 465655603 2017-05-12 MOUNTAIN FAMILY MEDICINE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6064320191
Plan sponsor’s address 419 TOWN MOUNTAIN ROAD, PIKEVILLE, KY, 41501
MOUNTAIN FAMILY MEDICINE, LLC 401(K) PLAN 2015 465655603 2016-10-11 MOUNTAIN FAMILY MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6064320191
Plan sponsor’s address 173 QUAILWALK, PIKEVILLE, KY, 41501

Registered Agent

Name Role
BRIAN P. DANIELS, DO Registered Agent

Member

Name Role
Brian P Daniels Member

Organizer

Name Role
RAYMOND O. BISHOP, M.D. Organizer

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-08-16
Reinstatement 2022-10-24
Reinstatement Approval Letter Revenue 2022-10-24
Reinstatement Certificate of Existence 2022-10-24
Administrative Dissolution 2022-10-04
Annual Report 2021-06-22
Annual Report 2020-06-18
Annual Report 2019-04-25
Registered Agent name/address change 2019-04-25

Date of last update: 16 Nov 2024

Sources: Kentucky Secretary of State