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  5. GML PAIN MD, PSC

GML PAIN MD, PSC

Company Details

Name: GML PAIN MD, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 07 Mar 2014 (11 years ago)
Organization Date: 07 Mar 2014 (11 years ago)
Last Annual Report: 20 Mar 2024 (10 months ago)
Organization Number: 0881377
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40241
Primary County: Jefferson
Principal Office: 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY 40241
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPECIALISTS IN PAIN CARE 401(K) PLAN 2023 465031105 2024-05-14 GML PAIN MD PSC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN PAIN CARE 401(K) PLAN 2022 465031105 2023-05-28 GML PAIN MD PSC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-28
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC 401(K) PLAN & TRUST 2020 465031105 2021-09-27 GML PAIN MD, PSC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-27
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC CASH BALANCE PENSION PLAN 2020 465031105 2021-10-14 GML PAIN MD, PSC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC CASH BALANCE PENSION PLAN 2019 465031105 2020-10-15 GML PAIN MD, PSC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing GUY M. LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing GUY M. LERNER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC 401(K) PLAN & TRUST 2019 465031105 2020-10-15 GML PAIN MD, PSC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing GUY M. LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing GUY M. LERNER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC 401(K) PLAN & TRUST 2018 465031105 2019-10-15 GML PAIN MD, PSC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing GUY M LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing GUY M LERNER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC CASH BALANCE PENSION PLAN 2018 465031105 2019-10-09 GML PAIN MD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing GUY M LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-09
Name of individual signing GUY M LERNER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC 401(K) PLAN & TRUST 2017 465031105 2018-07-25 GML PAIN MD, PSC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature
GML PAIN MD, PSC 401(K) PLAN & TRUST 2016 465031105 2017-07-05 GML PAIN MD, PSC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5022530505
Plan sponsor’s address 11300 MAPLE BROOK DRIVE, LOUISVILLE, KY, 40241

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-05
Name of individual signing GUY LERNER
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
NATHAN LAMBORN Registered Agent

Director

Name Role
Nathan Lamborn Director

President

Name Role
Nathan Lamborn President

Assumed Names

Name Status Expiration Date
SPECIALISTS IN RECOVERY Inactive 2022-02-01
SPECIALISTS IN PAIN CARE Inactive 2020-07-21

Filings

Name File Date
Annual Report 2024-03-20
Annual Report 2023-03-16
Registered Agent name/address change 2022-02-23
Annual Report 2022-02-23
Certificate of Assumed Name 2021-03-09
App. for Certificate of Withdrawal 2021-03-09
Annual Report 2021-02-16
Annual Report 2020-06-05
Annual Report 2019-05-30
Annual Report 2018-05-11

Related by officers

No related officers

Related by address

11300 MAPLE BROOK DRIVE, LOUISVILLE, KY 40241

OCEAN BUFFET INC.

Date of last update: 12 Jan 2025

Sources: Kentucky Secretary of State

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