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  5. PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY LLP

PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY LLP

Company Details

Name: PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY LLP
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Partnership
Status: Inactive
File Date: 25 Apr 2014 (11 years ago)
Organization Date: 25 Apr 2014 (11 years ago)
Organization Number: 0885685
ZIP code: 42104
Primary County: Warren
Principal Office: 1211 ASHLEY CIRCLE, BOWLING GREEN, KY 42104
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY, LLP 401(K) PLAN 2015 610849796 2016-03-17 PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Signature of
Role Plan administrator
Date 2016-03-17
Name of individual signing RUTH FRASER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY, LLP 401(K) PLAN 2014 610849796 2015-07-14 PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing RUTH FRASER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY, LLP 401(K) PLAN 2014 610849796 2016-02-11 PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY, LLP 23
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Signature of
Role Plan administrator
Date 2016-02-11
Name of individual signing RUTH FRASER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY, LLP 401(K) PLAN 2013 610849796 2014-07-09 PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing RUTH FRASER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES PROFIT SHARING PLAN 2012 610849796 2013-07-02 PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing RUTH FRASER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES PROFIT SHARING PLAN 2011 610849796 2012-10-08 PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Plan administrator’s name and address
Administrator’s EIN 610849796
Plan administrator’s name PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP
Plan administrator’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104
Administrator’s telephone number 2707828700

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing ZAHID FRASER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES PROFIT SHARING PLAN 2010 610849796 2011-05-03 PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Plan administrator’s name and address
Administrator’s EIN 610849796
Plan administrator’s name PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP
Plan administrator’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104
Administrator’s telephone number 2707828700

Signature of
Role Plan administrator
Date 2011-05-03
Name of individual signing ZAHID FRASER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES PROFIT SHARING PLAN 2009 610849796 2010-06-25 PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2707828700
Plan sponsor’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104

Plan administrator’s name and address
Administrator’s EIN 610849796
Plan administrator’s name PEDIATRIC ASSOCIATES OF BOWLING GREEN KENTUCKY LLP
Plan administrator’s address 1211 ASHLEY CIRCLE, BOWLING GREEN, KY, 42104
Administrator’s telephone number 2707828700

Signature of
Role Plan administrator
Date 2010-06-25
Name of individual signing ZAHID FRASER
Valid signature Filed with authorized/valid electronic signature

President

Name Role
JOHN SMITH MD FAAP President
ZAHID FRASER, MD FAAP President
JOHN CHRISTOPHER SMITH MD FAAP President

Filings

Name File Date
Articles of Incorporation 2014-04-25

Related by officers

No related officers

Related by address

1211 ASHLEY CIRCLE, BOWLING GREEN, KY 42104

PEDIATRIC ASSOCIATES OF BOWLING GREEN, KENTUCKY, LLP

Date of last update: 16 Nov 2024

Sources: Kentucky Secretary of State

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