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BLUEGRASS ORAL HEALTH CENTER, PLLC

Company Details

Name: BLUEGRASS ORAL HEALTH CENTER, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 29 Jul 2014 (11 years ago)
Organization Date: 29 Jul 2014 (11 years ago)
Last Annual Report: 21 Mar 2024 (10 months ago)
Managed By: Members
Organization Number: 0893195
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42101
Primary County: Warren
Principal Office: 546 Park St., Suite 400, Bowling Green, KY 42101
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUEGRASS ORAL HEALTH CENTER 401(K) PLAN 2013 208018897 2014-02-10 BLUEGRASS ORAL HEALTH CENTER 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2707816161
Plan sponsor’s address 546 PARK STREET, SUITE 400, BOWLING GREEN, KY, 42101

Signature of

Role Plan administrator
Date 2014-02-10
Name of individual signing JOSH SOVEREIGN
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS ORAL HEALTH CENTER 2012 208018897 2013-06-10 BLUEGRASS ORAL HEALTH CENTER 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2707816161
Plan sponsor’s address 546 PARK STREET, SUITE 400, BOWLING GREEN, KY, 421010000

Signature of

Role Plan administrator
Date 2013-06-10
Name of individual signing JOSH SOVEREIGN
Valid signature Filed with authorized/valid electronic signature
BLUEGRASS ORAL HEALTH CENTER 2011 208018897 2012-05-16 BLUEGRASS ORAL HEALTH CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2707816161
Plan sponsor’s address 546 PARK STREET, SUITE 400, BOWLING GREEN, KY, 421010000

Plan administrator’s name and address

Administrator’s EIN 208018897
Plan administrator’s name BLUEGRASS ORAL HEALTH CENTER
Plan administrator’s address 546 PARK STREET, SUITE 400, BOWLING GREEN, KY, 421010000
Administrator’s telephone number 2707816161

Signature of

Role Plan administrator
Date 2012-05-15
Name of individual signing JOSH SOVEREIGN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Andrew M. Burt Registered Agent

Member

Name Role
ANDREW M BURT Member
THOMAS BIRKENHAUER Member
DANIEL BIRKENHAUER Member

Organizer

Name Role
ANDREW M. BURT, DMD, P.S.C Organizer

Former Company Names

Name Action
BGOHC, PLLC Old Name

Assumed Names

Name Status Expiration Date
BLUEGRASS ORAL HEALTH PEDIATRICS Active 2029-12-27

Filings

Name File Date
Certificate of Assumed Name 2024-12-27
Annual Report 2024-03-21
Annual Report 2023-05-10
Annual Report 2022-06-17
Annual Report 2021-04-05
Annual Report 2020-04-01
Annual Report 2019-06-24
Annual Report 2018-06-19
Annual Report 2017-06-20
Annual Report 2016-06-17

Date of last update: 12 Jan 2025

Sources: Kentucky Secretary of State