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CLEANSE CLINIC PLLC

Company Details

Name: CLEANSE CLINIC PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 10 Dec 2014 (10 years ago)
Organization Date: 10 Dec 2014 (10 years ago)
Last Annual Report: 06 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0904501
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40202
Primary County: Jefferson
Principal Office: 645 S Roy Wilkins Avenue, Suite 100, Louisville, KY 40202
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLEANSE CLINIC PSC CBS BENEFIT PLAN 2022 472504145 2023-12-27 CLEANSE CLINIC PSC 6
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-06-01
Business code 621900
Sponsor’s telephone number 5026564922
Plan sponsor’s address 720 W BROADWAY #200, LOUISVILLE, KY, 40202

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 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Abdul G Buridi Registered Agent

Member

Name Role
Abdul G Buridi Member

Incorporator

Name Role
Abdul G Buridi Incorporator

Organizer

Name Role
THOMAS E RUTLEDGE Organizer

Former Company Names

Name Action
Cleanse Clinic PSC Type Conversion

Filings

Name File Date
Annual Report 2024-03-06
Registered Agent name/address change 2024-03-06
Principal Office Address Change 2024-03-06
Annual Report 2023-06-01
Annual Report Amendment 2022-06-27
Annual Report 2022-06-07
Annual Report 2021-06-08
Articles of Organization (LLC) 2020-08-14
Annual Report 2020-06-23
Annual Report 2019-06-12

Date of last update: 12 Jan 2025

Sources: Kentucky Secretary of State