| Name: | MODERN KIDS DENTISTRY, PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 07 Jan 2015 (10 years ago) |
| Organization Date: | 07 Jan 2015 (10 years ago) |
| Last Annual Report: | 20 Mar 2024 (10 months ago) |
| Managed By: | Members |
| Organization Number: | 0906588 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 40515 |
| Primary County: | Fayette |
| Principal Office: | 4384 Clearwater Way Suite 150, Lexington, KY 40515 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MODERN KIDS DENTISTRY 401K PLAN | 2023 | 472668506 | 2024-07-09 | MODERN KIDS DENTISTRY | 25 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-09 |
| Name of individual signing | ARNESSA RAYBOULD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8596081579 |
| Plan sponsor’s address | 129 EVERGREEN RD, LOUISVILLE, KY, 40243 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-28 |
| Name of individual signing | ARNESSA CRAFT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2023-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5024101710 |
| Plan sponsor’s address | 130 N EVERGREEN RD, UNIT 100, LOUISVILLE, KY, 40243 |
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 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8596081579 |
| Plan sponsor’s address | 129 EVERGREEN RD, LOUISVILLE, KY, 40243 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-18 |
| Name of individual signing | ARNESSA CRAFT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8596081579 |
| Plan sponsor’s address | 129 EVERGREEN RD, LOUISVILLE, KY, 40243 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-25 |
| Name of individual signing | ARNESSA CRAFT |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-05-25 |
| Name of individual signing | ARNESSA CRAFT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Justin Michael Raybould | Member |
| Arnessa Carol Craft | Member |
| Name | Role |
|---|---|
| Healthcare Practice Consultants, LLC | Organizer |
| Name | Role |
|---|---|
| HEALTHCARE PRACTICE CONSULTANTS, LLC | Registered Agent |
| Name | Action |
|---|---|
| Lexington Children's Dentistry, PLLC | Old Name |
| Name | Status | Expiration Date |
|---|---|---|
| MODERN KIDS DENTISTRY | Inactive | 2022-06-22 |
| Name | File Date |
|---|---|
| Annual Report | 2024-03-20 |
| Annual Report | 2023-03-17 |
| Annual Report | 2022-03-10 |
| Annual Report | 2021-02-11 |
| Annual Report | 2020-02-14 |
| Annual Report | 2019-04-25 |
| Annual Report | 2018-04-20 |
| Certificate of Assumed Name | 2017-06-22 |
| Annual Report | 2017-04-27 |
| Annual Report | 2016-03-08 |
Date of last update: 12 Jan 2025
Sources: Kentucky Secretary of State
