| Name: | BLUEGRASS PODIATRIC MANAGEMENT LLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 08 Jan 2015 (10 years ago) |
| Organization Date: | 08 Jan 2015 (10 years ago) |
| Last Annual Report: | 20 Mar 2024 (10 months ago) |
| Managed By: | Managers |
| Organization Number: | 0906876 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 40206 |
| Primary County: | Jefferson |
| Principal Office: | 178 North Ewing Avenue, Louisville, KY 40206 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUEGRASS PODIATRIC MANAGEMENT CBS BENEFIT PLAN | 2022 | 472749573 | 2023-12-27 | BLUEGRASS PODIATRIC MANAGEMENT | 3 | |||||||||||||||||||||||||||||||
|
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| 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) | 501 |
| Effective date of plan | 2020-10-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 5025543792 |
| Plan sponsor’s address | 178 N EWING AVE, LOUISVILLE, KY, 40206 |
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 | 2022-12-29 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-10-01 |
| Business code | 621391 |
| Sponsor’s telephone number | 5025543792 |
| Plan sponsor’s address | 178 N EWING AVE, LOUISVILLE, KY, 40206 |
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 | 2021-12-14 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Stephen L. Fugitte | Registered Agent |
| Name | Role |
|---|---|
| Stephen Lee Fugitte | Manager |
| Name | Role |
|---|---|
| FBT, LLC | Organizer |
| Name | File Date |
|---|---|
| Annual Report | 2024-03-20 |
| Annual Report | 2023-03-17 |
| Annual Report | 2022-03-07 |
| Annual Report | 2021-03-11 |
| Annual Report | 2020-06-10 |
| Annual Report | 2019-08-05 |
| Annual Report | 2018-06-06 |
| Annual Report | 2017-06-14 |
| Annual Report | 2016-05-19 |
Date of last update: 16 Nov 2024
Sources: Kentucky Secretary of State
