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  5. FAMILY DERMATOLOGY AND DERMATOPATHOLOGY, PLLC

FAMILY DERMATOLOGY AND DERMATOPATHOLOGY, PLLC

Company Details

Name: FAMILY DERMATOLOGY AND DERMATOPATHOLOGY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Feb 2015 (10 years ago)
Organization Date: 03 Feb 2015 (10 years ago)
Last Annual Report: 18 Feb 2025 (2 months ago)
Managed By: Managers
Organization Number: 0909370
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40220
City: Louisville, Cambridge, Houston Acres, Hurstbourne Ac...
Primary County: Jefferson County
Principal Office: 2307 GREENE WAY, LOUISVILLE, KY 40220
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 401(K) PLAN 2021 352525826 2022-05-16 DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-06-01
Business code 621111
Sponsor’s telephone number 5024951162
Plan sponsor’s address 2211 GREEN WAY #100, LOUISVILLE, KY, 40220

Signature of
Role Plan administrator
Date 2022-05-12
Name of individual signing ANDREA BURCH
Valid signature Filed with authorized/valid electronic signature
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 401(K) PLAN 2020 352525826 2021-04-20 DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-06-01
Business code 621111
Sponsor’s telephone number 5024951162
Plan sponsor’s address 2211 GREEN WAY #100, LOUISVILLE, KY, 40220

Signature of
Role Plan administrator
Date 2021-04-20
Name of individual signing ANDREA BURCH
Valid signature Filed with authorized/valid electronic signature
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 401(K) PLAN 2019 352525826 2020-03-16 DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-06-01
Business code 621111
Sponsor’s telephone number 5024951162
Plan sponsor’s address 2211 GREEN WAY #100, LOUISVILLE, KY, 40220

Signature of
Role Plan administrator
Date 2020-03-16
Name of individual signing ANDREA BURCH
Valid signature Filed with authorized/valid electronic signature
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 401(K) PLAN 2018 352525826 2019-10-08 DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-06-01
Business code 621111
Sponsor’s telephone number 5024951162
Plan sponsor’s address 2211 GREEN WAY #100, LOUISVILLE, KY, 40220

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing ANDREA BURCH
Valid signature Filed with authorized/valid electronic signature
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 401(K) PLAN 2017 352525826 2018-02-16 DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-06-01
Business code 621111
Sponsor’s telephone number 5024951162
Plan sponsor’s address 2211 GREEN WAY #100, LOUISVILLE, KY, 40220

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing ANDREA BURCH
Valid signature Filed with authorized/valid electronic signature
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 401(K) PLAN 2016 352525826 2017-04-13 DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-06-01
Business code 621111
Sponsor’s telephone number 5024951162
Plan sponsor’s address 2211 GREEN WAY #100, LOUISVILLE, KY, 40220

Signature of
Role Plan administrator
Date 2017-04-13
Name of individual signing ANDREA BURCH
Valid signature Filed with authorized/valid electronic signature
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 401(K) PLAN 2015 352525826 2016-05-27 DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-06-01
Business code 621111
Sponsor’s telephone number 5024951162
Plan sponsor’s address 2211 GREEN WAY #100, LOUISVILLE, KY, 40220

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing ANDREA BURCH
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
TIMOTHY J BURCH Member

Organizer

Name Role
THE SKIN GROUP, PLLC Organizer

Registered Agent

Name Role
ANDREA S. BURCH Registered Agent

Manager

Name Role
ANDREA S. BURCH, MD Manager

Former Company Names

Name Action
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY, PLLC Old Name
DERMATOPATHOLOGY CONSULTANTS, PLLC Old Name

Assumed Names

Name Status Expiration Date
FAMILY DERMATOLOGY Expiring 2025-07-25
DERMATOPATHOLOGY CONSULTANTS Inactive 2025-02-05

Filings

Name File Date
Annual Report 2025-02-18
Annual Report 2024-03-20
Annual Report 2023-03-20
Annual Report Amendment 2022-12-30
Principal Office Address Change 2022-11-15
Principal Office Address Change 2022-03-07
Annual Report 2022-03-07
Registered Agent name/address change 2022-03-07
Annual Report 2021-03-29
Registered Agent name/address change 2020-07-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8295257100 2020-04-15 0457 PPP 2211 GREENE WAY STE 100, LOUISVILLE, KY, 40220-4077
Loan Status Date 2020-11-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 74500
Loan Approval Amount (current) 74500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40220-4077
Project Congressional District KY-03
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 74849.74
Forgiveness Paid Date 2020-10-13

Related by officers

TIMOTHY J BURCH

BURCH CUSTOM HOMES, LLC

Related by address

2307 GREENE WAY, LOUISVILLE, KY 40220

WALNUT LODGE MEDICAL PROPERTY, LLC

Sources: Kentucky Secretary of State

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