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  5. DERMATOLOGY CENTER OF OWENSBORO, PLLC

DERMATOLOGY CENTER OF OWENSBORO, PLLC

Company Details

Name: DERMATOLOGY CENTER OF OWENSBORO, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 05 Feb 2015 (10 years ago)
Organization Date: 05 Feb 2015 (10 years ago)
Last Annual Report: 10 Mar 2025 (a month ago)
Managed By: Members
Organization Number: 0909663
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 2200 EAST PARRISH AVENUE, BUILDING E, SUITE 205, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY CENTER OF OWENSBORO 401(K) PLAN 2023 473036845 2024-08-22 DERMATOLOGY CENTER OF OWENSBORO 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE. BLDG. E, SUITE 205, OWENSBORO, KY, 42303
DERMATOLOGY CENTER OF OWENSBORO PLLC CBS BENEFIT PLAN 2023 473036845 2024-12-30 DERMATOLOGY CENTER OF OWENSBORO PLLC 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE, UNIT E205, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF OWENSBORO 401(K) PLAN 2022 473036845 2023-10-03 DERMATOLOGY CENTER OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE. BLDG. E, SUITE 205, OWENSBORO, KY, 42303
DERMATOLOGY CENTER OF OWENSBORO PLLC CBS BENEFIT PLAN 2022 473036845 2023-12-27 DERMATOLOGY CENTER OF OWENSBORO PLLC 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE, UNIT E205, OWENSBORO, KY, 42303

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
DERMATOLOGY CENTER OF OWENSBORO PLLC CBS BENEFIT PLAN 2021 473036845 2022-12-29 DERMATOLOGY CENTER OF OWENSBORO PLLC 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE, UNIT E205, OWENSBORO, KY, 42303

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
DERMATOLOGY CENTER OF OWENSBORO 401(K) PLAN 2021 473036845 2022-09-13 DERMATOLOGY CENTER OF OWENSBORO 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE. BLDG. E, STE. 205, OWENSBORO, KY, 42303
DERMATOLOGY CENTER OF OWENSBORO PLLC CBS BENEFIT PLAN 2020 473036845 2021-12-14 DERMATOLOGY CENTER OF OWENSBORO PLLC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE, E205, OWENSBORO, KY, 42303

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
DERMATOLOGY CENTER OF OWENSBORO 401(K) PLAN 2020 473036845 2021-09-28 DERMATOLOGY CENTER OF OWENSBORO 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE. BLDG. E, STE. 205, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing BENJAMIN VESSELS
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF OWENSBORO PLLC CBS BENEFIT PLAN 2019 473036845 2020-12-23 DERMATOLOGY CENTER OF OWENSBORO PLLC 1
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621491
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE, E205, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name KELLY WOLF
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF OWENSBORO 401(K) PLAN 2019 473036845 2020-07-15 DERMATOLOGY CENTER OF OWENSBORO 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE., BLDG. E, STE. 205, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing BENJAMIN VESSELS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/17/20190917093828P030019922289001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE., BLDG. E, STE. 205, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing BENJAMIN VESSELS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/02/20181002114554P040242311713001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE., BLDG. E, SUITE 205, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing BENJAMIN VESSELS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/18/20170718104353P030053380657001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621111
Sponsor’s telephone number 2706631078
Plan sponsor’s address 2200 EAST PARRISH AVE., BLDG. E, SUITE 205, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing BENJAMIN VESSELS
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Mark W Starnes Registered Agent

Organizer

Name Role
Mark W Starnes Organizer

Member

Name Role
Cassey Vessels Member

Filings

Name File Date
Annual Report 2025-03-10
Registered Agent name/address change 2024-03-25
Annual Report 2024-03-25
Annual Report 2023-05-08
Annual Report 2022-05-09
Annual Report 2021-04-19
Annual Report 2020-04-07
Annual Report 2019-06-05
Annual Report 2018-03-30
Annual Report 2017-04-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9428627005 2020-04-09 0457 PPP 2200 E PARRISH AVE bldg E ste 205, OWENSBORO, KY, 42303-1449
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 74262
Loan Approval Amount (current) 74262
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27217
Servicing Lender Name Independence Bank of Kentucky
Servicing Lender Address 2425 Frederica St, OWENSBORO, KY, 42301-5437
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address OWENSBORO, DAVIESS, KY, 42303-1449
Project Congressional District KY-02
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 27217
Originating Lender Name Independence Bank of Kentucky
Originating Lender Address OWENSBORO, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 74750.3
Forgiveness Paid Date 2020-12-10

Related by officers

Mark W Starnes

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No related companies by address

Sources: Kentucky Secretary of State

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