| Name: | MODERN MEDICAL, INC. |
| Legal type: | Foreign Corporation |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 27 Dec 2016 (8 years ago) |
| Authority Date: | 27 Dec 2016 (8 years ago) |
| Last Annual Report: | 10 Jun 2020 (5 years ago) |
| Organization Number: | 0971416 |
| Principal Office: | 9900 BREN ROAD EAST, MN008-T502, MINNETONKA, MN 55343 |
| Place of Formation: | OHIO |
| Name | Role |
|---|---|
| KY SECRETARY OF STATE | Registered Agent |
| Name | Role |
|---|---|
| David Wayne Young | President |
| Name | Role |
|---|---|
| Karen Elizabeth Peterson | Secretary |
| Name | Role |
|---|---|
| Peter Marshall Gill | Treasurer |
| Name | Role |
|---|---|
| Jeffrey David Grosklags | Director |
| David Wayne Young | Director |
| Department | License Number | License Type / Line of Authority | Status | Issue Date | Effective Date | Inactive Date | Expiry Date | Address |
|---|---|---|---|---|---|---|---|---|
| Department of Professional Licensing | 170387 | Home Medical Equipment and Services Provider | Surrendered | 2015-08-01 | - | - | 2018-09-30 | 7840 Graphics Way, PO Box 549, Lewis Center, OH 43035 |
| Name | Status | Expiration Date |
|---|---|---|
| OPTUM WORKERS COMPENSATION MEDICAL SERVICES | Inactive | 2021-12-27 |
| Name | File Date |
|---|---|
| App. for Certificate of Withdrawal | 2021-04-20 |
| Annual Report | 2020-06-10 |
| Annual Report | 2019-04-24 |
| Annual Report | 2018-05-01 |
| Annual Report | 2017-05-26 |
| Application for Certificate of Authority(Corp) | 2016-12-27 |
| Certificate of Assumed Name | 2016-12-27 |
Sources: Kentucky Secretary of State
