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Lake Cumberland Pediatrics, PLLC

Company Details

Name: Lake Cumberland Pediatrics, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Jan 2017 (8 years ago)
Organization Date: 31 Jan 2017 (8 years ago)
Last Annual Report: 20 May 2024 (10 months ago)
Managed By: Members
Organization Number: 0975014
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42633
City: Monticello, Barrier, Bethesda, Betsey, Coopersville,...
Primary County: Wayne County
Principal Office: Po Box 1737, Monticello, KY 42633
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE CUMBERLAND PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2023 815179411 2024-10-09 LAKE CUMBERLAND PEDIATRICS, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 6067530293
Plan sponsor’s address 1215 N MAIN ST., SUITE 2, MONTICELLO, KY, 42633
LAKE CUMBERLAND PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2022 815179411 2023-10-11 LAKE CUMBERLAND PEDIATRICS, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 6067530293
Plan sponsor’s address 1215 N MAIN ST., SUITE 2, MONTICELLO, KY, 42633
LAKE CUMBERLAND PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2021 815179411 2022-10-12 LAKE CUMBERLAND PEDIATRICS, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 6067530293
Plan sponsor’s address 1215 N MAIN ST., SUITE 2, MONTICELLO, KY, 42633
LAKE CUMBERLAND PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2020 815179411 2021-10-08 LAKE CUMBERLAND PEDIATRICS, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 6067530293
Plan sponsor’s address 1215 N MAIN ST., SUITE 2, MONTICELLO, KY, 42633
LAKE CUMBERLAND PEDIATRICS, PLLC CASH BALANCE PENSION PLAN 2019 815179411 2020-07-20 LAKE CUMBERLAND PEDIATRICS, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621399
Sponsor’s telephone number 6067530293
Plan sponsor’s address 1215 N MAIN ST., SUITE 2, MONTICELLO, KY, 42633

Member

Name Role
Joseph Clay Brown Member

Organizer

Name Role
Michael C Slone Organizer

Registered Agent

Name Role
Michael C Slone Registered Agent

Assumed Names

Name Status Expiration Date
LAKE CUMBERLAND PRIMARY CARE Active 2027-01-13
THE WALK-IN CLINIC Active 2027-01-12
LAKE CUMBERLAND PEDIATRICS AND MEDICINE Inactive 2022-02-09
LAKE CUMBERLAND PEDIATRICS AND INTERNAL MEDICINE Inactive 2022-02-09

Filings

Name File Date
Annual Report 2024-05-20
Annual Report 2023-03-15
Annual Report 2022-07-20
Certificate of Assumed Name 2022-01-13
Certificate of Assumed Name 2022-01-12
Annual Report 2021-03-12
Annual Report 2020-02-19
Annual Report 2019-06-05
Annual Report 2018-06-14
Annual Report 2017-06-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9634177002 2020-04-09 0457 PPP 1215 N MAIN ST #2, MONTICELLO, KY, 42633-1902
Loan Status Date 2020-12-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90835
Loan Approval Amount (current) 90835
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27616
Servicing Lender Name Monticello Banking Company
Servicing Lender Address 50 N Main St, MONTICELLO, KY, 42633-2851
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MONTICELLO, WAYNE, KY, 42633-1902
Project Congressional District KY-05
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 27616
Originating Lender Name Monticello Banking Company
Originating Lender Address MONTICELLO, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 91362.35
Forgiveness Paid Date 2020-11-12

Sources: Kentucky Secretary of State