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  5. Pediatrics of Bullitt County, PLLC

Pediatrics of Bullitt County, PLLC

Company Details

Name: Pediatrics of Bullitt County, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 18 Sep 2017 (7 years ago)
Organization Date: 18 Sep 2017 (7 years ago)
Last Annual Report: 27 Mar 2024 (10 months ago)
Managed By: Members
Organization Number: 0997094
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40047
Primary County: Bullitt
Principal Office: 327 Eastbrooke Pointe Dr # 200, Mt Washington, KY 40047
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRICS OF BULLITT COUNTY 401(K) PLAN 2023 263720242 2024-09-25 PEDIATRICS OF BULLITT COUNTY 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5027248614
Plan sponsor’s address 327 EASTBROOKE POINTE DRIVE, SUITE 200, MT. WASHINGTON, KY, 40047

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing CASEY LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY 401(K) PLAN 2022 263720242 2023-03-02 PEDIATRICS OF BULLITT COUNTY 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5027248614
Plan sponsor’s address 327 EASTBROOKE POINTE DRIVE, SUITE 200, MT. WASHINGTON, KY, 40047

Signature of
Role Plan administrator
Date 2023-03-02
Name of individual signing CASEY LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY 401(K) PLAN 2021 263720242 2022-07-27 PEDIATRICS OF BULLITT COUNTY 43
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5027248614
Plan sponsor’s address 327 EASTBROOKE POINTE DRIVE, SUITE 200, MT. WASHINGTON, KY, 40047

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing CASEY LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY 401(K) PLAN 2020 263720242 2021-10-13 PEDIATRICS OF BULLITT COUNTY 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5027248614
Plan sponsor’s address 327 EASTBROOKE POINTE DRIVE, SUITE 200, MT. WASHINGTON, KY, 40047

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing CASEY LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY 401(K) PLAN 2019 263720242 2020-09-28 PEDIATRICS OF BULLITT COUNTY 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5027248614
Plan sponsor’s address 327 EASTBROOKE POINTE DRIVE, SUITE 200, MT. WASHINGTON, KY, 40047

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing CASEY LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY 401(K) PLAN 2018 263720242 2019-07-15 PEDIATRICS OF BULLITT COUNTY 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 5027248614
Plan sponsor’s address 327 EASTBROOKE POINTE DRIVE, SUITE 200, MT. WASHINGTON, KY, 40047

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing CASEY LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY RETIREMENT PLAN 2014 263720242 2015-04-23 PEDIATRICS OF BULLITT COUNTY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5022155090
Plan sponsor’s address 1707 CEDAR GROVE RD., STE. 20, SHEPHERDSVILLE, KY, 40165

Signature of
Role Plan administrator
Date 2015-04-23
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-23
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY RETIREMENT PLAN 2013 263720242 2014-06-17 PEDIATRICS OF BULLITT COUNTY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5022155090
Plan sponsor’s address 1707 CEDAR GROVE RD., STE. 20, SHEPHERDSVILLE, KY, 40165

Signature of
Role Plan administrator
Date 2014-06-17
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-17
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY RETIREMENT PLAN 2012 263720242 2013-05-20 PEDIATRICS OF BULLITT COUNTY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5022155090
Plan sponsor’s address 1707 CEDAR GROVE RD., STE. 20, SHEPHERDSVILLE, KY, 40165

Signature of
Role Plan administrator
Date 2013-05-20
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-20
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRICS OF BULLITT COUNTY RETIREMENT PLAN 2011 263720242 2012-05-16 PEDIATRICS OF BULLITT COUNTY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5022155090
Plan sponsor’s address 1707 CEDAR GROVE RD., STE. 20, SHEPHERDSVILLE, KY, 40165

Plan administrator’s name and address
Administrator’s EIN 263720242
Plan administrator’s name PEDIATRICS OF BULLITT COUNTY
Plan administrator’s address 1707 CEDAR GROVE RD., STE. 20, SHEPHERDSVILLE, KY, 40165
Administrator’s telephone number 5022155090

Signature of
Role Plan administrator
Date 2012-05-16
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-16
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/17/20110617112957P040079820177001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5022155090
Plan sponsor’s address 1707 CEDAR GROVE RD., STE. 20, SHEPHERDSVILLE, KY, 40165

Plan administrator’s name and address
Administrator’s EIN 263720242
Plan administrator’s name PEDIATRICS OF BULLITT COUNTY
Plan administrator’s address 1707 CEDAR GROVE RD., STE. 20, SHEPHERDSVILLE, KY, 40165
Administrator’s telephone number 5022155090

Signature of
Role Plan administrator
Date 2011-06-17
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-17
Name of individual signing CASEY M. LEWIS, MD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Casey M Lewis Registered Agent

Member

Name Role
CASEY LEWIS Member
SARAH HART Member
SARA WOODRING Member

Organizer

Name Role
Casey M Lewis Organizer

Filings

Name File Date
Annual Report 2024-03-27
Annual Report 2023-03-22
Registered Agent name/address change 2023-03-22
Annual Report 2022-03-18
Annual Report 2021-04-05
Annual Report 2020-02-18
Annual Report 2019-05-15
Annual Report 2018-04-18

Related by officers

CASEY LEWIS

THE FIGHT FOUNDATION INC.

SARAH HART

THE FIGHT FOUNDATION INC.

SARA WOODRING

WASHINGTON GREEN HOMEOWNERS ASSOCIATION, INC.

Related by address

No related companies by address

Date of last update: 20 Nov 2024

Sources: Kentucky Secretary of State

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