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Kentuckiana Dental Health Specialists, LLC

Company Details

Name: Kentuckiana Dental Health Specialists, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 17 Apr 2018 (7 years ago)
Organization Date: 17 Apr 2018 (7 years ago)
Last Annual Report: 28 Aug 2024 (8 months ago)
Managed By: Members
Organization Number: 1018232
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40206
City: Louisville
Primary County: Jefferson County
Principal Office: 2809 Alta Vista Ct, Louisville, KY 40206
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2023 825405191 2024-06-07 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 41
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 11215 N COMMUNITY HOUSE RD #800, CHARLOTTE, NC, 28277
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2024-06-07
Name of individual signing MELISSA VERSNIK
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2022 825405191 2023-06-27 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 35
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2023-06-27
Name of individual signing MELISSA VERSNIK
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2021 825405191 2022-06-16 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 31
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2022-06-16
Name of individual signing NEIL SHIFMAN
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2020 825405191 2021-05-20 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 33
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing NEIL SHIFMAN
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2019 825405191 2020-10-09 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 20
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE STE 101, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2019 825405191 2020-06-23 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 20
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE STE 101, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2018 825405191 2019-06-03 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 9
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE STE 101, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484

Registered Agent

Name Role
Jenna Schulten Registered Agent

Organizer

Name Role
Jenna Schulten Organizer

Member

Name Role
Jenna Schulten Member

Filings

Name File Date
Annual Report 2024-08-28
Annual Report 2023-03-21
Annual Report 2022-05-17
Annual Report 2021-07-10
Annual Report 2020-06-15
Annual Report 2019-06-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5317607009 2020-04-05 0457 PPP 3934 DUTCHMANS LN, LOUISVILLE, KY, 40207-4702
Loan Status Date 2021-08-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 216900
Loan Approval Amount (current) 216900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27569
Servicing Lender Name Stock Yards Bank & Trust Company
Servicing Lender Address 1040 E Main St, LOUISVILLE, KY, 40206-1856
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40207-4702
Project Congressional District KY-03
Number of Employees 19
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 27569
Originating Lender Name Stock Yards Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 219651.36
Forgiveness Paid Date 2021-07-22
5344108406 2021-02-08 0457 PPS 2809 Alta Vista Ct, Louisville, KY, 40206-2939
Loan Status Date 2022-05-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 216900
Loan Approval Amount (current) 216900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27569
Servicing Lender Name Stock Yards Bank & Trust Company
Servicing Lender Address 1040 E Main St, LOUISVILLE, KY, 40206-1856
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Louisville, JEFFERSON, KY, 40206-2939
Project Congressional District KY-03
Number of Employees 26
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 27569
Originating Lender Name Stock Yards Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 219312.64
Forgiveness Paid Date 2022-03-31

Sources: Kentucky Secretary of State