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TJAK GROUP LLC

Company Details

Name: TJAK GROUP LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 Oct 2019 (5 years ago)
Organization Date: 04 Oct 2019 (5 years ago)
Last Annual Report: 03 Jun 2024 (9 months ago)
Managed By: Members
Organization Number: 1073539
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40977
City: Pineville, Balkan, Callaway, Cary, Chenoa, Clear Cr...
Primary County: Bell County
Principal Office: 114 N PINE STREET, PINEVILLE, KY 40977
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TJAK GROUP LLC CBS BENEFIT PLAN 2023 843464474 2024-12-30 TJAK GROUP LLC 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 446110
Sponsor’s telephone number 6063375050
Plan sponsor’s address 114 NORTH PINE STREET, PINEVILLE, KY, 40977

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
TJAK GROUP LLC CBS BENEFIT PLAN 2022 843464474 2023-12-27 TJAK GROUP LLC 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 446110
Sponsor’s telephone number 6063375050
Plan sponsor’s address 114 NORTH PINE STREET, PINEVILLE, KY, 40977

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
TJAK GROUP LLC CBS BENEFIT PLAN 2021 843464474 2022-12-29 TJAK GROUP LLC 4
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 446110
Sponsor’s telephone number 6063375050
Plan sponsor’s address 114 NORTH PINE STREET, PINEVILLE, KY, 40977

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

Registered Agent

Name Role
MICHAEL ANDREW SCHNEIDER Registered Agent

Member

Name Role
Jamie D Partin Member

Organizer

Name Role
KEITH A NAGLE Organizer

Filings

Name File Date
Annual Report 2024-06-03
Annual Report 2023-06-02
Annual Report 2022-05-25
Principal Office Address Change 2021-11-10
Annual Report Amendment 2021-11-10
Principal Office Address Change 2021-11-04
Annual Report Amendment 2021-11-04
Annual Report Amendment 2021-06-15
Principal Office Address Change 2021-02-17
Annual Report 2021-02-17

Sources: Kentucky Secretary of State