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OLIVER ORTHODONTICS, PLLC

Company Details

Name: OLIVER ORTHODONTICS, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 03 Dec 2019 (5 years ago)
Organization Date: 03 Dec 2019 (5 years ago)
Last Annual Report: 25 Mar 2024 (10 months ago)
Managed By: Members
Organization Number: 1079262
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40258
Primary County: Jefferson
Principal Office: 7206 DIXIE HIGHWAY, LOUISVILLE, KY 40258
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OLIVER ORTHODONTICS CBS BENEFIT PLAN 2022 843862708 2023-12-27 OLIVER ORTHODONTICS 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5029332323
Plan sponsor’s address 7206 DIXIE HIGHWAY, LOUISVILLE, KY, 40258

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
OLIVER ORTHODONTICS CBS BENEFIT PLAN 2021 843862708 2022-12-29 OLIVER ORTHODONTICS 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5029332323
Plan sponsor’s address 7206 DIXIE HIGHWAY, LOUISVILLE, KY, 40258

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
OLIVER ORTHODONTICS CBS BENEFIT PLAN 2020 843862708 2021-12-14 OLIVER ORTHODONTICS 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5029332323
Plan sponsor’s address 7206 DIXIE HIGHWAY, LOUISVILLE, KY, 40258

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 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
OLIVER ORTHODONTICS CBS BENEFIT PLAN 2019 843862708 2020-12-23 OLIVER ORTHODONTICS 3
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5029332323
Plan sponsor’s address 7206 DIXIE HIGHWAY, LOUISVILLE, KY, 40258

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name KELLY WOLF
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
HANNAH R. OLIVER Registered Agent

Member

Name Role
Hannah Oliver Member

Organizer

Name Role
JAMES P. WILLETT III Organizer

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-05-10
Annual Report 2022-05-18
Annual Report 2021-03-29
Annual Report 2020-06-23
Articles of Organization (LLC) 2019-12-03

Date of last update: 25 Nov 2024

Sources: Kentucky Secretary of State