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  5. Louisville Glaucoma, PLLC

Louisville Glaucoma, PLLC

Company Details

Name: Louisville Glaucoma, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 18 Jan 2020 (5 years ago)
Organization Date: 18 Jan 2020 (5 years ago)
Last Annual Report: 26 Mar 2024 (10 months ago)
Managed By: Managers
Organization Number: 1084111
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40217
Primary County: Jefferson
Principal Office: 1169 Eastern Pkwy Ste 3427, Louisville, KY 40217
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LOUISVILLE GLAUCOMA PLLC CBS BENEFIT PLAN 2023 844355366 2024-04-29 LOUISVILLE GLAUCOMA PLLC 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 621491
Sponsor’s telephone number 5023531986
Plan sponsor’s address 1169 EASTERN PARKWAY, SUITE 3427, LOUISVILLE, KY, 40217

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 2024-04-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
LOUISVILLE GLAUCOMA 401(K) PROFIT SHARING PLAN 2023 844355366 2024-05-28 LOUISVILLE GLAUCOMA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 5022168809
Plan sponsor’s address 3111 ARDEN RD, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2024-05-28
Name of individual signing GREGORY SULKOWSKI
Valid signature Filed with authorized/valid electronic signature
LOUISVILLE GLAUCOMA PLLC CBS BENEFIT PLAN 2022 844355366 2023-12-27 LOUISVILLE GLAUCOMA PLLC 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 621491
Sponsor’s telephone number 5023531986
Plan sponsor’s address 1169 EASTERN PARKWAY, SUITE 3427, LOUISVILLE, KY, 40217

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
LOUISVILLE GLAUCOMA 401(K) PROFIT SHARING PLAN 2022 844355366 2023-05-25 LOUISVILLE GLAUCOMA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 5022168809
Plan sponsor’s address 3111 ARDEN RD, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2023-05-25
Name of individual signing GREGORY SULKOWSKI
Valid signature Filed with authorized/valid electronic signature
LOUISVILLE GLAUCOMA PLLC CBS BENEFIT PLAN 2021 844355366 2022-12-29 LOUISVILLE GLAUCOMA PLLC 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 621491
Sponsor’s telephone number 5023531986
Plan sponsor’s address 1169 EASTERN PARKWAY, SUITE 3427, LOUISVILLE, KY, 40217

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
LOUISVILLE GLAUCOMA 401(K) PROFIT SHARING PLAN 2021 844355366 2022-06-01 LOUISVILLE GLAUCOMA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 5022168809
Plan sponsor’s address 3111 ARDEN RD, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing GREGORY SULKOWSKI
Valid signature Filed with authorized/valid electronic signature
LOUISVILLE GLAUCOMA PLLC CBS BENEFIT PLAN 2020 844355366 2021-12-14 LOUISVILLE GLAUCOMA PLLC 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 621491
Sponsor’s telephone number 5023531986
Plan sponsor’s address 1169 EASTERN PARKWAY, SUITE 3427, LOUISVILLE, KY, 40217

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
LOUISVILLE GLAUCOMA 401(K) PROFIT SHARING PLAN 2020 844355366 2021-06-16 LOUISVILLE GLAUCOMA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-06-01
Business code 621111
Sponsor’s telephone number 5022168809
Plan sponsor’s address 1169 EASTERN PARKWAY SUITE 3427, LOUISVILLE, KY, 40217

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing GREGORY SULKOWSKI
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Gregory Michael Sulkowski Registered Agent

Organizer

Name Role
Gregory Michael Sulkowski Organizer

Manager

Name Role
Gregory Michael Sulkowski Manager

Assumed Names

Name Status Expiration Date
LOUISVILLE GLAUCOMA Active 2025-08-31

Filings

Name File Date
Annual Report 2024-03-26
Annual Report 2023-03-22
Annual Report 2022-03-09
Annual Report 2021-04-01
Certificate of Assumed Name 2020-08-31

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 14 Jan 2025

Sources: Kentucky Secretary of State

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