| Name: | Diane Goetz Family Practice PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 28 Aug 2020 (4 years ago) |
| Organization Date: | 28 Aug 2020 (4 years ago) |
| Last Annual Report: | 26 Mar 2024 (10 months ago) |
| Managed By: | Members |
| Organization Number: | 1110628 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42303 |
| Primary County: | Daviess |
| Principal Office: | 3000 ALVEY PARK DRIVE WEST, SUITE D, 3000 ALVEY PARK DRIVE WEST, SUITE D, OWENSBORO, OWENSBORO, KY 42303 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIANE GOETZ FAMILY PRACTICE 401(K) PLAN | 2023 | 852752877 | 2024-04-29 | DIANE GOETZ FAMILY PRACTICE PLLC | 6 | |||||||||||||||||||||||||||||||
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| DIANE GOETZ FAMILY PRACTICE 401(K) PLAN | 2022 | 852752877 | 2023-05-30 | DIANE GOETZ FAMILY PRACTICE PLLC | 4 | |||||||||||||||||||||||||||||||
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| DIANE GOETZ FAMILY PRACTICE 401(K) PLAN | 2021 | 852752877 | 2022-06-02 | DIANE GOETZ FAMILY PRACTICE PLLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-02 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Diane Michelle Goetz | Member |
| Name | Role |
|---|---|
| Nicholas Goetz | Registered Agent |
| Name | Role |
|---|---|
| Nicholas Goetz | Organizer |
| Name | File Date |
|---|---|
| Annual Report | 2024-03-26 |
| Annual Report | 2023-03-21 |
| Annual Report | 2022-03-08 |
| Principal Office Address Change | 2021-03-31 |
| Annual Report | 2021-03-31 |
Date of last update: 27 Nov 2024
Sources: Kentucky Secretary of State
