| Name: | ULRICH MEDICAL CLINIC, LLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 01 Apr 2021 (4 years ago) |
| Organization Date: | 01 Apr 2021 (4 years ago) |
| Last Annual Report: | 24 Jun 2024 (7 months ago) |
| Managed By: | Members |
| Organization Number: | 1142436 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 40729 |
| Primary County: | Laurel |
| Principal Office: | 1655 EAST HWY. 30, EAST BERNSTADT, KY 40729 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ULRICH MEDICAL CLINIC CBS BENEFIT PLAN | 2022 | 522144858 | 2023-12-27 | ULRICH MEDICAL CLINIC | 7 | |||||||||||||||||||||||||||||||
|
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| 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 |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2022-01-01 |
| Business code | 621491 |
| Sponsor’s telephone number | 6068432339 |
| Plan sponsor’s address | 1655 EAST HIGHWAY 3094, EAST BERNSTAD, KY, 40729 |
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 |
| Name | Role |
|---|---|
| DENNIS ULRICH | Registered Agent |
| Name | Role |
|---|---|
| DENNIS ULRICH | Organizer |
| Name | Role |
|---|---|
| Dennis A Ulrich | Member |
| Name | File Date |
|---|---|
| Annual Report | 2024-06-24 |
| Annual Report | 2023-03-22 |
| Annual Report | 2022-06-30 |
| Articles of Organization (LLC) | 2021-04-01 |
Date of last update: 17 Jan 2025
Sources: Kentucky Secretary of State
