| Name: | PADUCAH VASCULAR INSTITUTE, PLLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 13 May 2021 (4 years ago) |
| Organization Date: | 13 May 2021 (4 years ago) |
| Last Annual Report: | 29 Mar 2024 (a year ago) |
| Managed By: | Members |
| Organization Number: | 1150257 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42001 |
| City: | Paducah |
| Primary County: | McCracken County |
| Principal Office: | 2419 NEW HOLT RD, PADUCAH, KY 42001 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PADUCAH VASCULAR INSTITUTE CBS BENEFIT PLAN | 2023 | 871006426 | 2024-12-30 | PADUCAH VASCULAR INSTITUTE | 5 | |||||||||||||||||||||||||||||||
|
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| 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 |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2022-06-01 |
| Business code | 621491 |
| Sponsor’s telephone number | 2708165460 |
| Plan sponsor’s address | 2419 NEW HOLT ROAD, PADUCAH, KY, 42001 |
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 |
| Name | Role |
|---|---|
| Scott J Sanders | Member |
| Name | Role |
|---|---|
| Nicholas Holland | Registered Agent |
| SCOTT SANDERS | Registered Agent |
| Name | Role |
|---|---|
| Nicholas Holland | Organizer |
| Name | File Date |
|---|---|
| Annual Report | 2024-03-29 |
| Annual Report | 2023-06-06 |
| Principal Office Address Change | 2022-09-22 |
| Annual Report | 2022-09-22 |
| Principal Office Address Change | 2022-02-10 |
| Registered Agent name/address change | 2022-02-10 |
Sources: Kentucky Secretary of State
