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WELLINGTON PROVIDER GROUP, P.S.C.

Company Details

Name: WELLINGTON PROVIDER GROUP, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Foreign Professional Services Corp.
Status: Inactive
Standing: Bad
File Date: 29 Dec 2021 (3 years ago)
Organization Date: 15 Oct 2021 (3 years ago)
Authority Date: 29 Dec 2021 (3 years ago)
Last Annual Report: 15 Aug 2023 (a year ago)
Organization Number: 1183217
ZIP code: 40503
Primary County: Fayette
Principal Office: 535 WELLINGTON WAY, SUITE 330, LEXINGTON, KY 40503
Place of Formation: VIRGINIA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELLINGTON PROVIDER GROUP 401(K) PLAN 2023 873126080 2024-09-30 WELLINGTON PROVIDER GROUP, P.S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621399
Sponsor’s telephone number 7653181881
Plan sponsor’s address 535 WELLINGTON WAY, SUITE 330, LEXINGTON, KY, 40503

Signature of

Role Plan administrator
Date 2024-09-30
Name of individual signing NATHANIEL MURRAY
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

President

Name Role
NATHANIEL MURRAY President

Secretary

Name Role
NATHANIEL MURRAY Secretary

Treasurer

Name Role
Norman Osumi Treasurer

Director

Name Role
Carl M. Seger, M.D. Director

Filings

Name File Date
Revocation of Certificate of Authority 2024-10-12
Annual Report 2023-08-15
Annual Report 2022-07-11
Application for Certificate of Authority(Corp) 2021-12-29

Date of last update: 18 Jan 2025

Sources: Kentucky Secretary of State