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SOUTHERN KENTUCKY VASCULAR CLINIC PLLC

Company Details

Name: SOUTHERN KENTUCKY VASCULAR CLINIC PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 15 Apr 2022 (3 years ago)
Organization Date: 15 Apr 2022 (3 years ago)
Last Annual Report: 14 Apr 2024 (9 months ago)
Managed By: Members
Organization Number: 1202908
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: <font face="Book Antiqua">50 MEDPARK SQUARE DRIVE SUITE 3 SOMERSET, KY 42503</font>
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN KENTUCKY VASCULAR CLINIC PLLC CBS BENEFIT PLAN 2023 882241660 2024-04-29 SOUTHERN KENTUCKY VASCULAR CLINIC PLLC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-07-31
Business code 621491
Sponsor’s telephone number 6066794589
Plan sponsor’s address 25 MEDPARK DR, STE 3, SOMERSET, KY, 42503

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

Member

Name Role
Donald Wayne Brown Member

Organizer

Name Role
WT&C CORPORATE SERVICES, INC. Organizer

Registered Agent

Name Role
DON W. BROWN Registered Agent

Filings

Name File Date
Registered Agent name/address change 2024-07-31
Annual Report Amendment 2024-04-14
Annual Report 2024-04-14
Annual Report 2023-08-08
Principal Office Address Change 2023-05-30
Articles of Organization (LLC) 2022-04-15

Date of last update: 09 Jan 2025

Sources: Kentucky Secretary of State