PENNYRILE RADIOLOGY, P.S.C.

Company Details

Name:	PENNYRILE RADIOLOGY, P.S.C.
Jurisdiction:	Kentucky
Profit or Non-Profit:	Profit
Legal type:	Kentucky Professional Services Corp
Status:	Active
Standing:	Good
File Date:	21 Feb 1975 (50 years ago)
Organization Date:	21 Feb 1975 (50 years ago)
Organization Number:	0148900
Industry:	Health Services
Number of Employees:	Small (0-19)
Primary County:	Christian
Place of Formation:	KENTUCKY
Last Annual Report:	12 Aug 2024 (3 months ago)
Principal Office:	215 W. 17TH ST., PO BOX 595, HOPKINSVILLE, KY 42240
Principal Office ZIP code:	42240
Authorized Shares:	2000

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

NGLPVTVM3KH6

2022-10-28

215 W 17TH ST, HOPKINSVILLE, KY, 42240, 1911, USA

PO BOX 595, HOPKINSVILLE, KY, 42441, USA

Business Information

Congressional District	01
State/Country of Incorporation	KY, USA
Activation Date	2021-11-01
Initial Registration Date	2020-11-24
Entity Start Date	1975-03-01
Fiscal Year End Close Date	Feb 28

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	MICHELLE HAMBLIN
Address	PO BOX 595, HOPKINSVILLE, KY, 42241, USA

Government Business
Title	PRIMARY POC
Name	MICHELLE HAMBLIN
Address	PO BOX 595, HOPKINSVILLE, KY, 42241, USA

Past Performance	Information not Available

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PENNYRILE RADIOLOGY, P.S.C. PROFIT SHARING PLAN

2022

610873119

2023-12-11

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2023-12-11
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2023-12-11
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C., PENSION PLAN

2022

610873119

2023-12-11

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2023-12-11
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2023-12-11
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C., PENSION PLAN

2021

610873119

2022-12-15

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2022-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2022-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C. PROFIT SHARING PLAN

2021

610873119

2022-12-15

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2022-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2022-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C., PENSION PLAN

2020

610873119

2021-12-15

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2021-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2021-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C. PROFIT SHARING PLAN

2020

610873119

2021-12-15

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2021-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2021-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C. PROFIT SHARING PLAN

2019

610873119

2020-12-16

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2020-12-16
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2020-12-16
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C. PROFIT SHARING PLAN

2018

610873119

2019-12-16

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2019-12-16
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2019-12-16
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C. PROFIT SHARING PLAN

2017

610873119

2018-12-17

PENNYRILE RADIOLOGY, P.S.C.

Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2018-12-17
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2018-12-17
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

PENNYRILE RADIOLOGY, P.S.C. PROFIT SHARING PLAN

2017

610873119

2019-12-16

PENNYRILE RADIOLOGY, P.S.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2019-12-16
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2019-12-16
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2017/12/15/20171215145724P040318114039001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2017-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2017-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2016/12/14/20161214154055P040053828609001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2016-12-14
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2016-12-14
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/24/20150924075622P030014767553001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2015-09-23
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2015-09-23
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2014/12/15/20141215153610P040003423153001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2014-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2014-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/13/20131213151334P040123109619001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Signature of

Role	Plan administrator
Date	2013-12-13
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-12-13
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2012/12/13/20121213104501P040003468165001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Plan administrator’s name and address

Administrator’s EIN	610873119
Plan administrator’s name	PENNYRILE RADIOLOGY, P.S.C.
Plan administrator’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595
Administrator’s telephone number	2708853414

Signature of

Role	Plan administrator
Date	2012-12-13
Name of individual signing	JAMES M CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-12-13
Name of individual signing	JAMES M CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/30/20110930152347P030139944401001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Plan administrator’s name and address

Administrator’s EIN	610873119
Plan administrator’s name	PENNYRILE RADIOLOGY, P.S.C.
Plan administrator’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595
Administrator’s telephone number	2708853414

Signature of

Role	Plan administrator
Date	2011-09-30
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-09-30
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2010/12/15/20101215152002P040014882113001.pdf
Three-digit plan number (PN)	002
Effective date of plan	1975-03-01
Business code	621111
Sponsor’s telephone number	2708853414
Plan sponsor’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595

Plan administrator’s name and address

Administrator’s EIN	610873119
Plan administrator’s name	PENNYRILE RADIOLOGY, P.S.C.
Plan administrator’s address	P.O. BOX 595, 215 W. 17TH STREET, HOPKINSVILLE, KY, 422410595
Administrator’s telephone number	2708853414

Signature of

Role	Plan administrator
Date	2010-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-12-15
Name of individual signing	JAMES CLARK
Valid signature	Filed with authorized/valid electronic signature

Director

Name	Role
EDWIN R. DAVIS, M. D.	Director
JAMES A. PARROTT, M. D.	Director
James M. Clark	Director
Cyrus C. Chapman	Director
ROBERT M. COLEMAN, M. D.	Director
W. FAXON PAYNE, M. D.	Director

Incorporator

Name	Role
ROBERT M. COLEMAN	Incorporator
W. FAXON PAYNE M. D.	Incorporator
JAMES A. PARROTT, M. D.	Incorporator
EDWIN R. DAVIS, M. D.	Incorporator

Shareholder

Name	Role
James M. Clark	Shareholder
Cyrus C. Chapman	Shareholder

Registered Agent

Name	Role
JAMES M. CLARK, MD	Registered Agent

Secretary

Name	Role
Cyrus C Chapman	Secretary

President

Name	Role
James M Clark	President

Former Company Names

Name	Action
PAYNE, DAVIS, PARROTT & LONG, P.S.C.	Old Name
PAYNE, DAVIS & PARROTT, P. S. C.	Old Name
COLEMAN, PAYNE, DAVIS F PARROTT, P. S. C.	Old Name
PAYNE, DAVIS, PARROTT, LONG & ROSS, P.S.C.	Old Name

Filings

Name	File Date
Annual Report	2024-08-12
Registered Agent name/address change	2023-05-01
Annual Report	2023-05-01
Annual Report	2022-06-28
Annual Report	2021-06-22
Annual Report	2020-06-15
Annual Report	2019-05-31
Annual Report	2018-06-21
Annual Report	2017-06-02
Annual Report	2016-05-18
Annual Report	2015-06-10
Annual Report	2014-03-27
Annual Report	2013-06-26
Annual Report	2012-06-14
Annual Report	2011-06-22
Annual Report	2010-06-17
Annual Report	2009-06-17
Annual Report	2008-06-09
Registered Agent name/address change	2008-01-18
Annual Report	2007-06-22

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

PENNYRILE RADIOLOGY, P.S.C.

Company Details

Unique Entity ID

form 5500

Director

Incorporator

Shareholder

Registered Agent

Secretary

President

Former Company Names

Filings

Related by officers

Related by address