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CENTRAL KENTUCKY MEDICAL GROUP, P.S.C.

Company Details

Name: CENTRAL KENTUCKY MEDICAL GROUP, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 28 Jun 1982 (42 years ago)
Organization Date: 28 Jun 1982 (42 years ago)
Organization Number: 0168158
Primary County: Woodford
Place of Formation: KENTUCKY
Last Annual Report: 19 Feb 2021 (4 years ago)
Principal Office: 115 CROSSFIELD DRIVE, STE A, VERSAILLES, KY 40383
Principal Office ZIP code: 40383
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PLAN 2016 611012421 2017-04-20 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 115A CROSSFIELD DRIVE, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2017-04-20
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PLAN 2015 611012421 2016-07-21 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 115A CROSSFIELD DRIVE, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PLAN 2014 611012421 2015-06-08 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 115A CROSSFIELD DRIVE, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PLAN 2013 611012421 2014-10-01 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 115A CROSSFIELD DRIVE, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2014-10-01
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PLAN 2012 611012421 2013-09-30 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 2108 NICHOLASVILLE RD STE 100, LEXINGTON, KY, 405032502

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PLAN 2011 611012421 2012-10-10 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 2108 NICHOLASVILLE RD STE 100, LEXINGTON, KY, 405032502

Plan administrator’s name and address
Administrator’s EIN 611012421
Plan administrator’s name CENTRAL KENTUCKY MEDICAL GROUP, P.S.C.
Plan administrator’s address 2108 NICHOLASVILLE RD STE 100, LEXINGTON, KY, 405032502
Administrator’s telephone number 6062789413

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PROFIT SHARING PLAN 2010 611012421 2011-05-23 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 1401 HARRODSBURG ROAD STE C-215, LEXINGTON, KY, 405043701

Plan administrator’s name and address
Administrator’s EIN 611012421
Plan administrator’s name CENTRAL KENTUCKY MEDICAL GROUP, P.S.C.
Plan administrator’s address 1401 HARRODSBURG ROAD STE C-215, LEXINGTON, KY, 405043701
Administrator’s telephone number 6062789413

Signature of
Role Plan administrator
Date 2011-05-23
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 401(K) PROFIT SHARING PLAN 2009 611012421 2010-10-14 CENTRAL KENTUCKY MEDICAL GROUP, P.S.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-03-01
Business code 621111
Sponsor’s telephone number 6062789413
Plan sponsor’s address 1401 HARRODSBURG ROAD STE C-215, LEXINGTON, KY, 405043701

Plan administrator’s name and address
Administrator’s EIN 611012421
Plan administrator’s name CENTRAL KENTUCKY MEDICAL GROUP, P.S.C.
Plan administrator’s address 1401 HARRODSBURG ROAD STE C-215, LEXINGTON, KY, 405043701
Administrator’s telephone number 6062789413

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing WILLIAM CHILDERS, M.D.
Valid signature Filed with authorized/valid electronic signature

President

Name Role
WILLIAM E CHILDERS President

Treasurer

Name Role
C DALE GOODIN Treasurer

Director

Name Role
WILLIAM E CHILDERS Director
WILLIAM E. CHILDERS, M.D Director
C. DALE GOODIN, M.D. Director

Shareholder

Name Role
C Dale Goodin Shareholder
William E Childers Shareholder

Registered Agent

Name Role
C. DALE GOODIN, M.D. Registered Agent

Incorporator

Name Role
WILLIAM E. CHILDERS, M.D Incorporator
C. DALE GOODIN, M.D. Incorporator

Former Company Names

Name Action
WILLIAM E. CHILDERS, M.D. AND C. DALE GOODIN, M.D., P.S.C. Old Name
CHILDERS, GOODIN & RICHARDSON, P.S.C. Old Name

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-02-19
Annual Report 2020-06-04
Annual Report 2019-08-06
Principal Office Address Change 2019-01-22
Registered Agent name/address change 2019-01-22
Reinstatement Certificate of Existence 2018-11-14
Reinstatement 2018-11-14
Reinstatement Approval Letter UI 2018-11-13
Reinstatement Approval Letter Revenue 2018-11-13

Related by officers

C Dale Goodin

B. F. G. HOLDINGS, LLC SNAKE CREEK FARM, LLC FRGC LEASE GROUP, INC.

William E Childers

FRGC LEASE GROUP, INC.

C. DALE GOODIN, M.D.

BLUEGRASS CLINICAL SOCIETY, INC.

WILLIAM E. CHILDERS, M.D

WOODFORD FAMILY HEALTH CARE CENTER, INC.

Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

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