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PEDIATRIC CARE OF KENTUCKY, P.S.C.

Company Details

Name: PEDIATRIC CARE OF KENTUCKY, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 03 Jul 1980 (44 years ago)
Organization Date: 03 Jul 1980 (44 years ago)
Organization Number: 0190873
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Kenton
Place of Formation: KENTUCKY
Last Annual Report: 29 Feb 2024 (9 months ago)
Principal Office: 20 MEDICAL VILLAGE DR., SUITE 102, EDGEWOOD, KY 41017
Principal Office ZIP code: 41017
Common No Par Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC CARE OF KENTUCKY, P.S.C. PROFIT SHARING AND 401(K) PLAN 2023 610975578 2024-07-03 PEDIATRIC CARE OF KENTUCKY, P.S.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593411011
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017
PEDIATRIC CARE OF KENTUCKY, P.S.C. PROFIT SHARING AND 401(K) PLAN 2022 610975578 2023-03-28 PEDIATRIC CARE OF KENTUCKY, P.S.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593411011
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017
PEDIATRIC CARE OF KENTUCKY, P. S. C. PROFIT SHARING AND 401(K) PLAN 2021 610975578 2022-05-13 PEDIATRIC CARE OF KENTUCKY, P.S.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017
PEDIATRIC CARE OF KENTUCKY, P. S. C. PROFIT SHARING AND 401(K) PLAN 2020 610975578 2021-04-30 PEDIATRIC CARE OF KENTUCKY, P.S.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017
PEDIATRIC CARE OF KENTUCKY, P. S. C. PROFIT SHARING AND 401(K) PLAN 2019 610975578 2020-06-18 PEDIATRIC CARE OF KENTUCKY, P.S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017
PEDIATRIC CARE OF KENTUCKY, P. S. C. PROFIT SHARING AND 401(K) PLAN 2018 610975578 2019-05-22 PEDIATRIC CARE OF KENTUCKY, P.S.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017
PEDIATRIC CARE OF KENTUCKY, P. S. C. PROFIT SHARING AND 401(K) PLAN 2017 610975578 2018-04-04 PEDIATRIC CARE OF KENTUCKY, P.S.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017
PEDIATRIC CARE OF KENTUCKY, P. S. C. PROFIT SHARING AND 401(K) PLAN 2016 610975578 2017-03-22 PEDIATRIC CARE OF KENTUCKY, P.S.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017

Signature of
Role Plan administrator
Date 2017-03-22
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CARE OF KENTUCKY, P. S. C. PROFIT SHARING AND 401(K) PLAN 2015 610975578 2016-04-28 PEDIATRIC CARE OF KENTUCKY, P.S.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE, SUITE 102, EDGEWOOD, KY, 41017

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CARE OF KENTUCKY, P.S.C. PROFIT SHARING AND 401(K) PLAN 2014 610975578 2015-06-15 PEDIATRIC CARE OF KENTUCKY, P.S.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/08/20140708095925P030011551133001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017

Signature of
Role Plan administrator
Date 2014-07-08
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/16/20130916100919P040146288165001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017

Plan administrator’s name and address
Administrator’s EIN 610975578
Plan administrator’s name PEDIATRIC CARE OF KENTUCKY, P.S.C.
Plan administrator’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017
Administrator’s telephone number 8593417500

Signature of
Role Plan administrator
Date 2013-09-16
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/09/20120709123547P040005792643001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017

Plan administrator’s name and address
Administrator’s EIN 610975578
Plan administrator’s name PEDIATRIC CARE OF KENTUCKY, P.S.C.
Plan administrator’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017
Administrator’s telephone number 8593417500

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-09
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/06/20110906101631P030584656800001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017

Plan administrator’s name and address
Administrator’s EIN 610975578
Plan administrator’s name PEDIATRIC CARE OF KENTUCKY, P.S.C.
Plan administrator’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017
Administrator’s telephone number 8593417500

Signature of
Role Plan administrator
Date 2011-09-06
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-06
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017

Plan administrator’s name and address
Administrator’s EIN 610975578
Plan administrator’s name PEDIATRIC CARE OF KENTUCKY, P.S.C.
Plan administrator’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017
Administrator’s telephone number 8593417500

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/02/20100902104047P030108290280001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 8593417500
Plan sponsor’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017

Plan administrator’s name and address
Administrator’s EIN 610975578
Plan administrator’s name PEDIATRIC CARE OF KENTUCKY, P.S.C.
Plan administrator’s address 20 MEDICAL VILLAGE DRIVE NO 102, EDGEWOOD, KY, 41017
Administrator’s telephone number 8593417500

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing JEANEEN DEDDEN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KEITH A. STOWERS, M.D. Registered Agent

Director

Name Role
JAMES J. KELLY Director
ROBERT E. HEMMER Director
RONALD J. LUBBE Director
WILLIAM V. BANKS Director
ALEXIUS M. BISHOP Director

Incorporator

Name Role
JAMES J. KELLY Incorporator
ROBERT E. HEMMER Incorporator
RONALD J. LUBBE Incorporator
WILLIAM V. BANKS Incorporator
ALEXIUS M. BISHOP Incorporator

Managing Partner

Name Role
Radhika B Ramesh Managing Partner

Vice President

Name Role
Kevin J Kelly Vice President
Tara L Monday Vice President

Shareholder

Name Role
Kevin J Kelly Shareholder
Charles J Kelly Shareholder
RADHIKA B RAMESH Shareholder
Keith A Stowers Shareholder
Tara L Monday Shareholder

President

Name Role
Keith A Stowers President

Secretary

Name Role
Charles J Kelly Secretary

Former Company Names

Name Action
PEDIATRIC CARE, P.S.C. Old Name
KELLY, LUBBE, BANKS & BISHOP, P.S.C. Old Name
KELLY, HEMMER, LUBBE, BANKS & BISHOP, P.S.C. Old Name

Filings

Name File Date
Annual Report 2024-02-29
Annual Report 2024-02-29
Annual Report 2023-05-02
Annual Report 2022-03-10
Annual Report 2021-02-10
Annual Report 2020-03-18
Annual Report 2019-06-04
Annual Report 2018-04-19
Annual Report 2017-04-20
Annual Report 2016-03-16

Related by officers

KEITH A. STOWERS, M.D.

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JAMES J. KELLY

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RONALD J. LUBBE

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WILLIAM V. BANKS

DIXIE DATA SERVICES DIXIE DATA SERVICES

ALEXIUS M. BISHOP

BRIGHT FUTURE PEDIATRICS, P.S.C.

Kevin J Kelly

KCI LONG DISTANCE, INC. TELERGY NETWORK SERVICES, INC.

Tara L Monday

MD MEDICAL OFFICES, LLC

Charles J Kelly

MD MEDICAL OFFICES, LLC

Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

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