| Name: | INDEPENDENT ANESTHESIOLOGISTS, P.S.C |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Good |
| File Date: | 20 May 1985 (40 years ago) |
| Organization Date: | 20 May 1985 (40 years ago) |
| Organization Number: | 0201877 |
| Primary County: | Kenton |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 17 Jul 2020 (4 years ago) |
| Principal Office: | 340 THOMAS MORE PARKWAY, SUITE 220, CRESTVIEW HILLS, KY 41017 |
| Principal Office ZIP code: | 41017 |
| Authorized Shares: | 2000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INDEPENDENT ANESTHESIOLOGISTS, P.S.C. DEFINED BENEFIT PLAN | 2017 | 611077369 | 2019-04-12 | INDEPENDENT ANESTHESIOLOGISTS, P.S.C. | 10 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2019-04-12 |
| Name of individual signing | ANTHONY ZIMMERMANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 010 |
| Effective date of plan | 2008-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8593012411 |
| Plan sponsor’s address | 20 MEDICAL VILLAGE DRIVE, SUITE 258, EDGEWOOD, KY, 41017 |
Signature of
| Role | Plan administrator |
| Date | 2018-04-17 |
| Name of individual signing | ANTHONY ZIMMERMANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 010 |
| Effective date of plan | 2008-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8593012411 |
| Plan sponsor’s address | 20 MEDICAL VILLAGE DRIVE, SUITE 258, EDGEWOOD, KY, 41017 |
Signature of
| Role | Plan administrator |
| Date | 2018-04-17 |
| Name of individual signing | ANTHONY ZIMMERMANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 010 |
| Effective date of plan | 2008-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8593012411 |
| Plan sponsor’s address | 20 MEDICAL VILLAGE DRIVE, SUITE 258, EDGEWOOD, KY, 41017 |
Signature of
| Role | Plan administrator |
| Date | 2018-04-17 |
| Name of individual signing | ANTHONY ZIMMERMANN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Raymond Sullivan | President |
| Name | Role |
|---|---|
| TAFT SERVICE SOLUTIONS CORP. | Registered Agent |
| Name | Role |
|---|---|
| Joseph Hassoun | Treasurer |
| Name | Role |
|---|---|
| Masroor Alam | Vice President |
| Name | Role |
|---|---|
| Daniel Brannon | Director |
| Justin Klanke | Director |
| Carey Costantini | Director |
| RICHARD E. PARK | Director |
| THRESIAMMA A. MUKKADA, M | Director |
| Name | Role |
|---|---|
| RICHARD E. PARK, M.D. | Incorporator |
| Name | File Date |
|---|---|
| Dissolution | 2020-08-03 |
| Annual Report | 2020-07-17 |
| Registered Agent name/address change | 2020-02-24 |
| Annual Report | 2019-06-28 |
| Annual Report | 2018-06-28 |
| Principal Office Address Change | 2017-06-30 |
| Annual Report | 2017-06-30 |
| Annual Report | 2016-06-29 |
| Annual Report | 2015-05-13 |
| Annual Report | 2014-06-11 |
Date of last update: 06 Nov 2024
Sources: Kentucky Secretary of State
