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FREDERICK & SMITH, INC.

Company Details

Name: FREDERICK & SMITH, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 24 Sep 1985 (39 years ago)
Organization Date: 24 Sep 1985 (39 years ago)
Organization Number: 0206377
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Morgan
Place of Formation: KENTUCKY
Last Annual Report: 08 Jul 2024 (4 months ago)
Principal Office: CLINIC PHARMACY, 412 LIBERTY RD., WEST LIBERTY, KY 41472
Principal Office ZIP code: 41472
Common No Par Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2023 611083490 2024-06-17 FREDERICK & SMITH, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2022 611083490 2023-05-10 FREDERICK & SMITH, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2023-05-09
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2021 611083490 2022-09-07 FREDERICK & SMITH, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2022-09-07
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-07
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2020 611083490 2021-09-10 FREDERICK & SMITH, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2021-09-10
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2019 611083490 2020-09-11 FREDERICK & SMITH, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2020-09-11
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2018 611083490 2019-07-29 FREDERICK & SMITH, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2017 611083490 2018-10-08 FREDERICK & SMITH, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2018-10-08
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2016 611083490 2017-10-16 FREDERICK & SMITH, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2017-10-15
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2015 611083490 2016-10-14 FREDERICK & SMITH, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
FREDERICK & SMITH, INC. 401(K) PROFIT SHARING PLAN 2014 611083490 2015-10-13 FREDERICK & SMITH, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/14/20141014134002P030017418111001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015083429P040007186871001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015145433P030007501729001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Plan administrator’s name and address

Administrator’s EIN 611083490
Plan administrator’s name FREDERICK & SMITH, INC.
Plan administrator’s address P.O. BOX 277, WEST LIBERTY, KY, 41472
Administrator’s telephone number 6067434957

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013085906P030148031201001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Plan administrator’s name and address

Administrator’s EIN 611083490
Plan administrator’s name FREDERICK & SMITH, INC.
Plan administrator’s address P.O. BOX 277, WEST LIBERTY, KY, 41472
Administrator’s telephone number 6067434957

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/11/20101011111300P030007484002001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 446110
Sponsor’s telephone number 6067434957
Plan sponsor’s address P.O. BOX 277, WEST LIBERTY, KY, 41472

Plan administrator’s name and address

Administrator’s EIN 611083490
Plan administrator’s name FREDERICK & SMITH, INC.
Plan administrator’s address P.O. BOX 277, WEST LIBERTY, KY, 41472
Administrator’s telephone number 6067434957

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing JAMES FREDERICK
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
CHARLES E. CHRISTIAN Incorporator

Director

Name Role
LUTHER SMITH Director

Registered Agent

Name Role
DR. JAMES FREDERICK Registered Agent

Officer

Name Role
James Frederick Officer

Assumed Names

Name Status Expiration Date
CLINIC PHARMACY OF WEST LIBERTY Inactive 2020-03-25

Filings

Name File Date
Principal Office Address Change 2024-07-08
Annual Report 2024-07-08
Annual Report 2023-03-16
Annual Report 2022-05-18
Certificate of Assumed Name 2022-02-22
Annual Report 2021-02-09
Annual Report 2020-03-02
Annual Report 2019-04-01
Annual Report 2018-04-17
Annual Report 2017-03-10

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State