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SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.

Company Details

Name: SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 11 Dec 1985 (39 years ago)
Organization Date: 11 Dec 1985 (39 years ago)
Organization Number: 0209226
Industry: Health Services
Number of Employees: Medium (20-99)
Place of Formation: KENTUCKY
Last Annual Report: 27 Jun 2024 (5 months ago)
Principal Office: P O BOX 36218, LOUISVILLE, KY 402336218
Authorized Shares: 10000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2023 611087711 2024-05-02 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 101
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2024-05-02
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2022 611087711 2023-09-14 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 97
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2021 611087711 2022-10-11 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2020 611087711 2021-09-17 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2019 611087711 2020-10-09 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2018 611087711 2019-10-01 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 90
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2017 611087711 2018-10-11 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 85
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2016 611087711 2017-09-11 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2017-09-11
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2015 611087711 2016-09-27 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. PROFIT SHARING PLAN 2014 611087711 2015-10-07 SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5026346767
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing JEFFERY MCAFEE, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/15/20140715124220P040016417885004.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing DR WILLIAM CRECELIUS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/21/20130521133304P030220686595001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing DR WILLIAM CRECELIUS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/23/20120523213826P030001397286001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2012-05-23
Name of individual signing DR ROBERT COUCH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/01/20110901162655P030039272887001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2011-09-01
Name of individual signing DR ROBERT COUCH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing DR ROBERT COUCH
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing DR ROBERT COUCH
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720153306P070003264324001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5023617403
Plan sponsor’s address P.O. BOX 36218, LOUISVILLE, KY, 40233

Plan administrator’s name and address
Administrator’s EIN 611087711
Plan administrator’s name SOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
Plan administrator’s address P.O. BOX 36218, LOUISVILLE, KY, 40233
Administrator’s telephone number 5023617403

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing DR ROBERT COUCH
Valid signature Filed with authorized/valid electronic signature

President

Name Role
JEFFERY MCAFEE President

Secretary

Name Role
ANDREW ROCHET Secretary

Treasurer

Name Role
ANDREW ROCHET Treasurer

Vice President

Name Role
SHANNON BECHT Vice President

Director

Name Role
SHANNON BECHT Director
JEFFERY MCAFEE Director
ANDREW ROCHET Director
STEPHEN RICHARDS Director
MATTHEW ALLINDER Director
ASAD JAVED Director
R DOUGLAS KELLY Director
ROBERT COUCH, M.D. Director

Shareholder

Name Role
SHANNON BECHT Shareholder
THEODORE FORREST Shareholder
JEFFERY MCAFEE Shareholder
ANDREW ROCHET Shareholder
RICHARD CARLISLE Shareholder
LAURA GILBERT Shareholder
JASON MATTINGLY Shareholder
NATALIE MORY Shareholder
STEPHEN RICHARDS Shareholder
ASAD JAVED Shareholder

Registered Agent

Name Role
Jeffery L. McAfee, MD Registered Agent

Incorporator

Name Role
ROBERT COUCH, M.D. Incorporator

Filings

Name File Date
Registered Agent name/address change 2024-06-27
Annual Report 2024-06-27
Annual Report 2023-06-22
Annual Report 2022-05-16
Annual Report 2021-06-09
Annual Report 2020-04-02
Annual Report 2019-06-12
Annual Report 2018-06-26
Annual Report 2017-06-28
Annual Report 2016-06-28

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Date of last update: 06 Nov 2024

Sources: Kentucky Secretary of State

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