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SPINE SURGERY, P.S.C.

Company Details

Name: SPINE SURGERY, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 30 Nov 1990 (34 years ago)
Organization Date: 30 Nov 1990 (34 years ago)
Organization Number: 0280005
Primary County: Jefferson
Place of Formation: KENTUCKY
Last Annual Report: 16 May 2015 (10 years ago)
Principal Office: 12115 COVERED BRIDGE ROAD, PROSPECT, KY 40059
Principal Office ZIP code: 40059
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINE SURGERY, P. S. C. 401(K) PLAN 2016 611190467 2017-02-15 SPINE SURGERY, P.S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 12115 COVERED BRIDGE ROAD, PROSPECT, KY, 40069

Signature of
Role Plan administrator
Date 2017-02-15
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
SPINE SURGERY, P.S.C. 401(K) PLAN 2015 611190467 2016-05-17 SPINE SURGERY, P.S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 12115 COVERED BRIDGE ROAD, PROSPECT, KY, 40069

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
SPINE SURGERY, P.S.C. 401(K) PLAN 2014 611190467 2015-10-13 SPINE SURGERY, P.S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 12115 COVERED BRIDGE ROAD, PROSPECT, KY, 40059

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
SPINE SURGERY, P.S.C. 401(K) PLAN 2013 611190467 2014-09-22 SPINE SURGERY, P.S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 210 E GRAY STREET, SUITE 601, LOUISVILLE, KY, 402023902

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
SPINE SURGERY, P.S.C. 401(K) PLAN 2012 611190467 2013-09-23 SPINE SURGERY, P.S.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 210 E GRAY STREET, SUITE 601, LOUISVILLE, KY, 402023902

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
SPINE SURGERY, P.S.C. 401(K) PLAN 2011 611190467 2012-04-16 SPINE SURGERY, P.S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 210 E GRAY STREET, SUITE 601, LOUISVILLE, KY, 402023902

Plan administrator’s name and address
Administrator’s EIN 611190467
Plan administrator’s name SPINE SURGERY, P.S.C.
Plan administrator’s address 210 E GRAY STREET, SUITE 601, LOUISVILLE, KY, 402023902
Administrator’s telephone number 5025852300

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-16
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
SPINE SURGERY, P.S.C. 401(K) PLAN 2010 611190467 2011-09-28 SPINE SURGERY, P.S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 210 E GRAY STREET, SUITE 601, LOUISVILLE, KY, 402023902

Plan administrator’s name and address
Administrator’s EIN 611190467
Plan administrator’s name SPINE SURGERY, P.S.C.
Plan administrator’s address 210 E GRAY STREET, SUITE 601, LOUISVILLE, KY, 402023902
Administrator’s telephone number 5025852300

Signature of
Role Plan administrator
Date 2011-09-28
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature
SPINE SURGERY, P.S.C. 401(K) PLAN 2009 611190467 2010-09-27 SPINE SURGERY, P.S.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5025852300
Plan sponsor’s address 210 E GRAY STREET, LOUISVILLE, KY, 402023902

Plan administrator’s name and address
Administrator’s EIN 611190467
Plan administrator’s name SPINE SURGERY, P.S.C.
Plan administrator’s address 210 E GRAY STREET, LOUISVILLE, KY, 402023902
Administrator’s telephone number 5025852300

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing RICHARD T. HOLT
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
RICHARD T. HOLT, M.D. Registered Agent

President

Name Role
RICHARD T HOLT President

Secretary

Name Role
SUE R HOLT Secretary

Director

Name Role
RICHARD T HOLT Director
RICHARD T. HOLT, M.D. Director

Shareholder

Name Role
RICHARD T HOLT Shareholder

Incorporator

Name Role
RICHARD T. HOLT, M.D. Incorporator

Filings

Name File Date
Dissolution 2015-07-24
Annual Report 2015-05-16
Registered Agent name/address change 2014-10-20
Principal Office Address Change 2014-10-20
Annual Report Amendment 2014-10-20
Annual Report 2014-04-01
Annual Report 2013-04-15
Annual Report 2012-04-05
Annual Report 2011-03-24
Annual Report 2010-03-30

Related by officers

RICHARD T. HOLT, M.D.

MMA, INC. UNIVERSITY ORTHOPAEDIC ASSOCIATES, INC. SPINE INSTITUTE FOR SPECIAL SURGERY SPINE INSTITUTE, P.S.C. FELLOWS, P.S.C.

RICHARD T HOLT

HOLT DEVELOPMENT, LLC

Related by address

No related companies by address

Date of last update: 07 Nov 2024

Sources: Kentucky Secretary of State

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