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GEORGETOWN PEDIATRICS, P.S.C.

Company Details

Name: GEORGETOWN PEDIATRICS, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Organization Date: 01 Jan 1992 (33 years ago)
Organization Number: 0294654
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Scott
Place of Formation: KENTUCKY
Last Annual Report: 01 Aug 2024 (4 months ago)
Principal Office: 1162 LEXINGTON ROAD, GEORGETOWN, KY 40324
Principal Office ZIP code: 40324
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2023 611215814 2024-07-30 GEORGETOWN PEDIATRICS, P.S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2024-07-30
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-30
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2022 611215814 2023-08-23 GEORGETOWN PEDIATRICS, P.S.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2023-08-23
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2021 611215814 2022-06-10 GEORGETOWN PEDIATRICS, P.S.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2022-06-10
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-10
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2020 611215814 2021-07-26 GEORGETOWN PEDIATRICS, P.S.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2021-07-26
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-26
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2019 611215814 2020-07-03 GEORGETOWN PEDIATRICS, P.S.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2020-07-03
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-03
Name of individual signing JOHANNE GOODYKOONTZ
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2018 611215814 2019-07-15 GEORGETOWN PEDIATRICS, P.S.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-15
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2017 611215814 2018-06-28 GEORGETOWN PEDIATRICS, P.S.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2018-06-28
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2016 611215814 2017-05-01 GEORGETOWN PEDIATRICS, P.S.C. 38
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2017-05-01
Name of individual signing HORACE HAMBRICK,MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-01
Name of individual signing HORACE HAMBRICK,MD
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2016 611215814 2017-06-07 GEORGETOWN PEDIATRICS, P.S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2017-06-07
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
GEORGETOWN PEDIATRICS, P.S.C. 401(K) PROFIT SHARING PLAN 2015 611215814 2016-07-14 GEORGETOWN PEDIATRICS, P.S.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2016-07-14
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-14
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/17/20150717143845P040096845255001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2015-07-17
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/08/20140708141326P030008295839001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2014-07-08
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-08
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/15/20130515121532P030075426949001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Signature of

Role Plan administrator
Date 2013-05-15
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-15
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/05/20120705082141P040052183970001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Plan administrator’s name and address

Administrator’s EIN 611215814
Plan administrator’s name GEORGETOWN PEDIATRICS, P.S.C.
Plan administrator’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330
Administrator’s telephone number 5028636426

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-05
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726104147P030100809441001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Plan administrator’s name and address

Administrator’s EIN 611215814
Plan administrator’s name GEORGETOWN PEDIATRICS, P.S.C.
Plan administrator’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330
Administrator’s telephone number 5028636426

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/14/20100714170446P070002496422001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5028636426
Plan sponsor’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330

Plan administrator’s name and address

Administrator’s EIN 611215814
Plan administrator’s name GEORGETOWN PEDIATRICS, P.S.C.
Plan administrator’s address 1162 LEXINGTON RD, GEORGETOWN, KY, 403249330
Administrator’s telephone number 5028636426

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing HORACE HAMBRICK
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
HORACE P. HAMBRICK, M.D. Registered Agent

President

Name Role
Horace P Hambrick M.D. President

Secretary

Name Role
Kristy K Menke M.D. Secretary

Vice President

Name Role
David M Hoddy M.D. Vice President

Treasurer

Name Role
Jennifer S. Riebel M.D. Treasurer

Director

Name Role
Horace P. Hambrick, M.D. Director
Lacey B. Sweigart, M.D. Director

Shareholder

Name Role
Jennifer S Riebel M.D. Shareholder
Kristy K Menke M.D. Shareholder
David M Hoddy M.D. Shareholder
Ann N Quackenbush M.D. Shareholder
Horace P Hambrick, M.D. Shareholder
Lacey B Sweigart, M.D. Shareholder
Cynthia K Smallwood, M.D. Shareholder

Incorporator

Name Role
HORACE P. HAMBRICK, M.D. Incorporator

Filings

Name File Date
Annual Report 2024-08-01
Annual Report 2023-05-11
Annual Report 2022-06-29
Annual Report 2021-06-16
Annual Report 2020-03-10
Annual Report 2019-06-14
Annual Report 2018-06-05
Annual Report 2017-03-08
Annual Report 2016-03-17
Annual Report 2015-05-28

Date of last update: 07 Nov 2024

Sources: Kentucky Secretary of State