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PEDIATRIC ASSOCIATES, P.S.C.

Company Details

Name: PEDIATRIC ASSOCIATES, P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Organization Date: 08 Jan 1992 (33 years ago)
Organization Number: 0295133
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Kenton
Place of Formation: KENTUCKY
Last Annual Report: 06 Mar 2024 (8 months ago)
Principal Office: 2865 CHANCELLOR DR., CRESTVIEW HILLS, KY 41017
Principal Office ZIP code: 41017
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2023 611211051 2024-06-06 PEDIATRIC ASSOCIATES, P.S.C. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2022 611211051 2023-08-15 PEDIATRIC ASSOCIATES, P.S.C. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2023-08-15
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2021 611211051 2022-06-15 PEDIATRIC ASSOCIATES, P.S.C. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2022-06-15
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2020 611211051 2021-05-24 PEDIATRIC ASSOCIATES, P.S.C. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2021-05-24
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2019 611211051 2020-06-18 PEDIATRIC ASSOCIATES, P.S.C. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2018 611211051 2019-06-10 PEDIATRIC ASSOCIATES, P.S.C. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2017 611211051 2018-06-25 PEDIATRIC ASSOCIATES, P.S.C. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2018-06-25
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2016 611211051 2017-06-06 PEDIATRIC ASSOCIATES, P.S.C. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2015 611211051 2016-08-09 PEDIATRIC ASSOCIATES, P.S.C. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2016-08-09
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ASSOCIATES, P.S.C. PROFIT SHARING AND 401(K) PLAN 2014 611211051 2015-06-03 PEDIATRIC ASSOCIATES, P.S.C. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/30/20140630143718P030004122895001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/12/20130912134702P030381956675001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8593415400
Plan sponsor’s address 2865 CHANCELLOR DRIVE SUITE 225, CRESTVIEW HILLS, KY, 41017

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing ERIC L. BOSLEY, MD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KATERI HASKETT Registered Agent

President

Name Role
Charles A Cavallo President

Secretary

Name Role
Stephen D Warrick Secretary

Vice President

Name Role
William D deBuys Vice President

Shareholder

Name Role
Jordon Hsu Shareholder
Shelly F Voet Shareholder
Eric L Bosley Shareholder
Cynthia S Spicker Shareholder
Charles A Cavallo Shareholder
Nancy Jo Vance Shareholder
Carace P MacKay Shareholder
Stephen D Warrick Shareholder
William D deBuys Shareholder

Director

Name Role
CHRISTOPHER A. CUNHA, M. Director

Incorporator

Name Role
CHRISTOPHER A. CUNHA, M. Incorporator

Filings

Name File Date
Registered Agent name/address change 2024-03-08
Annual Report 2024-03-06
Annual Report 2023-03-16
Annual Report 2022-03-07
Annual Report 2021-02-12
Annual Report 2020-02-12
Annual Report 2019-04-19
Registered Agent name/address change 2018-11-13
Annual Report 2018-04-17
Annual Report 2017-05-01

Related by officers

Charles A Cavallo

NEW HORIZON VENTURES, LLC EASTLAND ENTERPRISES, LLC Pediatric Real Estate Partners, LLC Red Dog Ventures, L.L.C.

Stephen D Warrick

NEW HORIZON VENTURES, LLC EASTLAND ENTERPRISES, LLC Pediatric Real Estate Partners, LLC Red Dog Ventures, L.L.C.

William D deBuys

EASTLAND ENTERPRISES, LLC Pediatric Real Estate Partners, LLC Red Dog Ventures, L.L.C.

Shelly F Voet

NEW HORIZON VENTURES, LLC EASTLAND ENTERPRISES, LLC Pediatric Real Estate Partners, LLC Red Dog Ventures, L.L.C.

Eric L Bosley

NEW HORIZON VENTURES, LLC EASTLAND ENTERPRISES, LLC Pediatric Real Estate Partners, LLC Red Dog Ventures, L.L.C.

Cynthia S Spicker

NEW HORIZON VENTURES, LLC EASTLAND ENTERPRISES, LLC Pediatric Real Estate Partners, LLC Red Dog Ventures, L.L.C.

Nancy Jo Vance

NEW HORIZON VENTURES, LLC EASTLAND ENTERPRISES, LLC Red Dog Ventures, L.L.C.

Carace P MacKay

NEW HORIZON VENTURES, LLC EASTLAND ENTERPRISES, LLC Pediatric Real Estate Partners, LLC Red Dog Ventures, L.L.C.

CHRISTOPHER A. CUNHA, M.

DUBLIN ENTERPRISES

Related by address

No related companies by address

Date of last update: 07 Nov 2024

Sources: Kentucky Secretary of State

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