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CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC.

Company Details

Name: CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 12 Nov 1993 (31 years ago)
Organization Date: 12 Nov 1993 (31 years ago)
Organization Number: 0322616
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Whitley
Place of Formation: KENTUCKY
Last Annual Report: 11 Jun 2024 (5 months ago)
Principal Office: 15 MOONBOW PLAZA, CORBIN, KY 40701
Principal Office ZIP code: 40701
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2017 611250326 2018-07-27 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 15 MOONBOW PLAZA, CORBIN, KY, 40701

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing CHAURDRY KHALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing CHAURDRY KHALD
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2016 611250326 2017-06-12 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 15 MOONBOW PLAZA, CORBIN, KY, 40701

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing CHAUDRY KHALID
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-12
Name of individual signing CHAUDRY KHALID
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2015 611250326 2016-07-27 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 15 MOONBOW PLAZA, CORBIN, KY, 40701

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2014 611250326 2015-08-25 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701

Signature of
Role Plan administrator
Date 2015-08-25
Name of individual signing CHAUDRY KHALID
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-25
Name of individual signing CHAUDRY KHALID
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2013 611250326 2014-09-22 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2012 611250326 2013-10-03 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing KHALID R CHAUDRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing KHALID R CHAUDRY
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2011 611250326 2012-10-11 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 611250326
Plan administrator’s name CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC.
Plan administrator’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701
Administrator’s telephone number 6065285331

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2010 611250326 2011-10-06 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 611250326
Plan administrator’s name CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC.
Plan administrator’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701
Administrator’s telephone number 6065285331

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-06
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 401(K) RETIREMENT SAVINSG PLAN 2009 611250326 2010-10-05 CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6065285331
Plan sponsor’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701

Plan administrator’s name and address
Administrator’s EIN 611250326
Plan administrator’s name CORBIN CARDIOLOGY & INTERNAL MEDICINE, INC.
Plan administrator’s address 105 MOONBOW PLAZA, CORBIN, KY, 40701
Administrator’s telephone number 6065285331

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing KHALID CHAUDRY
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role
Khalid R. Chaudry, M.D. Officer

Director

Name Role
KHALID R. CHAUDRY, M.D. Director

Incorporator

Name Role
KHALID R. CHAUDRY, M.D. Incorporator

Registered Agent

Name Role
KHALID R. CHAUDRY, M.D. Registered Agent

Former Company Names

Name Action
KHALID R. CHAUDRY, P.S.C. Old Name

Filings

Name File Date
Annual Report 2024-06-11
Annual Report 2023-06-09
Annual Report 2022-06-19
Annual Report 2021-02-19
Annual Report 2020-05-29
Annual Report 2019-06-14
Annual Report 2018-05-24
Annual Report 2017-05-05
Annual Report 2016-05-26
Annual Report 2015-06-08

Related by officers

KHALID R. CHAUDRY, M.D.

CHAUDRY PROPERTIES, LLC

Related by address

15 MOONBOW PLAZA, CORBIN, KY 40701

CHAUDRY PROPERTIES, LLC MEDICAL DIAGNOSTIC SERVICES, LLC

Date of last update: 13 Nov 2024

Sources: Kentucky Secretary of State

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