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DAVID A. LASHEEN, DMD, PSC

Company Details

Name: DAVID A. LASHEEN, DMD, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
File Date: 21 Jun 1994 (30 years ago)
Organization Date: 21 Jun 1994 (30 years ago)
Organization Number: 0332234
Primary County: Woodford
Place of Formation: KENTUCKY
Last Annual Report: 25 Feb 2020 (5 years ago)
Principal Office: 360 AMSDEN AVE., VERSAILLES, KY 40383
Principal Office ZIP code: 40383
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2020 611263897 2021-07-15 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2019 611263897 2020-09-16 DAVID A. LASHEEN, DMD, PSC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2020-09-16
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2019 611263897 2020-10-08 DAVID A. LASHEEN, DMD, PSC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2019 611263897 2020-10-07 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2018 611263897 2019-10-10 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2018 611263897 2019-09-11 DAVID A. LASHEEN, DMD, PSC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2019-09-11
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature
DAVID A. LASHEEN, DMD, PSC CASH BALANCE PENSION PLAN 2017 611263897 2018-10-15 DAVID A. LASHEEN, DMD, PSC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 40383
DAVID A. LASHEEN, DMD, PSC 401(K) PROFIT SHARING PLAN 2017 611263897 2018-08-08 DAVID A. LASHEEN, DMD, PSC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8598735913
Plan sponsor’s address 360 AMSDEN AVENUE, SUITE 400, VERSAILLES, KY, 403831855

Signature of

Role Plan administrator
Date 2018-08-08
Name of individual signing DAVID LASHEEN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DAVID A. LASHEEN, D.M.D. Registered Agent

President

Name Role
David A Lasheen President

Shareholder

Name Role
David A Lasheen Shareholder

Incorporator

Name Role
KEVIN L. ELVIDGE, D.M.D. Incorporator
DAVID A. LASHEEN, D.M.D. Incorporator

Former Company Names

Name Action
ELVIDGE AND LASHEEN, D.M.D., P.S.C. Old Name

Filings

Name File Date
Dissolution 2021-04-21
Annual Report 2020-02-25
Annual Report 2019-06-11
Annual Report 2018-06-13
Annual Report 2017-06-26
Amendment 2016-06-29
Annual Report 2016-03-17
Annual Report 2015-04-17
Annual Report 2014-03-21
Annual Report 2013-07-01

Date of last update: 18 Nov 2024

Sources: Kentucky Secretary of State