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SMILES FAMILY DENTISTRY, INC.

Company Details

Name: SMILES FAMILY DENTISTRY, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 28 Dec 1998 (26 years ago)
Organization Date: 28 Dec 1998 (26 years ago)
Organization Number: 0466689
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Wayne
Place of Formation: KENTUCKY
Last Annual Report: 25 Jun 2024 (5 months ago)
Principal Office: 169 CUMBERLAND CROSSING MONTICELLO, KY 42633
Principal Office ZIP code: 42633
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMILES FAMILY DENTISTRY INC CBS BENEFIT PLAN 2022 611338955 2023-12-27 SMILES FAMILY DENTISTRY INC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-02-01
Business code 621210
Sponsor’s telephone number 6063483384
Plan sponsor’s address 169 CUMBERLAND CROSSING, MONTICELLO, KY, 42633

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
SMILES FAMILY DENTISTRY INC CBS BENEFIT PLAN 2021 611338955 2022-12-29 SMILES FAMILY DENTISTRY INC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-02-01
Business code 621210
Sponsor’s telephone number 6063483384
Plan sponsor’s address 169 CUMBERLAND CROSSING, MONTICELLO, KY, 42633

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
SMILES FAMILY DENTISTRY INC CBS BENEFIT PLAN 2020 611338955 2021-12-14 SMILES FAMILY DENTISTRY INC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-02-01
Business code 621210
Sponsor’s telephone number 6063483384
Plan sponsor’s address 169 CUMBERLAND CROSSING, MONTICELLO, KY, 42633

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
SMILES FAMILY DENTISTRY INC CBS BENEFIT PLAN 2019 611338955 2020-12-23 SMILES FAMILY DENTISTRY INC 2
Three-digit plan number (PN) 501
Effective date of plan 2020-02-01
Business code 621210
Sponsor’s telephone number 6063483384
Plan sponsor’s address 169 CUMBERLAND CROSSING, MONTICELLO, KY, 42633

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name KELLY WOLF
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
PHILIP A HARDIN DMD Registered Agent

President

Name Role
PHILIP A HARDIN President

Secretary

Name Role
MELYNDA HARDIN Secretary

Treasurer

Name Role
MELYNDA HARDIN Treasurer

Incorporator

Name Role
PHILIP A HARDIN Incorporator

Filings

Name File Date
Annual Report 2024-06-25
Annual Report 2023-06-30
Registered Agent name/address change 2022-06-28
Principal Office Address Change 2022-06-28
Annual Report 2022-06-28
Annual Report 2021-06-28
Annual Report 2020-06-16
Annual Report 2019-06-26
Annual Report 2018-06-27
Annual Report 2017-06-27

Date of last update: 09 Nov 2024

Sources: Kentucky Secretary of State