| Name: | WILLIAMSBURG FAMILY PRACTICE CLINIC, INC. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Bad |
| File Date: | 01 Jul 1999 (25 years ago) |
| Organization Date: | 01 Jul 1999 (25 years ago) |
| Organization Number: | 0476544 |
| Primary County: | Whitley |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 28 Aug 2007 (17 years ago) |
| Principal Office: | P.O. Box 1125, CORBIN, KY 40702 |
| Principal Office ZIP code: | 40702 |
| Authorized Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY PRACTICE CLINICS 401(K) PLAN | 2010 | 611350105 | 2010-10-14 | WILLIAMSBURG FAMILY PRACTICE CLINIC, INC. | 0 | |||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 611350105 |
| Plan administrator’s name | WILLIAMSBURG FAMILY PRACTICE CLINIC, INC. |
| Plan administrator’s address | P.O. BOX 1125, CORBIN, KY, 407021125 |
| Administrator’s telephone number | 6065280283 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-13 |
| Name of individual signing | ROBERT CARTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6065280283 |
| Plan sponsor’s address | P.O. BOX 1125, CORBIN, KY, 407021125 |
Plan administrator’s name and address
| Administrator’s EIN | 611350105 |
| Plan administrator’s name | WILLIAMSBURG FAMILY PRACTICE CLINIC, INC. |
| Plan administrator’s address | P.O. BOX 1125, CORBIN, KY, 407021125 |
| Administrator’s telephone number | 6065280283 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-13 |
| Name of individual signing | ROBERT CARTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Robert A Carter | Sole Officer |
| Name | Role |
|---|---|
| Robert A Carter | Director |
| Name | Role |
|---|---|
| 206 SOUTH MAIN STREET | Registered Agent |
| Name | Role |
|---|---|
| ROBERT A. CARTER, JR. | Incorporator |
| Name | Status | Expiration Date |
|---|---|---|
| WILLIAMSBURG FAMILY PRACTICE CLINIC | Inactive | 2010-10-05 |
| CORBIN FAMILY PRACTICE CLINIC | Inactive | 2004-11-24 |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2008-03-20 |
| Sixty Day Notice | 2007-12-13 |
| Agent Resignation | 2007-09-04 |
| Annual Report Amendment | 2007-08-28 |
| Statement of Change | 2007-08-23 |
| Annual Report | 2007-08-22 |
| Annual Report | 2007-06-11 |
| Annual Report | 2006-03-16 |
| Certificate of Assumed Name | 2005-09-28 |
| Annual Report | 2005-02-15 |
Date of last update: 15 Nov 2024
Sources: Kentucky Secretary of State
