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SANJIV GUPTA, M.D., P.S.C.

Company Details

Name: SANJIV GUPTA, M.D., P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 23 Aug 1999 (25 years ago)
Organization Date: 23 Aug 1999 (25 years ago)
Organization Number: 0479138
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Carter
Place of Formation: KENTUCKY
Last Annual Report: 13 Jun 2024 (5 months ago)
Principal Office: 300 STATE HWY. 1947, GRAYSON, KY 41143
Principal Office ZIP code: 41143
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANJIV GUPTA, M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2023 611351718 2024-10-17 SANJIV GUPTA, M.D., P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 47, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2022 611351718 2023-10-12 SANJIV GUPTA, M.D., P.S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. CASH BALANCE PLAN 2021 611351718 2022-10-16 SANJIV GUPTA, M.D., P.S.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2021 611351718 2022-10-12 SANJIV GUPTA, M.D., P.S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2020 611351718 2021-10-15 SANJIV GUPTA, M.D., P.S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. CASH BALANCE PLAN 2020 611351718 2021-10-15 SANJIV GUPTA, M.D., P.S.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. CASH BALANCE PLAN 2019 611351718 2020-10-13 SANJIV GUPTA, M.D., P.S.C. 12
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2019 611351718 2020-10-12 SANJIV GUPTA, M.D., P.S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2018 611351718 2019-10-16 SANJIV GUPTA, M.D., P.S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
SANJIV GUPTA, M.D., P.S.C. 401(K) PROFIT SHARING PLAN 2018 611351718 2019-10-14 SANJIV GUPTA, M.D., P.S.C. 15
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/14/20191014145847P030075133729001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/24/20180924103249P040207787079001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/24/20180924100748P030146189229001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 1947, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/13/20171013134150P030214170129001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 47, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/13/20171013133256P040223992145001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 47, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/16/20161016190018P030029926279001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 47, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/16/20161016185619P030029924343001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 47, GRAYSON, KY, 41143
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015120207P040050996321001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 47, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RAJNI GUPTA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/14/20151014191318P040044875575001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 STATE HIGHWAY 47, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing RAJNI GUPTA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/02/20141002140120P030011482269001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 ST. HWY 1947, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing RAJNI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing SANJIV GUPTA, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/06/20130506125218P030070832885001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 ST. HWY 1947, GRAYSON, KY, 41143

Signature of
Role Plan administrator
Date 2013-05-06
Name of individual signing RAJNI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-06
Name of individual signing SANJIV GUPTA, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/03/20121003095946P040000305542001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 ST. HWY 1947, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611351718
Plan administrator’s name SANJIV GUPTA, M.D., P.S.C.
Plan administrator’s address 300 ST. HWY 1947, GRAYSON, KY, 41143
Administrator’s telephone number 6064742200

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing RAJNI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-03
Name of individual signing SANJIV GUPTA, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725095850P040464932768001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 ST. HWY 1947, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611351718
Plan administrator’s name SANJIV GUPTA, M.D., P.S.C.
Plan administrator’s address 300 ST. HWY 1947, GRAYSON, KY, 41143
Administrator’s telephone number 6064742200

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing RAJNI GUPTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing SANJIV GUPTA, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/19/20100719121718P030041329187001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 6064742200
Plan sponsor’s address 300 ST. HWY 1947, GRAYSON, KY, 41143

Plan administrator’s name and address
Administrator’s EIN 611351718
Plan administrator’s name SANJIV GUPTA, M.D., P.S.C.
Plan administrator’s address 300 ST. HWY 1947, GRAYSON, KY, 41143
Administrator’s telephone number 6064742200

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing RAJNI GUPTA
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
SANJIV GUPTA Registered Agent

President

Name Role
SANJIV GUPTA President

Shareholder

Name Role
SANJIV GUPTA Shareholder

Incorporator

Name Role
SANJIV GUPTA Incorporator
RAJNI GUPTA Incorporator

Filings

Name File Date
Annual Report 2024-06-13
Annual Report 2023-06-30
Annual Report 2022-05-09
Annual Report 2021-04-14
Annual Report 2020-05-28
Annual Report 2019-06-24
Annual Report 2018-05-31
Annual Report 2017-05-09
Annual Report 2016-06-27
Annual Report 2015-05-18

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IMANI INTERNATIONAL INC. GUPTA INVESTMENTS LLC PECUNIA MANAGEMENT SERVICES Inc. SHIVOHUM LLC

Related by address

No related companies by address

Date of last update: 09 Nov 2024

Sources: Kentucky Secretary of State

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