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TAYLOR COUNTY ANESTHESIA, PSC

Company Details

Name: TAYLOR COUNTY ANESTHESIA, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
File Date: 26 Feb 2001 (24 years ago)
Organization Date: 26 Feb 2001 (24 years ago)
Organization Number: 0511229
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Taylor
Place of Formation: KENTUCKY
Last Annual Report: 12 Aug 2024 (3 months ago)
Principal Office: PO BOX 555, CAMPBELLSVILLE, KY 42719
Principal Office ZIP code: 42719
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAYLOR COUNTY ANESTHESIA, PSC 401(K) PROFIT SHARING PLAN 2016 611384144 2017-10-09 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC CASH BALANCE PLAN 2016 611384144 2017-10-09 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC CASH BALANCE PLAN 2015 611384144 2016-08-17 TAYLOR COUNTY ANESTHESIA, PSC 2
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-17
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC CASH BALANCE PLAN 2015 611384144 2017-10-09 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC CASH BALANCE PLAN 2015 611384144 2016-07-14 TAYLOR COUNTY ANESTHESIA, PSC 2
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-14
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC 401(K) PROFIT SHARING PLAN 2015 611384144 2016-08-17 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-17
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC CASH BALANCE PLAN 2014 611384144 2015-09-28 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-28
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC 401(K) PROFIT SHARING PLAN 2014 611384144 2015-09-28 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-28
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC 401(K) PROFIT SHARING PLAN 2013 611384144 2014-08-28 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2014-08-28
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-28
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
TAYLOR COUNTY ANESTHESIA, PSC CASH BALANCE PLAN 2013 611384144 2014-08-28 TAYLOR COUNTY ANESTHESIA, PSC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2014-08-28
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-28
Name of individual signing GARY FRAZIER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/10/20130910124225P030051587895001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-10
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/10/20130910124023P030051587591001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-10
Name of individual signing JESSICA FRAZIER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/09/20121009102611P040000823622001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Plan administrator’s name and address
Administrator’s EIN 611384144
Plan administrator’s name TAYLOR COUNTY ANESTHESIA, PSC
Plan administrator’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718
Administrator’s telephone number 2709323694

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing GARY M FRAZIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing GARY M FRAZIER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/09/20121009102042P040000433655001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2709323694
Plan sponsor’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718

Plan administrator’s name and address
Administrator’s EIN 611384144
Plan administrator’s name TAYLOR COUNTY ANESTHESIA, PSC
Plan administrator’s address 295 TWIN MEADOWS ROAD, CAMPBELLSVILLE, KY, 42718
Administrator’s telephone number 2709323694

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing GARY M FRAZIER MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing GARY M FRAZIER MD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
GARY FRAZIER, M.D. Registered Agent

President

Name Role
GARY Manning Frazier, M.D. President

Vice President

Name Role
PAUL JOHNSON Vice President

Shareholder

Name Role
Gary Manning MOUNTAINEER GAS PSC Shareholder
Paul PAUL L. JOHNSON, D.O., PSC Shareholder

Incorporator

Name Role
GARY FRAZIER, M.D. Incorporator

Filings

Name File Date
Annual Report 2024-08-12
Principal Office Address Change 2024-08-12
Annual Report 2023-05-02
Reinstatement Certificate of Existence 2022-07-14
Reinstatement 2022-07-14
Reinstatement Approval Letter UI 2022-07-14
Reinstatement Approval Letter Revenue 2022-07-14
Reinstatement Approval Letter Revenue 2021-12-16
Administrative Dissolution 2021-10-19
Annual Report 2020-04-07

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Date of last update: 09 Nov 2024

Sources: Kentucky Secretary of State

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