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RUSSELLVILLE FAMILY DENTISTRY, LLC

Company Details

Name: RUSSELLVILLE FAMILY DENTISTRY, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 18 May 2001 (24 years ago)
Organization Date: 18 May 2001 (24 years ago)
Organization Number: 0516099
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Logan
Place of Formation: KENTUCKY
Last Annual Report: 03 Jun 2024 (6 months ago)
Managed By: Members
Principal Office: 580 HOPKINSVILLE RD., RUSSELLVILLE, KY 42276
Principal Office ZIP code: 42276

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RUSSELLVILLE FAMILY DENTISTRY 401(K) PLAN 2023 611391565 2024-10-04 RUSSELLVILLE FAMILY DENTISTRY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2707266490
Plan sponsor’s address 580 HOPKINSVILLE ROAD, RUSSELLVILLE, KY, 42276

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-04
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature
RUSSELLVILLE FAMILY DENTISTRY 401(K) PLAN 2022 611391565 2023-10-10 RUSSELLVILLE FAMILY DENTISTRY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2707266490
Plan sponsor’s address 580 HOPKINSVILLE ROAD, RUSSELLVILLE, KY, 42276

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing WILLIAM HAM
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
WILLIAM HAM Registered Agent

Member

Name Role
Michelle Rice Ham Member
William Franklin Ham Member

Organizer

Name Role
DR WILLIAM HAM Organizer

Filings

Name File Date
Annual Report 2024-06-03
Annual Report 2023-05-17
Annual Report 2022-06-06
Annual Report 2021-02-10
Annual Report 2020-03-20
Annual Report 2019-06-28
Annual Report 2018-06-06
Annual Report 2017-05-10
Annual Report 2016-04-08
Annual Report 2015-05-15

Date of last update: 10 Nov 2024

Sources: Kentucky Secretary of State