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DAVID G. SANFORD, M.D., P.S.C.

Company Details

Name: DAVID G. SANFORD, M.D., P.S.C.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 09 Dec 2002 (22 years ago)
Organization Date: 09 Dec 2002 (22 years ago)
Organization Number: 0549492
Primary County: Bell
Place of Formation: KENTUCKY
Last Annual Report: 10 Jun 2022 (2 years ago)
Principal Office: 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY 40965
Principal Office ZIP code: 40965
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN 2023 810572206 2024-03-18 DAVID G. SANFORD, M.D., P.S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6062480932
Plan sponsor’s address 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN 2022 810572206 2023-07-21 DAVID G. SANFORD, M.D., P.S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6062480932
Plan sponsor’s address 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN 2021 810572206 2022-08-22 DAVID G. SANFORD, M.D., P.S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6062480932
Plan sponsor’s address 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN 2020 810572206 2021-09-24 DAVID G. SANFORD, M.D., P.S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6062480932
Plan sponsor’s address 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN 2019 810572206 2020-02-25 DAVID G. SANFORD, M.D., P.S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6062480932
Plan sponsor’s address 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN 2018 810572206 2019-07-16 DAVID G. SANFORD, M.D., P.S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6062480932
Plan sponsor’s address 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965

Signature of

Role Plan administrator
Date 2019-07-16
Name of individual signing DAVID SANFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-16
Name of individual signing DAVID SANFORD
Valid signature Filed with authorized/valid electronic signature
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN 2017 810572206 2018-07-23 DAVID G. SANFORD, M.D., P.S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6062480932
Plan sponsor’s address 1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing DAVID SANFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing DAVID SANFORD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DAVID G SANFORD, M.D. Registered Agent

President

Name Role
David G Sanford President

Director

Name Role
David G Sanford Director

Shareholder

Name Role
David G Sanford Shareholder

Incorporator

Name Role
DAVID G SANFORD, M.D. Incorporator

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-06-10
Annual Report 2021-08-24
Annual Report 2020-06-23
Annual Report 2019-06-04
Annual Report 2018-05-08
Annual Report 2017-04-17
Annual Report 2016-06-16
Principal Office Address Change 2015-07-07
Registered Agent name/address change 2015-07-07

Date of last update: 10 Nov 2024

Sources: Kentucky Secretary of State