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EYE HEALTH SPECIALISTS, PLLC

Company Details

Name: EYE HEALTH SPECIALISTS, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 02 Jun 2003 (21 years ago)
Organization Date: 02 Jun 2003 (21 years ago)
Organization Number: 0561283
Industry: Business Services
Number of Employees: Small (0-19)
Primary County: Pulaski
Place of Formation: KENTUCKY
Last Annual Report: 12 Mar 2024 (8 months ago)
Managed By: Members
Principal Office: 165 PARKERS MILL WAY, SOMERSET, KY 42503
Principal Office ZIP code: 42503

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EYE HEALTH SPECIALISTS PLLC CBS BENEFIT PLAN 2020 731667590 2021-12-14 EYE HEALTH SPECIALISTS PLLC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 6066770377
Plan sponsor’s address 165 PARKERS MILL WAY, SOMERSET, KY, 42503

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
EYE HEALTH SPECIALISTS PLLC CBS BENEFIT PLAN 2019 731667590 2020-12-23 EYE HEALTH SPECIALISTS PLLC 2
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 6066770377
Plan sponsor’s address 165 PARKERS MILL WAY, SOMERSET, KY, 42503

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name KELLY WOLF
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
TAMELA MURRAY Registered Agent

Member

Name Role
Tamela M Murray Member
Joshua E. Nichols Member

Organizer

Name Role
TAMELA M. MURRAY Organizer

Filings

Name File Date
Annual Report 2024-03-12
Annual Report 2023-05-02
Annual Report 2022-03-01
Annual Report 2021-02-26
Annual Report Amendment 2020-06-16
Annual Report 2020-03-21
Annual Report 2019-04-30
Annual Report Amendment 2018-06-06
Annual Report 2018-03-20
Annual Report 2017-01-03

Date of last update: 10 Nov 2024

Sources: Kentucky Secretary of State