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BELLEFONTE PATHOLOGY AND LABORATORY MEDICINE, PSC

Company Details

Name: BELLEFONTE PATHOLOGY AND LABORATORY MEDICINE, PSC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
File Date: 01 Oct 2004 (20 years ago)
Organization Date: 01 Oct 2004 (20 years ago)
Organization Number: 0596226
Primary County: Boyd
Place of Formation: KENTUCKY
Last Annual Report: 20 Jun 2019 (5 years ago)
Principal Office: OUR LADY OF BELLEFONTE HOSPITAL LAB, ST. CHRISTOPHER DRIVE, ASHLAND, KY 41101
Principal Office ZIP code: 41101
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 401K 2019 201720760 2020-07-06 BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6068333634
Plan sponsor’s address 1000 ST CHRISTOPHER DRIVE, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-06
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 401K 2019 201720760 2020-07-06 BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6068333634
Plan sponsor’s address 1000 ST CHRISTOPHER DRIVE, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing GABRIEL RODRIQUEZ MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-06
Name of individual signing GABRIEL RODRIQUEZ MD
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 401K 2018 201720760 2019-10-15 BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6068333634
Plan sponsor’s address 1000 ST CHRISTOPHER DRIVE, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 401K 2017 201720760 2018-10-11 BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6068333634
Plan sponsor’s address 1000 ST CHRISTOPHER DRIVE, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 401K 2016 201720760 2017-05-04 BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6068333634
Plan sponsor’s address 1000 ST CHRISTOPHER DRIVE, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2017-05-04
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-04
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 401K 2015 201720760 2016-07-28 BELLEFONTE PATHOLOGY LABORATORY MEDICINE PSC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6068333634
Plan sponsor’s address 1000 ST CHRISTOPHER DRIVE, ASHLAND, KY, 41101

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing GABRIEL RODRIGUEZ, MD
Valid signature Filed with authorized/valid electronic signature

Sole Officer

Name Role
GABRIEL A RODRIGUEZ Sole Officer

Director

Name Role
GABRIEL A RODRIGUEZ Director

Shareholder

Name Role
GABRIEL A RODRIGUEZ Shareholder

Incorporator

Name Role
JAMES R. MORRIS Incorporator

Registered Agent

Name Role
Dinsmore Agent Co. Registered Agent

Filings

Name File Date
Administrative Dissolution Return 2020-12-16
Administrative Dissolution 2020-10-08
Sixty Day Notice Return 2020-08-24
Annual Report 2019-06-20
Annual Report 2018-07-02
Registered Agent name/address change 2018-06-12
Annual Report 2017-05-24
Annual Report 2016-06-09
Annual Report 2015-04-21
Annual Report 2014-03-21

Related by officers

JAMES R. MORRIS

REFFITT, INCORPORATED MORRIS & BRESSLER, P.S.C. FD BANK, INC. PEN COAL CORPORATION

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Kentucky Secretary of State

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