BRAD FULKERSON, DMD, MSD, LLC

Company Details

Name:	BRAD FULKERSON, DMD, MSD, LLC
Jurisdiction:	Kentucky
Legal type:	Kentucky Limited Liability Company
Status:	Active
Standing:	Good
File Date:	15 Mar 2005 (20 years ago)
Organization Date:	15 Mar 2005 (20 years ago)
Organization Number:	0608330
Industry:	Health Services
Number of Employees:	Small (0-19)
Primary County:	Henderson
Place of Formation:	KENTUCKY
Last Annual Report:	23 Mar 2024 (8 months ago)
Managed By:	Members
Principal Office:	700 BARRETT BOULEVARD, HENDERSON, KY 42420
Principal Office ZIP code:	42420

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2022

202499499

2023-06-11

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2023-06-11
Name of individual signing	BRAD T. FULKERSON
Valid signature	Filed with authorized/valid electronic signature

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2021

202499499

2022-06-14

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2022-06-14
Name of individual signing	BRAD T. FULKERSON
Valid signature	Filed with authorized/valid electronic signature

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2020

202499499

2021-03-31

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2021-03-31
Name of individual signing	BRAD T. FULKERSON
Valid signature	Filed with authorized/valid electronic signature

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2019

202499499

2020-04-03

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2020-04-03
Name of individual signing	BRAD T. FULKERSON
Valid signature	Filed with authorized/valid electronic signature

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2018

202499499

2019-05-11

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2019-05-11
Name of individual signing	BRAD T. FULKERSON
Valid signature	Filed with authorized/valid electronic signature

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2017

202499499

2018-04-15

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2018-04-15
Name of individual signing	BRAD T. FULKERSON
Valid signature	Filed with authorized/valid electronic signature

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2016

202499499

2017-07-24

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

BRAD FULKERSON, DMD, MSD, LLC CASH BALANCE PLAN

2016

202499499

2017-09-29

BRAD FULKERSON, DMD, MSD, LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRET BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

BRAD FULKERSON, DMD, MSD, LLC CASH BALANCE PLAN

2015

202499499

2016-05-31

BRAD FULKERSON, DMD, MSD, LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRET BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

BRAD FULKERSON, DMD 401(K) PROFIT SHARING PLAN

2015

202499499

2016-07-11

BRAD FULKERSON, DMD, MSD, LLC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	700 BARRETT BOULEVARD, SUITE A, P.O. BOX 276, HENDERSON, KY, 42419

File	https://efast2-filings-public.s3.amazonaws.com/prd/2015/03/28/20150328080945P040151404631001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2015-03-28
Name of individual signing	BRAD FULKERSON
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/29/20140129163246P030189852275001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2014-01-29
Name of individual signing	BRAD FULKERSON
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/10/20130310104756P040125829123001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419

Signature of

Role	Plan administrator
Date	2013-03-10
Name of individual signing	BRAD FULKERSON
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/11/20120211071805P040010259303001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419

Plan administrator’s name and address

Administrator’s EIN	202499499
Plan administrator’s name	BRAD FULKERSON, DMD, MSD, LLC
Plan administrator’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419
Administrator’s telephone number	2708275522

Signature of

Role	Plan administrator
Date	2012-02-11
Name of individual signing	BRAD FULKERSON
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2011/01/26/20110126140812P040020611809001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419

Plan administrator’s name and address

Administrator’s EIN	202499499
Plan administrator’s name	BRAD FULKERSON, DMD, MSD, LLC
Plan administrator’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419
Administrator’s telephone number	2708275522

Signature of

Role	Plan administrator
Date	2011-01-26
Name of individual signing	BRAD FULKERSON
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/10/20100510200834P030248554705001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2708275522
Plan sponsor’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419

Plan administrator’s name and address

Administrator’s EIN	202499499
Plan administrator’s name	BRAD FULKERSON, DMD, MSD, LLC
Plan administrator’s address	P.O. BOX 276, 700 A BARRET BLVD., HENDERSON, KY, 42419
Administrator’s telephone number	2708275522

Signature of

Role	Plan administrator
Date	2010-05-10
Name of individual signing	BRAD FULKERSON
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-05-10
Name of individual signing	BRAD FULKERSON
Valid signature	Filed with authorized/valid electronic signature

Registered Agent

Name	Role
BRAD FULKERSON	Registered Agent

Member

Name	Role
BRAD T FULKERSON	Member

Organizer

Name	Role
BRAD FULKERSON	Organizer

Filings

Name	File Date
Annual Report	2024-03-23
Annual Report	2023-03-22
Annual Report	2022-04-13
Annual Report	2021-02-11
Annual Report	2020-02-14
Annual Report	2019-04-25
Annual Report	2018-04-15
Annual Report	2017-05-14
Annual Report	2016-03-21
Annual Report	2015-05-25
Annual Report	2014-02-19
Annual Report	2013-06-25
Annual Report	2012-07-09
Annual Report	2011-02-18
Annual Report	2010-06-12
Annual Report	2009-06-22
Annual Report	2008-06-10
Annual Report	2007-06-26
Annual Report	2006-04-03
Articles of Organization	2005-03-15

Date of last update: 04 Nov 2024

Sources: Kentucky Secretary of State

BRAD FULKERSON, DMD, MSD, LLC

Company Details

form 5500

Registered Agent

Member

Organizer

Filings

Related by officers

Related by address