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MAXCARE MEDICAL SERVICES, PLLC

Company Details

Name: MAXCARE MEDICAL SERVICES, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 06 Jan 2006 (19 years ago)
Organization Date: 06 Jan 2006 (19 years ago)
Organization Number: 0629055
Primary County: Shelby
Place of Formation: KENTUCKY
Last Annual Report: 31 May 2013 (11 years ago)
Managed By: Members
Principal Office: 101 STONECREST ROAD, SUITE 1, SHELBYVILLE, KY 40065
Principal Office ZIP code: 40065

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAXCARE MEDICAL SERVICES 401(K) PROFIT SHARING PLAN 2013 204128095 2014-08-11 MAXCARE MEDICAL SERVICES 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2014-08-11
Name of individual signing STEVEN SMITH
Valid signature Filed with authorized/valid electronic signature
MAXCARE MEDICAL SERVICES 401K PROFIT SHARING PLAN 2013 204128095 2014-07-09 MAXCARE MEDICAL SERVICES, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing STEVEN SMITH, MD
Valid signature Filed with authorized/valid electronic signature
MAXCARE MEDICAL SERVICES 401K PROFIT SHARING PLAN 2012 204128095 2013-07-11 MAXCARE MEDICAL SERVICES, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing STEVEN SMITH, MD
Valid signature Filed with authorized/valid electronic signature
MAXCARE MEDICAL SERVICES 401K PROFIT SHARING PLAN 2011 204128095 2012-10-13 MAXCARE MEDICAL SERVICES, PLLC 20
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204128095
Plan administrator’s name MAXCARE MEDICAL SERVICES, PLLC
Plan administrator’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing STEVEN SMITH, MD
Valid signature Filed with authorized/valid electronic signature
MAXCARE MEDICAL SERVICES 401K PROFIT SHARING PLAN 2010 204128095 2011-07-18 MAXCARE MEDICAL SERVICES, PLLC 16
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204128095
Plan administrator’s name MAXCARE MEDICAL SERVICES, PLLC
Plan administrator’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233
MAXCARE MEDICAL SERVICES 401K PROFIT SHARING PLAN 2010 204128095 2011-07-15 MAXCARE MEDICAL SERVICES, PLLC 16
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204128095
Plan administrator’s name MAXCARE MEDICAL SERVICES, PLLC
Plan administrator’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233
MAXCARE MEDICAL SERVICES 401K PROFIT SHARING PLAN 2010 204128095 2011-07-18 MAXCARE MEDICAL SERVICES, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204128095
Plan administrator’s name MAXCARE MEDICAL SERVICES, PLLC
Plan administrator’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing STEVEN SMITH, MD
Valid signature Filed with authorized/valid electronic signature
MAXCARE MEDICAL SERVICES 401K PROFIT SHARING PLAN 2009 204128095 2010-10-15 MAXCARE MEDICAL SERVICES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204128095
Plan administrator’s name MAXCARE MEDICAL SERVICES, PLLC
Plan administrator’s address 101 STONECREST RD, SUITE 1, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing STEVEN SMITH, MD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
STEVEN W. SMITH, MD Registered Agent

Member

Name Role
Paul Allen Goodlett Member
Steven Wayne Smith Member
Ronald Edward Creque Member

Organizer

Name Role
RONALD E. CREQUE, JR. MD Organizer
PAUL A. GOODLETT, MD Organizer

Filings

Name File Date
Administrative Dissolution 2014-09-30
Annual Report 2013-05-31
Annual Report 2012-03-21
Annual Report 2011-03-28
Annual Report 2010-03-08
Annual Report 2009-01-13
Annual Report 2008-01-15
Statement of Change 2007-05-24
Statement of Change 2007-03-06
Annual Report 2007-01-11

Related by officers

Paul Allen Goodlett

GOODLETT FARMS, LLC

Steven Wayne Smith

KENTUCKY EXPORTS LLC

PAUL A. GOODLETT, MD

STONECREST FAMILY MEDICINE, PLLC

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Kentucky Secretary of State

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