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STONECREST FAMILY MEDICINE, PLLC

Company Details

Name: STONECREST FAMILY MEDICINE, PLLC
Jurisdiction: Kentucky
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 03 Mar 2006 (19 years ago)
Organization Date: 03 Mar 2006 (19 years ago)
Organization Number: 0633664
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Shelby
Place of Formation: KENTUCKY
Last Annual Report: 01 May 2024 (7 months ago)
Managed By: Members
Principal Office: 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY 40065
Principal Office ZIP code: 40065

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2023 204386953 2024-08-30 STONECREST FAMILY MEDICINE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2022 204386953 2023-07-12 STONECREST FAMILY MEDICINE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2021 204386953 2022-05-10 STONECREST FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2020 204386953 2021-09-21 STONECREST FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2019 204386953 2020-10-13 STONECREST FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2018 204386953 2019-10-15 STONECREST FAMILY MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing RONALD CREQUE
Valid signature Filed with authorized/valid electronic signature
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2017 204386953 2018-10-09 STONECREST FAMILY MEDICINE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2016 204386953 2017-10-02 STONECREST FAMILY MEDICINE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing RONALD CREQUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-02
Name of individual signing LINDY OECHSLIN
Valid signature Filed with authorized/valid electronic signature
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K) PLAN 2015 204386953 2016-09-29 STONECREST FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing RONALD CREQUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-29
Name of individual signing LINDY OECHSLIN
Valid signature Filed with authorized/valid electronic signature
STONECREST FAMILY MEDICINE, PLLC RETIREMENT 401(K PLAN 2014 204386953 2015-05-07 STONECREST FAMILY MEDICINE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-03-03
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing RONALD CREQUE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-07
Name of individual signing LINDY OECHSLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/18/20140618130944P040450213745001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5026335565
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing LINDY OECHSLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/19/20130819110611P040452077425001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Signature of
Role Plan administrator
Date 2013-08-19
Name of individual signing LINDY OECHSLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010085144P040001049414001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204386953
Plan administrator’s name STONECREST FAMILY MEDICINE, PLLC
Plan administrator’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing LINDY OECHSLIN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204386953
Plan administrator’s name STONECREST FAMILY MEDICINE, PLLC
Plan administrator’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing MELINDA COWHERD
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204386953
Plan administrator’s name STONECREST FAMILY MEDICINE, PLLC
Plan administrator’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing MELINDA COWHERD
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204386953
Plan administrator’s name STONECREST FAMILY MEDICINE, PLLC
Plan administrator’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing MELINDA COWHERD
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/14/20111014101525P030691565392002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204386953
Plan administrator’s name STONECREST FAMILY MEDICINE, PLLC
Plan administrator’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing MELINDA COWHERD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/15/20101015080829P030028656593001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 5026332233
Plan sponsor’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065

Plan administrator’s name and address
Administrator’s EIN 204386953
Plan administrator’s name STONECREST FAMILY MEDICINE, PLLC
Plan administrator’s address 101 STONECREST ROAD, STE 3, SHELBYVILLE, KY, 40065
Administrator’s telephone number 5026332233

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing MELINDA COWHERD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
PAUL GOODLETT, MD Registered Agent

Member

Name Role
Ronald E Creque, Jr. Member
Paul A Goodlett Member

Organizer

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

Filings

Name File Date
Annual Report 2024-05-01
Annual Report 2023-04-17
Annual Report 2022-03-30
Annual Report 2021-05-20
Annual Report 2020-05-11
Annual Report 2019-04-24
Annual Report 2018-05-23
Annual Report 2017-05-30
Annual Report 2016-05-12
Annual Report 2015-06-17

Related by officers

PAUL A. GOODLETT, MD

MAXCARE MEDICAL SERVICES, 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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