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CLARKSON CLINIC, PLLC

Company Details

Name: CLARKSON CLINIC, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 21 Nov 2006 (18 years ago)
Organization Date: 21 Nov 2006 (18 years ago)
Organization Number: 0651370
Primary County: Grayson
Place of Formation: KENTUCKY
Last Annual Report: 13 Jun 2014 (10 years ago)
Managed By: Members
Principal Office: 625 WEST MAIN ST. , CLARKSON , KY 42726
Principal Office ZIP code: 42726

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLARKSON CLINIC, PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 205936600 2014-01-31 CLARKSON CLINIC, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621112
Sponsor’s telephone number 2702595604
Plan sponsor’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726

Signature of
Role Plan administrator
Date 2014-01-31
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-31
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
CLARKSON CLINIC, PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 205936600 2013-03-25 CLARKSON CLINIC, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621112
Sponsor’s telephone number 2702595604
Plan sponsor’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726

Signature of
Role Plan administrator
Date 2013-03-25
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-25
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
CLARKSON CLINIC, PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 205936600 2012-04-11 CLARKSON CLINIC, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621112
Sponsor’s telephone number 2702595604
Plan sponsor’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726

Plan administrator’s name and address
Administrator’s EIN 205936600
Plan administrator’s name CLARKSON CLINIC, PLLC
Plan administrator’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726
Administrator’s telephone number 2702595604

Signature of
Role Plan administrator
Date 2012-04-11
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-11
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
CLARKSON CLINIC, PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2010 205936600 2011-02-16 CLARKSON CLINIC, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621112
Sponsor’s telephone number 2702595604
Plan sponsor’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726

Plan administrator’s name and address
Administrator’s EIN 205936600
Plan administrator’s name CLARKSON CLINIC, PLLC
Plan administrator’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726
Administrator’s telephone number 2702595604

Signature of
Role Plan administrator
Date 2011-02-16
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-16
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
CLARKSON CLINIC, PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2009 205936600 2010-07-21 CLARKSON CLINIC, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621112
Sponsor’s telephone number 2702595604
Plan sponsor’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726

Plan administrator’s name and address
Administrator’s EIN 205936600
Plan administrator’s name CLARKSON CLINIC, PLLC
Plan administrator’s address 625 WEST MAIN STREET, P. O. BOX 158, CLARKSON, KY, 42726
Administrator’s telephone number 2702595604

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing VICTOR DUVALL
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
VICTOR F. DUVALL Organizer

Registered Agent

Name Role
VICTOR F. DUVALL, MD Registered Agent

Member

Name Role
VICTOR DUVALL,MD Member

Signature

Name Role
VICTOR DUVALL,MD Signature
VICTOR F. DUVALL Signature

Filings

Name File Date
Dissolution 2015-02-18
Annual Report 2014-06-13
Annual Report 2013-03-05
Annual Report 2012-02-21
Annual Report 2011-02-23
Annual Report 2010-04-08
Annual Report 2009-04-03
Annual Report 2008-03-10
Annual Report 2007-01-19
Articles of Organization 2006-11-21

Related by officers

VICTOR F. DUVALL

DOCTORS NETWORK OF AMERICA, INC. TWIN LAKES FLYING CLUB, INC. GRAYSON COUNTY AVIATION, INC.

Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

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