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DANIEL BOONE FAMILY HEALTHCARE, PLLC

Company Details

Name: DANIEL BOONE FAMILY HEALTHCARE, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 08 Apr 2008 (17 years ago)
Organization Date: 08 Apr 2008 (17 years ago)
Organization Number: 0702456
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Knox
Place of Formation: KENTUCKY
Last Annual Report: 26 Apr 2024 (7 months ago)
Managed By: Managers
Principal Office: P.O. BOX 518, BARBOURVILLE, KY 40906
Principal Office ZIP code: 40906

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL BOONE FAMILY HEALTHCARE PLLC CBS BENEFIT PLAN 2022 262335493 2023-12-27 DANIEL BOONE FAMILY HEALTHCARE PLLC 3
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Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621491
Sponsor’s telephone number 6065450400
Plan sponsor’s address 215 TREUHAFT BLVD, SUITE 2, BARBOURVILLE, KY, 40906

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
DANIEL BOONE FAMILY HEALTHCARE PLLC CBS BENEFIT PLAN 2021 262335493 2022-12-29 DANIEL BOONE FAMILY HEALTHCARE PLLC 3
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621491
Sponsor’s telephone number 6065450400
Plan sponsor’s address 215 TREUHAFT BLVD, SUITE 2, BARBOURVILLE, KY, 40906

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
RODNEY T. SMITH Organizer

Registered Agent

Name Role
RODNEY T. SMITH Registered Agent

Manager

Name Role
Rodney Travis Smith Manager

Filings

Name File Date
Annual Report 2024-04-26
Annual Report 2023-04-07
Annual Report 2022-05-17
Annual Report 2021-05-11
Annual Report 2020-06-01
Annual Report 2019-06-30
Annual Report 2018-06-11
Registered Agent name/address change 2017-06-02
Annual Report 2017-06-02
Annual Report 2016-04-13

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State