FREEMAN FAMILY PRACTICE, LLC

Business Information

Division Name	FREEMAN FAMILY PRACTICE LLC
Division Number	FREEMAN FA
Congressional District	05
State/Country of Incorporation	KY, USA
Activation Date	2022-04-21
Initial Registration Date	2021-06-16
Entity Start Date	2008-07-01
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	TAMMY FREEMAN
Role	OWNER
Address	10755 N US HIGHWAY 25E, GRAY, KY, 40734, USA

Government Business
Title	PRIMARY POC
Name	TAMMY FREEMAN
Role	OWNER
Address	10755 N US HIGHWAY 25E, GRAY, KY, 40734, USA

Past Performance
Title	ALTERNATE POC
Name	JACKIE LAMBERT
Role	OFFICE ADMIN
Address	10755 N US HIGHWAY 25E, ., GRAY, KY, 40734, USA

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2020-07-01
Business code	621491
Sponsor’s telephone number	6062588050
Plan sponsor’s address	10755 N US HWY 25 E, GRAY, KY, 40734

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	2021-12-14
Name of individual signing	SHAWNA BURTON
Valid signature	Filed with authorized/valid electronic signature