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DENTAL DESIGNS OF OWENSBORO, PLLC

Company Details

Name: DENTAL DESIGNS OF OWENSBORO, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 27 Aug 2010 (14 years ago)
Organization Date: 27 Aug 2010 (14 years ago)
Organization Number: 0770124
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Daviess
Place of Formation: KENTUCKY
Last Annual Report: 06 Mar 2024 (8 months ago)
Managed By: Members
Principal Office: 3164 ALVEY PARK DRIVE EAST, OWENSBORO, KY 42303
Principal Office ZIP code: 42303

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2023 204863075 2024-07-22 DENTAL DESIGNS OF OWENSBORO 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVERY PARK DRIVE E, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2022 204863075 2023-07-12 DENTAL DESIGNS OF OWENSBORO 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVERY PARK DRIVE E, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2023-07-12
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO PLLC MEDOVA LIFESTYLE HEALTH PLAN 2022 204863075 2024-02-10 DENTAL DESIGNS OF OWENSBORO PLLC 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVEY PARK DR E, OWENSBORO, KY, 423032132

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT, INC.
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2024-02-10
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2021 204863075 2023-07-12 DENTAL DESIGNS OF OWENSBORO 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVERY PARK DRIVE E, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2023-07-12
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2021 204863075 2022-10-17 DENTAL DESIGNS OF OWENSBORO 6
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing JAMES WES BOOKER
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO PLLC MEDOVA LIFESTYLE HEALTH PLAN 2021 204863075 2022-10-02 DENTAL DESIGNS OF OWENSBORO PLLC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3164 ALVEY PARK DR E, OWENSBORO, KY, 423032132

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2020 204863075 2021-04-13 DENTAL DESIGNS OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2019 204863075 2020-09-15 DENTAL DESIGNS OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2020-09-15
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2018 204863075 2019-03-05 DENTAL DESIGNS OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2019-03-05
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
DENTAL DESIGNS OF OWENSBORO 401(K) PLAN 2017 204863075 2018-02-13 DENTAL DESIGNS OF OWENSBORO 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2018-02-13
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/02/03/20170203130554P030004224685001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2017-02-03
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/02/01/20160201150310P040164705703001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2016-02-01
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715074422P040114630609001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing KIRK NELLANS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/17/20140317113815P040003365524001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2014-03-17
Name of individual signing ROGER HILDEBRAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/15/20130415082414P040175150579002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Signature of
Role Plan administrator
Date 2013-04-15
Name of individual signing ROGER W HILDEBRAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/16/20120416104912P040314648576001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843348
Plan sponsor’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 204863075
Plan administrator’s name JAMES WES BOOKER, DMD, PLLC
Plan administrator’s address 3310 PROFESSIONAL PARK DRIVE, SUITE 103, OWENSBORO, KY, 42303
Administrator’s telephone number 2706843348

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing ROGER W. HILDEBRAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/04/20110404123558P040170829136003.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2706843377
Plan sponsor’s address 922 TRIPLETT STREET, SUITE 8, OWENSBORO, KY, 42033

Plan administrator’s name and address
Administrator’s EIN 204863075
Plan administrator’s name JAMES WES BOOKER, DMD, PLLC
Plan administrator’s address 922 TRIPLETT STREET, SUITE 8, OWENSBORO, KY, 42033
Administrator’s telephone number 2706843377

Signature of
Role Plan administrator
Date 2011-04-04
Name of individual signing ROGER W HILDEBRAND
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JAMES WESLEY BOOKER Registered Agent

Member

Name Role
James Wes Booker Member

Organizer

Name Role
JAMES WESLEY BOOKER Organizer

Former Company Names

Name Action
JAMES WES BOOKER, DMD, PLLC Merger

Filings

Name File Date
Annual Report 2024-03-06
Annual Report 2023-04-17
Annual Report 2022-03-07
Registered Agent name/address change 2021-05-28
Principal Office Address Change 2021-05-28
Annual Report 2021-05-28
Annual Report 2020-06-26
Registered Agent name/address change 2019-06-28
Annual Report 2019-06-28
Annual Report 2018-06-27

Related by officers

JAMES WESLEY BOOKER

BOOKER PROPERTY MANAGEMENT, LLC BOOKER PROPERTY MANAGEMENT, LLC

Related by address

3164 ALVEY PARK DRIVE EAST, OWENSBORO, KY 42303

DRS. THOMPSON & FREY, P.S.C.

Date of last update: 13 Nov 2024

Sources: Kentucky Secretary of State

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