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Fairview Physicians Network, LLC

Company Details

Name: Fairview Physicians Network, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 11 Apr 2011 (14 years ago)
Organization Date: 11 Apr 2011 (14 years ago)
Organization Number: 0789064
Industry: Health Services
Number of Employees: Large (100+)
Primary County: Christian
Place of Formation: KENTUCKY
Last Annual Report: 06 Mar 2024 (8 months ago)
Managed By: Managers
Principal Office: 102 WEST 18TH STREET, HOPKINSVILLE, KY 42240
Principal Office ZIP code: 42240

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRVIEW PHYSICIANS NETWORK, LLC 401(K) RETIREMENT SAVINGS PLAN 2016 452032126 2017-02-10 FAIRVIEW PHYSICIANS NETWORK, LLC 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621111
Sponsor’s telephone number 2708870100
Plan sponsor’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 452032126
Plan administrator’s name FAIRVIEW PHYSICIANS NETWORK, LLC
Plan administrator’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708870100
FAIRVIEW PHYSICIANS NETWORK, LLC 401(K) RETIREMENT SAVINGS PLAN 2015 452032126 2016-10-02 FAIRVIEW PHYSICIANS NETWORK, LLC 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621111
Sponsor’s telephone number 2708870100
Plan sponsor’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 452032126
Plan administrator’s name FAIRVIEW PHYSICIANS NETWORK, LLC
Plan administrator’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708870100
FAIRVIEW PHYSICIANS NETWORK, LLC 401(K) RETIREMENT SAVINGS PLAN 2014 452032126 2015-10-15 FAIRVIEW PHYSICIANS NETWORK, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621111
Sponsor’s telephone number 2708870100
Plan sponsor’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 452032126
Plan administrator’s name FAIRVIEW PHYSICIANS NETWORK, LLC
Plan administrator’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708870100

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing ERIC LEE
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW PHYSICIANS NETWORK, LLC 401(K) RETIREMENT SAVINGS PLAN 2013 452032126 2014-10-10 FAIRVIEW PHYSICIANS NETWORK, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621111
Sponsor’s telephone number 2708870100
Plan sponsor’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 452032126
Plan administrator’s name FAIRVIEW PHYSICIANS NETWORK, LLC
Plan administrator’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708870100

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing NANCY RAINES
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW PHYSICIANS NETWORK, LLC 401(K) RETIREMENT SAVINGS PLAN 2012 452032126 2013-07-31 FAIRVIEW PHYSICIANS NETWORK, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621111
Sponsor’s telephone number 2708870100
Plan sponsor’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 452032126
Plan administrator’s name FAIRVIEW PHYSICIANS NETWORK, LLC
Plan administrator’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708870100

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing DARRELL L GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW PHYSICIANS NETWORK, LLC 401(K) RETIREMENT SAVINGS PLAN 2011 452032126 2012-10-15 FAIRVIEW PHYSICIANS NETWORK, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621111
Sponsor’s telephone number 2708870100
Plan sponsor’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240

Plan administrator’s name and address
Administrator’s EIN 452032126
Plan administrator’s name FAIRVIEW PHYSICIANS NETWORK, LLC
Plan administrator’s address 102 W. 18 ST., HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708870100

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DARRELL L GUSTAFSON
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
Lee T White Organizer

Registered Agent

Name Role
Lee T White Registered Agent

Manager

Name Role
Jennie Stuart Medical Center Inc Manager

Assumed Names

Name Status Expiration Date
JENNIE STUART MEDICAL GROUP Active 2025-11-20
KENTUCKY WOMEN'S HEALTH Active 2025-06-02
DIGESTIVE HEALTHCARE OF WESTERN KENTUCKY Inactive 2018-03-01
GUTHRIEMD Inactive 2017-03-30
BLUEGRASSMD Inactive 2016-06-10

Filings

Name File Date
Annual Report 2024-03-06
Annual Report 2023-03-20
Annual Report 2022-03-08
Annual Report 2021-02-10
Name Renewal 2020-05-27
Name Renewal 2020-03-20
Annual Report 2020-02-13
Annual Report 2019-05-30
Annual Report 2018-05-02
Certificate of Withdrawal of Assumed Name 2017-11-14

Related by officers

Lee T White

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Related by address

No related companies by address

Date of last update: 18 Nov 2024

Sources: Kentucky Secretary of State

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