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Louisville Lung Care, PLLC

Company Details

Name: Louisville Lung Care, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 12 Sep 2011 (13 years ago)
Organization Date: 12 Sep 2011 (13 years ago)
Organization Number: 0799960
Primary County: Jefferson
Place of Formation: KENTUCKY
Last Annual Report: 06 Apr 2021 (4 years ago)
Managed By: Managers
Principal Office: 3999 DUTCHMANS LANE, SUITE 2F, louisville, KY 40207
Principal Office ZIP code: 40207

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LOUISVILLE LUNG CARE 401(K) PLAN 2023 453214505 2024-09-24 LOUISVILLE LUNG CARE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207
LOUISVILLE LUNG CARE PLLC CBS BENEFIT PLAN 2023 453214505 2024-04-29 LOUISVILLE LUNG CARE PLLC 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-10-01
Business code 621491
Sponsor’s telephone number 5028830227
Plan sponsor’s address 1015 DUPONT RD, LOUISVILLE, KY, 40207

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 2024-04-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
LOUISVILLE LUNG CARE PLLC CBS BENEFIT PLAN 2022 453214505 2023-12-27 LOUISVILLE LUNG CARE PLLC 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-10-01
Business code 621491
Sponsor’s telephone number 5028830227
Plan sponsor’s address 1015 DUPONT RD, LOUISVILLE, KY, 40207

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
LOUISVILLE LUNG CARE 401(K) PLAN 2022 453214505 2023-09-16 LOUISVILLE LUNG CARE, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207
LOUISVILLE LUNG CARE 401(K) PLAN 2021 453214505 2022-09-20 LOUISVILLE LUNG CARE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207
LOUISVILLE LUNG CARE 401(K) PLAN 2020 453214505 2021-10-07 LOUISVILLE LUNG CARE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 621111
Sponsor’s telephone number 5024322650
Plan sponsor’s address 1015 DUPONT ROAD, LOUISVILLE, KY, 40207

Registered Agent

Name Role
MOUTAZ AL NABHAN Registered Agent

Manager

Name Role
Moutaz Al-Nabhan Manager

Organizer

Name Role
Moutaz Al Nabhan Organizer

Filings

Name File Date
Administrative Dissolution 2022-10-04
Sixty Day Notice Return 2022-09-13
Registered Agent name/address change 2022-03-04
Reinstatement Certificate of Existence 2021-04-06
Reinstatement 2021-04-06
Reinstatement Approval Letter Revenue 2021-04-06
Administrative Dissolution 2018-10-16
Annual Report 2017-05-10
Annual Report 2016-04-10
Annual Report 2015-06-26

Date of last update: 14 Nov 2024

Sources: Kentucky Secretary of State