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Premier Dental, PLLC

Company Details

Name: Premier Dental, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 03 Jan 2012 (13 years ago)
Organization Date: 03 Jan 2012 (13 years ago)
Organization Number: 0808642
Industry: Personal Services
Number of Employees: Small (0-19)
Primary County: Laurel
Place of Formation: KENTUCKY
Last Annual Report: 23 May 2024 (6 months ago)
Managed By: Members
Principal Office: 39 Waco Drive, London, KY 40741
Principal Office ZIP code: 40741

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER DENTAL, PLLC 2023 454154720 2024-07-29 PREMIER DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 6068773002
Plan sponsor’s address 39 WACO DRIVE, LONDON, KY, 40741

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
PREMIER DENTAL, PLLC 2022 454154720 2023-05-26 PREMIER DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 6068773002
Plan sponsor’s address 39 WACO DRIVE, LONDON, KY, 40741

Signature of

Role Plan administrator
Date 2023-05-26
Name of individual signing DR. TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-26
Name of individual signing DR. TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
PREMIER DENTAL, PLLC 2021 454154720 2022-05-09 PREMIER DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 6068773002
Plan sponsor’s address 39 WACO DRIVE, LONDON, KY, 40741

Signature of

Role Plan administrator
Date 2022-05-05
Name of individual signing DR. TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-05
Name of individual signing DR. TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
PREMIER DENTAL, PLLC 2020 454154720 2021-05-17 PREMIER DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 6068773002
Plan sponsor’s address 39 WACO DRIVE, LONDON, KY, 40741

Signature of

Role Plan administrator
Date 2021-05-17
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-17
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
PREMIER DENTAL, PLLC 2019 454154720 2020-07-15 PREMIER DENTAL, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 6068773002
Plan sponsor’s address 39 WACO DRIVE, LONDON, KY, 40741

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-15
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
PREMIER DENTAL, PLLC 2018 454154720 2019-05-13 PREMIER DENTAL, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 6068773002
Plan sponsor’s address 39 WACO DRIVE, LONDON, KY, 40741

Signature of

Role Plan administrator
Date 2019-05-13
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-13
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
PREMIER DENTAL, PLLC 2017 454154720 2018-03-13 PREMIER DENTAL, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 6068773002
Plan sponsor’s address 39 WACO DRIVE, LONDON, KY, 40741

Signature of

Role Plan administrator
Date 2018-03-13
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-13
Name of individual signing TERRI BROWN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Terri Brown Registered Agent

Member

Name Role
Terri L Brown Member

Organizer

Name Role
Terri Brown Organizer

Filings

Name File Date
Annual Report 2024-05-23
Annual Report 2023-08-08
Annual Report 2022-03-14
Annual Report 2021-02-23
Annual Report 2020-06-01
Annual Report 2019-05-30
Annual Report 2018-06-21
Annual Report 2017-04-25
Annual Report 2016-04-11
Annual Report 2015-06-04

Date of last update: 14 Nov 2024

Sources: Kentucky Secretary of State