| Name: | PENNYRILE NEPHROLOGY ASSOCIATES, PSC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Professional Services Corp |
| Status: | Inactive |
| Standing: | Bad |
| File Date: | 03 Feb 2014 (11 years ago) |
| Organization Date: | 03 Feb 2014 (11 years ago) |
| Organization Number: | 0878215 |
| Primary County: | Hopkins |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 29 Jun 2022 (2 years ago) |
| Principal Office: | 1020 WATERFALL COURT, MADISONVILLE, KY 42431 |
| Principal Office ZIP code: | 42431 |
| Authorized Shares: | 2000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PENNYRILE NEPHROLOGY ASSOCIATES, PSC CBS BENEFIT PLAN | 2021 | 464733598 | 2022-12-29 | PENNYRILE NEPHROLOGY ASSOCIATES, PSC | 5 | |||||||||||||||||||||||||||||||||
|
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| 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 | 2022-12-29 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2703995434 |
| Plan sponsor’s address | 1020 WATERFALL COURT, MADISONVILLE, KY, 42431 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-07 |
| Name of individual signing | DR. IMRAN DOSANI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2703995434 |
| Plan sponsor’s address | 1020 WATERFALL COURT, MADISONVILLE, KY, 42431 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-26 |
| Name of individual signing | DR. IMRAN DOSANI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2703995434 |
| Plan sponsor’s address | 1020 WATERFALL CT, MADISONVILLE, KY, 424318079 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-14 |
| Name of individual signing | IMRAN DOSANI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-07-14 |
| Name of individual signing | IMRAN DOSANI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| RANDALL L. HARDESTY | Registered Agent |
| Name | Role |
|---|---|
| Imran Dosani | President |
| Name | Role |
|---|---|
| Vinaikumar Katragadda | Vice President |
| Name | Role |
|---|---|
| Imran Dosani | Treasurer |
| Name | Role |
|---|---|
| Imran Dosani | Director |
| Vinaikumar Katragadda | Director |
| Name | Role |
|---|---|
| Imran Dosani | Shareholder |
| Vinaikumar Katragadda | Shareholder |
| Name | Role |
|---|---|
| M. BASHAR MOURAD | Incorporator |
| Name | Role |
|---|---|
| Vinaikumar Katragadda | Secretary |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2023-10-04 |
| Annual Report | 2022-06-29 |
| Annual Report | 2021-02-11 |
| Registered Agent name/address change | 2020-09-22 |
| Principal Office Address Change | 2020-04-01 |
| Annual Report | 2020-04-01 |
| Annual Report | 2019-03-22 |
| Annual Report | 2018-04-15 |
| Annual Report | 2017-02-27 |
| Annual Report | 2016-03-24 |
Date of last update: 15 Nov 2024
Sources: Kentucky Secretary of State
