| Name: | CLEANSE CLINIC PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 10 Dec 2014 (10 years ago) |
| Organization Date: | 10 Dec 2014 (10 years ago) |
| Organization Number: | 0904501 |
| Industry: | Health Services |
| Number of Employees: | Medium (20-99) |
| Primary County: | Jefferson |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 06 Mar 2024 (8 months ago) |
| Managed By: | Members |
| Principal Office: | 645 S Roy Wilkins Avenue, Suite 100, Louisville, KY 40202 |
| Principal Office ZIP code: | 40202 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLEANSE CLINIC PSC CBS BENEFIT PLAN | 2022 | 472504145 | 2023-12-27 | CLEANSE CLINIC PSC | 6 | |||||||||||||||||||||||||||||||
|
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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 | 2023-12-27 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| THOMAS E RUTLEDGE | Organizer |
| Name | Role |
|---|---|
| Abdul G Buridi | Registered Agent |
| Name | Role |
|---|---|
| Abdul G Buridi | Incorporator |
| Name | Role |
|---|---|
| Abdul G Buridi | Member |
| Name | Action |
|---|---|
| Cleanse Clinic PSC | Type Conversion |
| Name | File Date |
|---|---|
| Annual Report | 2024-03-06 |
| Registered Agent name/address change | 2024-03-06 |
| Principal Office Address Change | 2024-03-06 |
| Annual Report | 2023-06-01 |
| Annual Report Amendment | 2022-06-27 |
| Annual Report | 2022-06-07 |
| Annual Report | 2021-06-08 |
| Articles of Organization (LLC) | 2020-08-14 |
| Annual Report | 2020-06-23 |
| Annual Report | 2019-06-12 |
Date of last update: 07 Nov 2024
Sources: Kentucky Secretary of State
