New Source Medical, LLC

Business Information

Congressional District	03
State/Country of Incorporation	KY, USA
Activation Date	2024-03-22
Initial Registration Date	2022-12-29
Entity Start Date	2016-01-01
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes

339112, 339113, 423450

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	CRAIG GRANT
Role	PURCHASING DIRECTOR
Address	9913 SHELBYVILLE RD, LOUISVILLE, KY, 40223, USA

Government Business
Title	PRIMARY POC
Name	KEVIN MCKIM
Role	CEO
Address	9913 SHELBYVILLE RD, LOUISVILLE, KY, 40223, USA

Past Performance	Information not Available

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541990
Sponsor’s telephone number	5022610050
Plan sponsor’s address	9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2021-09-09
Name of individual signing	JEFF LAMKIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541990
Sponsor’s telephone number	5022610050
Plan sponsor’s address	9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2021-06-18
Name of individual signing	JEFF LAMKIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541990
Sponsor’s telephone number	5022610050
Plan sponsor’s address	9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2020-07-13
Name of individual signing	JEFF LAMKIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541990
Sponsor’s telephone number	5022610050
Plan sponsor’s address	9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2019-06-06
Name of individual signing	JEFF LAMKIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541990
Sponsor’s telephone number	5022610050
Plan sponsor’s address	9913 SHELBYVILLE RD STE 203, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2018-07-22
Name of individual signing	JEFF LAMKIN
Valid signature	Filed with authorized/valid electronic signature