| Name: | JESSAMINE FAMILY DENTISTRY PLLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| File Date: | 09 Jun 2016 (8 years ago) |
| Organization Date: | 09 Jun 2016 (8 years ago) |
| Organization Number: | 0954808 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| Primary County: | Jessamine |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 25 Jun 2024 (5 months ago) |
| Managed By: | Members |
| Principal Office: | 996 N MAIN ST NICHOLASVILLE, KY 40356 |
| Principal Office ZIP code: | 40356 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JESSAMINE FAMILY DENTISTRY PLLC CBS BENEFIT PLAN | 2023 | 812885574 | 2024-04-29 | JESSAMINE FAMILY DENTISTRY PLLC | 7 | |||||||||||||||||||||||||||||||
|
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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 | 2024-04-29 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| DANIEL DELA CRUZ | Registered Agent |
| Name | Role |
|---|---|
| DANIEL DELA CRUZ | Organizer |
| Name | Role |
|---|---|
| Brittany Sams | Member |
| Name | Status | Expiration Date |
|---|---|---|
| WINCHESTER FAMILY DENTISTRY | Inactive | 2022-08-09 |
| Name | File Date |
|---|---|
| Annual Report | 2024-06-25 |
| Annual Report | 2023-05-31 |
| Registered Agent name/address change | 2023-05-31 |
| Principal Office Address Change | 2022-12-27 |
| Annual Report | 2022-06-14 |
| Annual Report | 2021-08-19 |
| Annual Report | 2020-06-16 |
| Annual Report Amendment | 2019-06-13 |
| Annual Report | 2019-06-11 |
| Certificate of Withdrawal of Assumed Name | 2018-10-31 |
Date of last update: 19 Nov 2024
Sources: Kentucky Secretary of State
