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LEXINGTON MEDICAL SOCIETY, INC.

Company Details

Name: LEXINGTON MEDICAL SOCIETY, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 22 Aug 2016 (8 years ago)
Organization Date: 22 Aug 2016 (8 years ago)
Organization Number: 0960741
Industry: Membership Organizations
Number of Employees: Medium (20-99)
Primary County: Fayette
Place of Formation: KENTUCKY
Last Annual Report: 25 Mar 2024 (8 months ago)
Principal Office: 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY 40503-3328
Principal Office ZIP code: 40503

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEXINGTON MEDICAL SOCIETY 401(K) PLAN 2023 616032171 2024-06-27 LEXINGTON MEDICAL SOCIETY 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-03-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304
LEXINGTON MEDICAL SOCIETY CBS BENEFIT PLAN 2022 616032171 2023-12-27 LEXINGTON MEDICAL SOCIETY 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-08-01
Business code 813930
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT, SUITE 201, LEXINGTON, KY, 40503

Plan administrator’s name and address
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
LEXINGTON MEDICAL SOCIETY 401(K) PLAN 2022 616032171 2023-07-19 LEXINGTON MEDICAL SOCIETY 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-03-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304
LEXINGTON MEDICAL SOCIETY CBS BENEFIT PLAN 2021 616032171 2022-12-29 LEXINGTON MEDICAL SOCIETY 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-08-01
Business code 813930
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT, SUITE 201, LEXINGTON, KY, 40503

Plan administrator’s name and address
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
LEXINGTON MEDICAL SOCIETY MONEY PURCHASE PENSION PLAN 2021 616032171 2022-12-15 LEXINGTON MEDICAL SOCIETY 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304
LEXINGTON MEDICAL SOCIETY MONEY PURCHASE PENSION PLAN 2021 616032171 2022-04-14 LEXINGTON MEDICAL SOCIETY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304
LEXINGTON MEDICAL SOCIETY MONEY PURCHASE PENSION PLAN 2020 616032171 2021-05-18 LEXINGTON MEDICAL SOCIETY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing A2214178
Valid signature Filed with authorized/valid electronic signature
LEXINGTON MEDICAL SOCIETY MONEY PURCHASE PENSION PLAN 2019 616032171 2020-06-03 LEXINGTON MEDICAL SOCIETY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing CHRISTOPHER M. HICKEY
Valid signature Filed with authorized/valid electronic signature
LEXINGTON MEDICAL SOCIETY MONEY PURCHASE PENSION PLAN 2018 616032171 2019-06-05 LEXINGTON MEDICAL SOCIETY 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing CHRISTOPHER M. HICKEY
Valid signature Filed with authorized/valid electronic signature
LEXINGTON MEDICAL SOCIETY MONEY PURCHASE PENSION PLAN 2017 616032171 2018-05-11 LEXINGTON MEDICAL SOCIETY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304

Signature of
Role Plan administrator
Date 2018-05-11
Name of individual signing CHRISTOPHER M. HICKEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/20/20170620102950P040015408545001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing CHRISTOPHER M. HICKEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/06/20160706103416P040022120199001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE COURT, SUITE 201, LEXINGTON, KY, 405033304

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing CHRISTOPHER M. HICKEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/27/20150727201558P030120087511001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 40503
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/04/20140604082319P030125822053001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 40503
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014074112P030036043635001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 40503

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing KATHY KEATON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/24/20120724155111P040033620464005.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 405033328

Plan administrator’s name and address
Administrator’s EIN 616032171
Plan administrator’s name LEXINGTON MEDICAL SOCIETY
Plan administrator’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 405033328
Administrator’s telephone number 8592780569

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing CAROLYN KURZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/23/20110723110006P040101782273010.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 405033328

Plan administrator’s name and address
Administrator’s EIN 616032171
Plan administrator’s name LEXINGTON MEDICAL SOCIETY
Plan administrator’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 405033328
Administrator’s telephone number 8592780569

Signature of
Role Plan administrator
Date 2011-07-23
Name of individual signing CAROLYN KURZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/31/20100831134020P030160102002015.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621399
Sponsor’s telephone number 8592780569
Plan sponsor’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 405033328

Plan administrator’s name and address
Administrator’s EIN 616032171
Plan administrator’s name LEXINGTON MEDICAL SOCIETY
Plan administrator’s address 2628 WILHITE CT SUITE 201, LEXINGTON, KY, 405033328
Administrator’s telephone number 8592780569

Signature of
Role Plan administrator
Date 2010-08-31
Name of individual signing CAROLYN KURZ
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
CHRISTOPHER M. HICKEY Registered Agent

Officer

Name Role
Christopher Hickey Officer

President

Name Role
Angela Dearinger President

Secretary

Name Role
Maria Belcastro Secretary

Vice President

Name Role
Christine Ko Vice President

Director

Name Role
Mary Shepard, MD Director
Hope Cottrill, MD Director
Thomas Waid, MD Director
Emery Wilson, MD Director
George Demiling, MD Director
Erin Moore, MD Director
Tina Fawns, MD Director
Donna Hill, MD Director
Johnathan Hauke Director
THOMAS H WAID Director

Incorporator

Name Role
CHRISTOPHER M HICKEY Incorporator

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-03-20
Annual Report 2022-03-07
Annual Report 2021-05-24
Annual Report 2020-06-03
Annual Report 2019-04-01
Annual Report 2018-03-29
Annual Report 2017-03-06
Articles of Incorporation 2016-08-22

Related by officers

Angela Dearinger

KENTUCKY BLOOD CENTER, INC. LEXINGTON MEDICAL SOCIETY FOUNDATION, INC.

Christine Ko

KENTUCKY MEDICAL ASSOCIATION

Related by address

No related companies by address

Date of last update: 18 Nov 2024

Sources: Kentucky Secretary of State

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