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CLARK EMERGENCY PHYSICIANS, PLLC.

Company Details

Name: CLARK EMERGENCY PHYSICIANS, PLLC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 10 Dec 2016 (8 years ago)
Organization Date: 01 Jan 2017 (8 years ago)
Organization Number: 0970255
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Clark
Place of Formation: KENTUCKY
Last Annual Report: 25 Sep 2024 (2 months ago)
Managed By: Members
Principal Office: PO BOX 120 , WINCHESTER, KY 40392
Principal Office ZIP code: 40392

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLARK EMERGENCY PHYSICIANS 401(K) PLAN 2023 814712442 2024-07-31 CLARK EMERGENCY PHYSICIANS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8597448324
Plan sponsor’s address 25 EAST HICKMAN STREET, WINCHESTER, KY, 40391

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing JESSE DEAN
Valid signature Filed with authorized/valid electronic signature
CLARK EMERGENCY PHYSICIANS 401(K) PLAN 2022 814712442 2023-05-09 CLARK EMERGENCY PHYSICIANS 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8597448324
Plan sponsor’s address 25 EAST HICKMAN STREET, WINCHESTER, KY, 40391

Signature of

Role Plan administrator
Date 2023-05-09
Name of individual signing JESSE DEAN
Valid signature Filed with authorized/valid electronic signature
CLARK EMERGENCY PHYSICIANS 401(K) PLAN 2021 814712442 2022-04-04 CLARK EMERGENCY PHYSICIANS 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8597448324
Plan sponsor’s address 25 EAST HICKMAN STREET, WINCHESTER, KY, 40391

Signature of

Role Plan administrator
Date 2022-04-04
Name of individual signing JESSE DEAN
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
Matthew Lally Member
Jesse Dean Member
Bruce Kostelnik Member

Registered Agent

Name Role
JESSE DEAN Registered Agent
Patrick Downs Registered Agent

Organizer

Name Role
Patrick Downs Organizer

Filings

Name File Date
Annual Report Amendment 2024-09-25
Annual Report 2024-05-17
Registered Agent name/address change 2024-05-17
Principal Office Address Change 2024-05-17
Annual Report Amendment 2023-11-14
Annual Report 2023-03-15
Annual Report 2022-03-11
Annual Report 2021-02-17
Amendment 2020-04-14
Annual Report 2020-03-21

Date of last update: 19 Nov 2024

Sources: Kentucky Secretary of State