Search icon

ADVANCED FAMILY MEDICAL CLINIC LIBERTY, LLC

Company Details

Name: ADVANCED FAMILY MEDICAL CLINIC LIBERTY, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 15 May 2017 (8 years ago)
Organization Date: 15 May 2017 (8 years ago)
Organization Number: 0985562
Industry: Personal Services
Number of Employees: Small (0-19)
Primary County: Boyle
Place of Formation: KENTUCKY
Last Annual Report: 08 Mar 2024 (8 months ago)
Managed By: Members
Principal Office: PO BOX 2369, DANVILLE, KY 40423-2369
Principal Office ZIP code: 40423

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
YNVGQL7DJUJ9 2022-07-10 84 HUSTONVILLE ST, LIBERTY, KY, 42539, 3469, USA PO BOX 2188, LEXINGTON, KY, 40588, USA

Business Information

Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2021-06-15
Initial Registration Date 2021-06-10
Entity Start Date 2017-05-15
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KHURSHEED SIDDIQUI
Role OWNER/MEDICAL DIRECTOR
Address PO BOX 2188, LEXINGTON, KY, 40588, USA
Government Business
Title PRIMARY POC
Name KHURSHEED SIDDIQUI
Role OWNER/MEDICAL DIRECTOR
Address PO BOX 2188, LEXINGTON, KY, 40588, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED FAMILY MEDICAL CLINIC 401(K) PROFIT SHARING PLAN 2023 821533789 2024-07-19 ADVANCED FAMILY MEDICAL CLINIC LIBERTY, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6067067473
Plan sponsor’s address 84 HUSTONVILLE STREET, LIBERTY, KY, 42539

Signature of

Role Plan administrator
Date 2024-07-19
Name of individual signing KHURSHEED SIDDIQUI
Valid signature Filed with authorized/valid electronic signature
ADVANCED FAMILY MEDICAL CLINIC 401(K) PROFIT SHARING PLAN 2022 821533789 2023-07-13 ADVANCED FAMILY MEDICAL CLINIC LIBERTY, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6067067473
Plan sponsor’s address 84 HUSTONVILLE STREET, LIBERTY, KY, 42539

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing KHURSHEED SIDDIQUI
Valid signature Filed with authorized/valid electronic signature
ADVANCED FAMILY MEDICAL CLINIC 401(K) PROFIT SHARING PLAN 2021 821533789 2022-09-29 ADVANCED FAMILY MEDICAL CLINIC LIBERTY, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6067067473
Plan sponsor’s address 84 HUSTONVILLE STREET, LIBERTY, KY, 42539

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing KHURSHEED SIDDIQUI
Valid signature Filed with authorized/valid electronic signature
ADVANCED FAMILY MEDICAL CLINIC 401(K) PROFIT SHARING PLAN 2020 821533789 2021-06-03 ADVANCED FAMILY MEDICAL CLINIC LIBERTY, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6067067473
Plan sponsor’s address 84 HUSTONVILLE STREET, LIBERTY, KY, 42539
ADVANCED FAMILY MEDICAL CLINIC 401(K) PROFIT SHARING PLAN 2019 821533789 2020-08-12 ADVANCED FAMILY MEDICAL CLINIC LIBERTY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6067067473
Plan sponsor’s address 84 HUSTONVILLE STREET, LIBERTY, KY, 42539

Registered Agent

Name Role
KHURSHEED SIDDIQUI Registered Agent

Member

Name Role
Khursheed Siddiqui Member
Sheeba Siddiqui Member

Organizer

Name Role
KHURSHEED SIDDIQUI Organizer

Filings

Name File Date
Annual Report 2024-03-08
Annual Report 2023-03-17
Registered Agent name/address change 2022-03-06
Annual Report 2022-03-06
Principal Office Address Change 2021-04-17
Annual Report 2021-04-17
Annual Report 2020-07-31
Principal Office Address Change 2019-08-13
Annual Report 2019-08-13
Annual Report Return 2019-07-19

Date of last update: 27 Oct 2024

Sources: Kentucky Secretary of State