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KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC.

Company Details

Name: KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 14 Dec 2017 (7 years ago)
Organization Date: 14 Dec 2017 (7 years ago)
Organization Number: 1004860
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Fayette
Place of Formation: KENTUCKY
Last Annual Report: 05 Jun 2024 (5 months ago)
Principal Office: 425 LEWIS HARGETT CIRCLE, LEXINGTON, KY 40503
Principal Office ZIP code: 40503
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2023 823759592 2024-07-31 KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8592681030
Plan sponsor’s address 425 LEWIS HARGETT CIRCLE, LEXINGTON, KY, 40503

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing JOHN R JENKINS, MD
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2022 823759592 2023-09-11 KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8592681030
Plan sponsor’s address 425 LEWIS HARGETT CIRCLE, LEXINGTON, KY, 40503

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing GAVIN L ROTH MD
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2021 823759592 2022-10-13 KENTUCKY ANESTHESIA PROVIDER SOLUTIONS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8592681030
Plan sponsor’s address 425 LEWIS HARGETT CIRCLE, LEXINGTON, KY, 40503

President

Name Role
GAVIN L ROTH President

Secretary

Name Role
JOHN B SANDERS Secretary

Vice President

Name Role
JOHN R JENKINS Vice President

Director

Name Role
JOHN M DEMAIO Director
ANTHONY E GIBSON Director
JOHN R JENKINS Director
GAVIN L ROTH Director
JOHN B SANDERS Director
JOHN E STROTHER Director
ELIZABETH S LANNI Director

Incorporator

Name Role
GEORGE W. GINTER, M.D. Incorporator

Registered Agent

Name Role
SKO-LEXINGTON SERVICES, LLC Registered Agent

Filings

Name File Date
Annual Report 2024-06-05
Annual Report 2023-04-04
Annual Report 2022-05-17
Annual Report 2021-04-30
Annual Report 2020-05-22
Annual Report 2019-05-09
Annual Report 2018-05-25
Articles of Incorporation 2017-12-14

Date of last update: 27 Oct 2024

Sources: Kentucky Secretary of State