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Kentuckiana Dental Health Specialists, LLC

Company Details

Name: Kentuckiana Dental Health Specialists, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 17 Apr 2018 (7 years ago)
Organization Date: 17 Apr 2018 (7 years ago)
Organization Number: 1018232
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Jefferson
Place of Formation: KENTUCKY
Last Annual Report: 28 Aug 2024 (3 months ago)
Managed By: Members
Principal Office: 2809 Alta Vista Ct, Louisville, KY 40206
Principal Office ZIP code: 40206

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2023 825405191 2024-06-07 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 41
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 11215 N COMMUNITY HOUSE RD #800, CHARLOTTE, NC, 28277
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2024-06-07
Name of individual signing MELISSA VERSNIK
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2022 825405191 2023-06-27 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 35
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2023-06-27
Name of individual signing MELISSA VERSNIK
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2021 825405191 2022-06-16 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 31
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2022-06-16
Name of individual signing NEIL SHIFMAN
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2020 825405191 2021-05-20 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 33
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number 8885054484

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing NEIL SHIFMAN
Valid signature Filed with authorized/valid electronic signature
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2019 825405191 2020-10-09 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 20
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE STE 101, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2019 825405191 2020-06-23 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 20
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE STE 101, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484
TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN 2018 825405191 2019-06-03 KENTUCKIANA DENTAL HEALTH SPECIALISTS, LLC 9
File View Page
Three-digit plan number (PN) 020
Effective date of plan 2018-06-24
Business code 621210
Sponsor’s telephone number 5028970625
Plan sponsor’s address 2809 ALTA VISTA COURT, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 262312094
Plan administrator’s name TPC QUALIFIED PLANS LLC
Plan administrator’s address 6405 CENTURY AVE STE 101, MIDDLETON, WI, 53562
Administrator’s telephone number 8885054484

Registered Agent

Name Role
Jenna Schulten Registered Agent

Member

Name Role
Jenna Schulten Member

Organizer

Name Role
Jenna Schulten Organizer

Filings

Name File Date
Annual Report 2024-08-28
Annual Report 2023-03-21
Annual Report 2022-05-17
Annual Report 2021-07-10
Annual Report 2020-06-15
Annual Report 2019-06-18

Date of last update: 27 Oct 2024

Sources: Kentucky Secretary of State