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Family Care Clinic, PLLC

Company Details

Name: Family Care Clinic, PLLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 02 May 2018 (7 years ago)
Organization Date: 02 May 2018 (7 years ago)
Organization Number: 1019792
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Madison
Place of Formation: KENTUCKY
Last Annual Report: 11 Sep 2024 (2 months ago)
Managed By: Members
Principal Office: 3190 Irvine Rd, Richmond, KY 40475
Principal Office ZIP code: 40475

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN 2014 030468730 2015-10-15 FAMILY CARE CLINIC, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8594986006
Plan sponsor’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353

Plan administrator’s name and address

Administrator’s EIN 030468730
Plan administrator’s name FAMILY CARE CLINIC, PLLC
Plan administrator’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
Administrator’s telephone number 8594986006

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing BRENDA DRENNEN
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN 2013 030468730 2014-10-09 FAMILY CARE CLINIC, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8594986006
Plan sponsor’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353

Plan administrator’s name and address

Administrator’s EIN 030468730
Plan administrator’s name FAMILY CARE CLINIC, PLLC
Plan administrator’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
Administrator’s telephone number 8594986006

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing BRENDA DRENNEN
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN 2012 030468730 2013-10-10 FAMILY CARE CLINIC, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8594986006
Plan sponsor’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353

Plan administrator’s name and address

Administrator’s EIN 030468730
Plan administrator’s name FAMILY CARE CLINIC, PLLC
Plan administrator’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
Administrator’s telephone number 8594986006

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing BRENDA DRENNEN
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN 2011 030468730 2012-10-15 FAMILY CARE CLINIC, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8594986006
Plan sponsor’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353

Plan administrator’s name and address

Administrator’s EIN 030468730
Plan administrator’s name FAMILY CARE CLINIC, PLLC
Plan administrator’s address 644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
Administrator’s telephone number 8594986006

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing BRENDA DRENNEN
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN 2010 030468730 2011-10-12 FAMILY CARE CLINIC, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8594986006
Plan sponsor’s address 644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353

Plan administrator’s name and address

Administrator’s EIN 030468730
Plan administrator’s name FAMILY CARE CLINIC, PLLC
Plan administrator’s address 644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353
Administrator’s telephone number 8594986006

Signature of

Role Plan administrator
Date 2011-10-12
Name of individual signing BRENDA DRENNEN
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN 2009 030468730 2011-10-12 FAMILY CARE CLINIC, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8594986006
Plan sponsor’s address 644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353

Plan administrator’s name and address

Administrator’s EIN 030468730
Plan administrator’s name FAMILY CARE CLINIC, PLLC
Plan administrator’s address 644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353
Administrator’s telephone number 8594986006

Signature of

Role Plan administrator
Date 2011-10-12
Name of individual signing BRENDA DRENNEN
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN 2009 030468730 2010-09-23 FAMILY CARE CLINIC, PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8594986006
Plan sponsor’s address 644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353

Plan administrator’s name and address

Administrator’s EIN 030468730
Plan administrator’s name FAMILY CARE CLINIC, PLLC
Plan administrator’s address 644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353
Administrator’s telephone number 8594986006

Signature of

Role Plan administrator
Date 2010-09-23
Name of individual signing LESLIE O'BRYAN
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
Jeryl L Pittman Organizer

Registered Agent

Name Role
STACY ANDERSON Registered Agent
Jeryl L Pittman Registered Agent

Member

Name Role
Geoffrey M Pittman Member

Filings

Name File Date
Annual Report 2024-09-11
Annual Report 2023-03-20
Registered Agent name/address change 2022-04-08
Annual Report 2022-04-08
Annual Report 2021-02-15
Annual Report 2020-02-25
Registered Agent name/address change 2019-07-26
Annual Report 2019-07-26
Annual Report 2018-07-18

Date of last update: 27 Oct 2024

Sources: Kentucky Secretary of State