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Revolution Physical Therapy, LLC

Company Details

Name: Revolution Physical Therapy, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 05 Nov 2018 (6 years ago)
Organization Date: 05 Nov 2018 (6 years ago)
Organization Number: 1038214
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Laurel
Place of Formation: KENTUCKY
Last Annual Report: 26 Mar 2024 (8 months ago)
Managed By: Members
Principal Office: 195 COMMERCIAL DRIVE, SUITE 100, LONDON, KY 40744
Principal Office ZIP code: 40744

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
REVOLUTION PHYSICAL THERAPY, LLC CBS BENEFIT PLAN 2022 832451298 2023-12-27 REVOLUTION PHYSICAL THERAPY, LLC 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-04-01
Business code 621399
Sponsor’s telephone number 6068781219
Plan sponsor’s address 195 COMMERCIAL DRIVE, STE 100, LONDON, KY, 40744

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
REVOLUTION PHYSICAL THERAPY, LLC CBS BENEFIT PLAN 2021 832451298 2022-12-29 REVOLUTION PHYSICAL THERAPY, LLC 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-04-01
Business code 621399
Sponsor’s telephone number 6068781219
Plan sponsor’s address 195 COMMERCIAL DRIVE, STE 100, LONDON, KY, 40744

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
REVOLUTION PHYSICAL THERAPY, LLC CBS BENEFIT PLAN 2020 832451298 2021-12-14 REVOLUTION PHYSICAL THERAPY, LLC 8
Three-digit plan number (PN) 501
Effective date of plan 2021-04-01
Business code 621399
Sponsor’s telephone number 6068781219
Plan sponsor’s address 195 COMMERCIAL DRIVE, STE 100, LONDON, KY, 40744

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
Eric Jason Evans Registered Agent

Member

Name Role
E & E Management, LLC Member

Filings

Name File Date
Annual Report 2024-03-26
Annual Report 2023-03-20
Annual Report 2022-03-08
Annual Report 2021-02-12
Annual Report 2020-02-18
Principal Office Address Change 2019-04-01
Annual Report 2019-04-01

Date of last update: 28 Oct 2024

Sources: Kentucky Secretary of State