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  5. LIFESKILLS, INC.

LIFESKILLS, INC.

Company Details

Name: LIFESKILLS, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 08 Mar 1972 (53 years ago)
Organization Date: 08 Mar 1972 (53 years ago)
Last Annual Report: 06 Mar 2024 (a year ago)
Organization Number: 0005789
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42102
Primary County: Warren
Principal Office: 380 SUWANNEE TRAIL ST., P.O. BOX 6499, BOWLING GREEN, KY 42102
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NBETHC52JNL9 2025-04-09 380 SUWANNEE TRAIL ST, BOWLING GREEN, KY, 42103, 7956, USA P O BOX 6499, BOWLING GREEN, KY, 42102, 6499, USA

Business Information
Congressional District 02
State/Country of Incorporation KY, USA
Activation Date 2024-04-10
Initial Registration Date 2005-06-22
Entity Start Date 1966-05-19
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621112, 621330, 621420, 623210, 623220

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JOE DAN BEAVERS
Role CEO
Address 380 SUWANNEE TRAIL ST, BOWLING GREEN, KY, 42103, 7956, USA
Title ALTERNATE POC
Name TOMMI HOLLOWAY
Role EXECUTIVE DIRECTOR
Address 380 SUWANNEE TRAIL ST, BOWLING GREEN, KY, 42103, 7956, USA
Government Business
Title PRIMARY POC
Name TOMMI HOLLOWAY
Address 2420 RUSSELLVILLE ROAD, BOWLING GREEN, KY, 42101, 3923, USA
Past Performance
Title PRIMARY POC
Name KRISTIN MURLEY
Role SUPPORTED HOUSING MANAGER
Address 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 42103, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2023 610661819 2024-05-09 LIFESKILLS, INC. 371
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 420
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 13

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing JOE DAN BEAVERS
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2022 610661819 2023-06-12 LIFESKILLS, INC. 355
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 372

Signature of
Role Plan administrator
Date 2023-06-09
Name of individual signing JOE DAN BEAVERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-09
Name of individual signing JOE DAN BEAVERS
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2021 610661819 2022-05-26 LIFESKILLS, INC. 696
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 637
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 1

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing JOE DAN BEAVERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-26
Name of individual signing JOE DAN BEAVERS
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2020 610661819 2021-06-25 LIFESKILLS, INC. 274
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s DBA name LIFESKILLS
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 696

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-25
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2019 610661819 2020-07-13 LIFESKILLS, INC. 342
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 274

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-13
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2018 610661819 2019-07-03 LIFESKILLS, INC. 365
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s DBA name LIFESKILLS, INC.
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 342

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-03
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC FRINGE BENEFIT PLAN 2017 610661819 2018-03-30 LIFESKILLS, INC. 444
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 365

Signature of
Role Plan administrator
Date 2018-03-30
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-30
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC FRINGE BENEFIT PLAN 2015 610661819 2016-05-23 LIFESKILLS, INC 335
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, PO BOX 6499, BOWLING GREEN, KY, 421026499

Number of participants as of the end of the plan year
Active participants 336

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-23
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2014 610661819 2015-07-01 LIFESKILLS, INC. 360
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address PO BOX 6499, BOWLING GREEN, KY, 42102
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 42103

Number of participants as of the end of the plan year
Active participants 335

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-01
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
LIFESKILLS, INC. FRINGE BENEFIT PLAN 2013 610661819 2014-05-29 LIFESKILLS,INC. 345
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address P.O. BOX 6499, BOWLING GREEN, KY, 42102
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 42103

Number of participants as of the end of the plan year
Active participants 360

Signature of
Role Plan administrator
Date 2014-05-29
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-29
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/18/20130618150235P040264518723001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address P.O. BOX 6499, BOWLING GREEN, KY, 42102
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 42103

Number of participants as of the end of the plan year
Active participants 345

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-18
Name of individual signing ANGELA ROY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/31/20120731144622P040020155586001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1991-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s DBA name P.O. BOX 6499
Plan sponsor’s mailing address P.O. BOX 6499, BOWLING GREEN, KY, 421026499
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 42103

Plan administrator’s name and address
Administrator’s EIN 610661819
Plan administrator’s name LIFESKILLS, INC.
Plan administrator’s address P.O. BOX 6499, BOWLING GREEN, KY, 421026499
Administrator’s telephone number 2709015000

Number of participants as of the end of the plan year
Active participants 368

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing SHERRY DUFF
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/19/20120719100627P030000575156001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2010-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address P.O. BOX 6499, BOWLING GREEN, KY, 42102
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 42103

Plan administrator’s name and address
Administrator’s EIN 610661819
Plan administrator’s name LIFESKILLS, INC.
Plan administrator’s address P.O. BOX 6499, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2709015000

Number of participants as of the end of the plan year
Active participants 371

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing SHERRY DUFF
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 2010-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address P.O. BOX 6499, BOWLING GREEN, KY, 42102
Plan sponsor’s address 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 42103

Plan administrator’s name and address
Administrator’s EIN 610661819
Plan administrator’s name LIFESKILLS, INC.
Plan administrator’s address P.O. BOX 6499, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2709015000

Number of participants as of the end of the plan year
Active participants 371

Signature of
Role DFE
Date 2011-07-28
Name of individual signing SHERRY DUFF
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/30/20100730180814P040132951730001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address P.O. BOX 6499, 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 421026499
Plan sponsor’s address P.O. BOX 6499, 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 421026499

Plan administrator’s name and address
Administrator’s EIN 610661819
Plan administrator’s name LIFESKILLS, INC.
Plan administrator’s address P.O. BOX 6499, 380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY, 421026499
Administrator’s telephone number 2709015000

Number of participants as of the end of the plan year
Active participants 369

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing SHERRY DUFF
Valid signature Filed with authorized/valid electronic signature

President

Name Role
Joe Dan Beavers President
Eric Embry President
Tommi Holloway President

Vice President

Name Role
Brad Schneider Vice President
Karen Garrity Vice President

Director

Name Role
Ryan Dearbone Director
Stephanie Dickerson Director
Shelley Lowe Director
John Rufli Director
Ronald Scott Lindsey Director
LLOYD WELLS Director
TONY BELILES Director
JAMES BLACK Director
JAMES PENDLEY Director
RANDELL DOSSEY Director

Incorporator

Name Role
TONY BELILES Incorporator

Registered Agent

Name Role
DAVID F. BRODERICK Registered Agent

Officer

Name Role
Ryan Dearbone Officer

Former Company Names

Name Action
BARREN RIVER REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. Old Name
MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. REGION V Merger
AREA 5 & 7 REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. Old Name
MAMMOTH CAVE AREA REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. Merger

Filings

Name File Date
Annual Report 2024-03-06
Annual Report 2023-04-03
Annual Report 2022-05-31
Annual Report 2021-02-12
Annual Report 2020-03-03
Annual Report 2019-06-12
Annual Report 2018-04-26
Annual Report 2017-04-20
Annual Report 2016-03-29
Annual Report 2015-04-07

Related by officers

Joe Dan Beavers

PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC. WESTERN KENTUCKY UNIVERSITY ALUMNI ASSOCIATION, INC. PENNYROYAL HOUSING ALTERNATIVES, INC. TRILOGY CENTER FOR WOMEN, LLC TRILOGY HOMES I, LLC QUAD COUNTY HOUSING, LLC LIFESKILLS CONSUMER DIRECTED OPTIONS, LLC THE TRILOGY FOUNDATION, INC.

Brad Schneider

KENTUCKY ASSOCIATION OF PRIVATE PROVIDERS, INC. LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC. CONNECTGRADD, INC. Henderson County Economic Development Corporation

Karen Garrity

LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC.

Eric Embry

PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. KENTUCKY ASSOCIATION OF REGIONAL MENTAL HEALTH-MENTAL RETARDATION PROGRAMS, INC. LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC. ON TAP IRRIGATION INC. PENNYROYAL HOUSING ALTERNATIVES, INC. TRILOGY CENTER FOR WOMEN, LLC TRILOGY HOMES I, LLC QUAD COUNTY HOUSING, LLC LIFESKILLS CONSUMER DIRECTED OPTIONS, LLC

Tommi Holloway

PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC. PENNYROYAL HOUSING ALTERNATIVES, INC. TRILOGY CENTER FOR WOMEN, LLC TRILOGY HOMES I, LLC QUAD COUNTY HOUSING, LLC LIFESKILLS CONSUMER DIRECTED OPTIONS, LLC THE TRILOGY FOUNDATION, INC.

Stephanie Dickerson

LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC.

Shelley Lowe

PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC. PENNYROYAL HOUSING ALTERNATIVES, INC. TRILOGY CENTER FOR WOMEN, LLC TRILOGY HOMES I, LLC QUAD COUNTY HOUSING, LLC THE TRILOGY FOUNDATION, INC.

John Rufli

PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. KENTUCKY'S WESTERN WATERLAND, INCORPORATED THE ROTARY CLUB OF CADIZ, KENTUCKY, INCORPORATED LAND BETWEEN THE LAKES ASSOCIATION, INC. LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC. PENNYROYAL HOUSING ALTERNATIVES, INC. TRILOGY CENTER FOR WOMEN, LLC TRILOGY HOMES I, LLC QUAD COUNTY HOUSING, LLC

Ronald Scott Lindsey

LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC.

TONY BELILES

BELILES MOBILE HOMES, INC.

JAMES BLACK

DARK LADY COAL ENTERPRISES, INC. SILOAM FIRST CHURCH OF GOD OF BLUESTONE, KENTUCKY, INC. FULTON COUNTY TRANSIT AUTHORITY, INC. FULTON COUNTY CAPITAL PROJECTS CORPORATION PADUCAH AMVETS NO. 24, AMERICAN VETERANS OF WORLD WAR II, "AMVETS", INCORPORATED EAST BAPTIST CHURCH OF HICKMAN, KY, INC.

DAVID F. BRODERICK

PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. BOWMAN BUSINESS SYSTEMS, INC. UNIVERSITY AUTO SALES, INC. AUDIO CENTER, INC. HARRY LEACHMAN MOTORS, INC. BEST PERSONAL CARE HOME, INC. PINEVILLE HEALTH CARE CENTER, INC. VAN METER INSURANCE AGENCY, INC. LAKE HAVEN HEALTH CARE CENTER, INC. BLUE SPRINGS FARM, INC.

Ryan Dearbone

PENNYROYAL REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC. LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC. LIFESKILLS INDUSTRIES, INC. PENNYROYAL HOUSING ALTERNATIVES, INC. TRILOGY CENTER FOR WOMEN, LLC TRILOGY HOMES I, LLC QUAD COUNTY HOUSING, LLC THE TRILOGY FOUNDATION, INC. COMMUNITY HEALTH NETWORK OF KENTUCKY, INC.

Related by address

380 SUWANNEE TRAIL ST., P.O. BOX 6499, BOWLING GREEN, KY 42102

LIFESKILLS RESIDENTIAL DEVELOPMENTS, INC.

Date of last update: 28 Jan 2025

Sources: Kentucky Secretary of State

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