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CEDAR LAKE LODGE, INC.

Company Details

Name: CEDAR LAKE LODGE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 27 Feb 1970 (55 years ago)
Organization Date: 27 Feb 1970 (55 years ago)
Last Annual Report: 17 Apr 2024 (a year ago)
Organization Number: 0008415
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 9901 Linn Station Road, Ste 901, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

Director

Name Role
Wendy Gonzales Director
ROBERT COPLEY Director
EDWARD L. CARR Director
RUDOLPH WM. DOERHOEFER, Director
JAMES W. ROYCE Director
CARL E. FLEISCHER Director
Theresa Stiebling Director
Deborah Campbell Director
Adam Waldner Director

Incorporator

Name Role
ROBERT COPLEY Incorporator
EDWARD L. CARR Incorporator
RUDOLPH WM. DOERHOEFER, Incorporator
JAMES W. ROYCE Incorporator
CARL E. FLEISCHER Incorporator

Registered Agent

Name Role
CEDAR LAKE, INC. Registered Agent

Officer

Name Role
Bruce Beickman Officer
Patricia Ellison Officer
Nick Garber Officer
Cait Crenshaw Officer

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
Y1NCCYPJLJ34
CAGE Code:
38CH3
UEI Expiration Date:
2026-01-28

Business Information

Activation Date:
2025-01-30
Initial Registration Date:
2005-04-06

National Provider Identifier

NPI Number:
1568508190
Certification Date:
2020-12-21

Authorized Person:

Name:
COURTNEY E GRIMES
Role:
PROGRAM BILLING & REIMB SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
310500000X - Mental Illness Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
313M00000X - Nursing Facility/Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
315P00000X - Intellectual Disabilities Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary:
No
Selected Taxonomy:
385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care
Is Primary:
No
Selected Taxonomy:
315P00000X - Intellectual Disabilities Intermediate Care Facility
Is Primary:
Yes

Contacts:

Fax:
5024253540

Permits

Agency Interest Id Program Activity Type Current Milestone Issued Date Milestone Date
3332 Wastewater KPDES Ind Storm Gen Const Approval Issued 2016-04-25 2016-04-25
Document Name KYR10K430 Coverage Letter.pdf
Date 2016-04-26
Document Download
3332 Wastewater KPDES Sanitary-Renewal Approval Issued 2014-08-15 2014-08-15
Document Name Final Fact Sheet KY0031798.pdf
Date 2014-08-16
Document Download
Document Name S Final Permit KY0031798.pdf
Date 2014-08-16
Document Download
Document Name S KY0031798 Final Issue Letter.pdf
Date 2014-08-16
Document Download

Filings

Name File Date
Annual Report Amendment 2024-04-17
Principal Office Address Change 2024-04-17
Registered Agent name/address change 2024-04-17
Annual Report 2024-02-28
Annual Report Amendment 2023-11-29

USAspending Awards / Financial Assistance

Date:
2018-07-02
Awarding Agency Name:
Department of Housing and Urban Development
Transaction Description:
SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES
Obligated Amount:
20563.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2012-02-06
Awarding Agency Name:
Department of Housing and Urban Development
Transaction Description:
S811 R/ASST UNIT FDS
Obligated Amount:
85800.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2013-09-06
Awarding Agency Name:
Department of Housing and Urban Development
Transaction Description:
S811 DISABLED R/A CA
Obligated Amount:
75000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2012-02-06
Awarding Agency Name:
Department of Housing and Urban Development
Transaction Description:
S811 CAP ADV UNITS
Obligated Amount:
1065400.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2003-06-12
Type:
Planned
Address:
3301 JERICHO RD, LAGRANGE, KY, 40031
Safety Health:
Health
Scope:
Complete

Tax Exempt

Employer Identification Number (EIN) :
61-0713587
In Care Of Name:
% AMY S OWENS
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1971-03
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Fax:
(502) 327-7417
Add Date:
1996-08-27
Operation Classification:
Auth. For Hire, Priv. Pass.(Non-business)
power Units:
32
Drivers:
103
Inspections:
0
FMCSA Link:

Court Cases

Court Case Summary

Filing Date:
2007-08-27
Status:
Terminated
Nature Of Judgment:
Missing
Jury Demand:
Missing
Nature Of Suit:
Civil Rights Employment

Parties

Party Name:
BREWER
Party Role:
Plaintiff
Party Name:
CEDAR LAKE LODGE, INC.
Party Role:
Defendant

Sources: Kentucky Secretary of State