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CLINTON COUNTY HOSPITAL, INC.

Company Details

Name: CLINTON COUNTY HOSPITAL, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 11 Aug 1964 (61 years ago)
Organization Date: 11 Aug 1964 (61 years ago)
Last Annual Report: 17 Jun 2015 (10 years ago)
Organization Number: 0009978
ZIP code: 42602
City: Albany, Aaron, Browns Crossroads, Browns Xroads,...
Primary County: Clinton County
Principal Office: 723 BURKESVILLE ROAD, ALBANY, KY 42602
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY HOSP EMP HEALTH BENEFIT PLAN 2009 616008014 2011-02-22 CLINTON COUNTY HOSPITAL INC 107
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-11-15
Business code 622000
Sponsor’s telephone number 6063876421
Plan sponsor’s mailing address P O BOX 387, ALBANY, KY, 426021654
Plan sponsor’s address 723 BURKESVILLE ROAD, ALBANY, KY, 426021654

Plan administrator’s name and address

Administrator’s EIN 616008014
Plan administrator’s name CLINTON COUNTY HOSPITAL INC
Plan administrator’s address P O BOX 387, ALBANY, KY, 426021654
Administrator’s telephone number 6063876421

Number of participants as of the end of the plan year

Active participants 136

Signature of

Role Plan administrator
Date 2011-02-22
Name of individual signing J. D. MULLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-22
Name of individual signing J. D. MULLINS
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
J.D. MULLINS Registered Agent

President

Name Role
Keith McWhorter President

Secretary

Name Role
Bob Talbott Secretary

Signature

Name Role
Keith McWhorter Signature

Vice President

Name Role
RODNEY LITTLE Vice President

Director

Name Role
RODNEY LITTLE Director
J. FREDERICK SMITH Director
PERRY CROSS Director
CLAYTON SMITH Director
HARLEY CROSS Director
B. E. EADS Director
Keith McWhorter, Chairman of Board Director
William C Powell, Member Director
Tommy Bertram, Member Director
Bob Talbott, Secretary Director

Incorporator

Name Role
J. FREDERICK SMITH Incorporator
CLAYTON SMITH Incorporator
PERRY CROSS Incorporator
B. E. EADS Incorporator
HARLEY CROSS Incorporator

Former Company Names

Name Action
CLINTON COUNTY WAR MEMORIAL HOSPITAL, INC. Old Name

Filings

Name File Date
Dissolution 2016-04-29
Annual Report 2015-06-17
Annual Report 2014-06-03
Annual Report 2013-05-30
Annual Report 2012-06-13
Annual Report 2011-05-10
Annual Report 2010-04-23
Annual Report 2009-06-24
Registered Agent name/address change 2008-08-08
Annual Report 2008-03-19

Sources: Kentucky Secretary of State