| Name: | CLOVER FORK OUTPATIENT MEDICAL PROJECT, INC. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Non-profit |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| Organization Date: | 12 Jan 1970 (55 years ago) |
| Last Annual Report: | 04 Mar 2024 (a year ago) |
| Organization Number: | 0010120 |
| Industry: | Health Services |
| Number of Employees: | Medium (20-99) |
| Principal Office: | <font face="Book Antiqua">P. O. BOX 39, EVARTS, KY 40828</font> |
| Place of Formation: | KENTUCKY |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| P3H6A914MJQ3 | 2024-10-09 | 101 CHAD STREET, EVARTS, KY, 40828, 8200, USA | P.O. BOX 39, EVARTS, KY, 40828, 0039, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | cloverforkclinic.org |
| Division Name | CLOVER FORK OUTPATIENT MEDICAL PROJECT |
| Congressional District | 05 |
| State/Country of Incorporation | KY, USA |
| Activation Date | 2023-10-11 |
| Initial Registration Date | 2012-08-28 |
| Entity Start Date | 1970-08-20 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACK MINIARD |
| Role | CEO |
| Address | PO BOX 39, P O BOX 39, EVARTS, KY, 40828, 0039, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACK A MINIARD |
| Role | CEO |
| Address | PO BOX 39, P O BOX 39, EVARTS, KY, 40828, 0039, USA |
| Title | ALTERNATE POC |
| Name | LINDA BLEVINS |
| Role | CFO |
| Address | 101 CHAD STREET, P O BOX 39, EVARTS, KY, 40828, 0039, USA |
| Past Performance | Information not Available |
|---|
| Name | Role |
|---|---|
| Jack A Miniard | President |
| Name | Role |
|---|---|
| Linda Blevins | Officer |
| Name | Role |
|---|---|
| Britt Lewis Jr | Vice President |
| Name | Role |
|---|---|
| Sonya Lawson | Director |
| Claude Wayne Collett | Director |
| Barry Martin | Director |
| Kim Brown | Director |
| Darlene Lemarr | Director |
| Bobby Dixon | Director |
| John D Henson | Director |
| Jerry Haynes | Director |
| Eugene Enix | Director |
| Tammy Chapman | Director |
| Name | Role |
|---|---|
| WILLIAM A. BUCKNER | Incorporator |
| HAROLD PARSONS | Incorporator |
| DON PARSONS | Incorporator |
| Name | Role |
|---|---|
| JACK A. MINIARD | Registered Agent |
| Name | File Date |
|---|---|
| Annual Report | 2024-03-04 |
| Annual Report | 2023-03-20 |
| Annual Report | 2022-02-07 |
| Annual Report | 2021-04-13 |
| Annual Report | 2020-02-11 |
| Annual Report | 2019-05-03 |
| Registered Agent name/address change | 2019-05-03 |
| Annual Report | 2018-04-10 |
| Annual Report | 2017-05-30 |
| Annual Report | 2016-03-08 |
Date of last update: 29 Jan 2025
Sources: Kentucky Secretary of State
