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CUMBERLAND COUNTY HOSPITAL ASSOCIATION, INCORPORATED

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Company Details

Name: CUMBERLAND COUNTY HOSPITAL ASSOCIATION, INCORPORATED
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 15 Jun 1964 (61 years ago)
Organization Date: 15 Jun 1964 (61 years ago)
Last Annual Report: 05 Feb 2025 (5 months ago)
Organization Number: 0012490
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42717
City: Burkesville, Bakerton, Bow, Dubre, Kettle, Peytonsbur...
Primary County: Cumberland County
Principal Office: 299 GLASGOW RD, P.O. BOX 280, BURKESVILLE, KY 42717
Place of Formation: KENTUCKY

Director

Name Role
SHELLEY NORRIS Director
Chuck Price Director
W. T. CURTIS Director
Jeffrey Vibbert Director
Dr. Christian Konsavage Director
Steve D Hurt Director
Rick Capps Director
Richard M Neikirk Director
BEN HARDIN Director
Vickie Wells Director

Vice President

Name Role
Richard M Neikirk Vice President

Registered Agent

Name Role
RICHARD NEIKIRK II Registered Agent

Incorporator

Name Role
J. D. FLOWERS Incorporator
SHELLEY NORRIS Incorporator
BEN HARDIN Incorporator
WELBY HICK Incorporator
ARNOLD WATSON Incorporator

President

Name Role
Todd Morgan President

Secretary

Name Role
Vickie Wells Secretary

Unique Entity ID

Unique Entity ID:
ZBDNCQY9BCR3
CAGE Code:
4J2G5
UEI Expiration Date:
2026-01-16

Business Information

Activation Date:
2025-01-20
Initial Registration Date:
2006-08-29

National Provider Identifier

NPI Number:
1447607759

Authorized Person:

Name:
MR. RICHARD M NEIKIRK
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
3416L0300X - Land Ambulance
Is Primary:
Yes

Contacts:

Fax:
2708641305

Assumed Names

Name Status Expiration Date
BF TAYLOR MEDICAL ARTS CLINIC Inactive 2023-10-25
FLOWERS RURAL HEALTH CLINIC Inactive 2023-10-25
CUMBERLAND COUNTY EMS Inactive 2023-10-25

Filings

Name File Date
Annual Report 2025-02-05
Certificate of Assumed Name 2024-02-16
Certificate of Assumed Name 2024-02-16
Certificate of Assumed Name 2024-02-16
Registered Agent name/address change 2024-01-30

Tax Exempt

Employer Identification Number (EIN) :
61-0624096
In Care Of Name:
% RICHARD NEIKIRK II
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:
1963-06
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
238
Initial Approval Amount:
$2,000,000
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,000,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,867,631.12
Servicing Lender:
American Bank & Trust Company, Inc.
Use of Proceeds:
Payroll: $2,000,000

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Sources: Kentucky Secretary of State