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  5. JAMES H. DAVIS FUNERAL HOME, INC.

JAMES H. DAVIS FUNERAL HOME, INC.

Company Details

Name: JAMES H. DAVIS FUNERAL HOME, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 13 Jul 1955 (70 years ago)
Organization Date: 13 Jul 1955 (70 years ago)
Last Annual Report: 28 Feb 2024 (a year ago)
Organization Number: 0013391
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 42301
Primary County: Daviess
Principal Office: 3009 FREDERICA ST., OWENSBORO, KY 42301
Place of Formation: KENTUCKY
Authorized Shares: 650

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES H. DAVIS FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2023 610505524 2024-03-15 JAMES H. DAVIS FUNERAL HOME, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2024-03-15
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-15
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
JAMES H DAVIS FUNERAL HOME CBS BENEFIT PLAN 2022 610505524 2023-12-27 JAMES H DAVIS FUNERAL HOME 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-04-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA ST, OWENSBORO, KY, 42301

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
JAMES H. DAVIS FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2022 610505524 2023-03-27 JAMES H. DAVIS FUNERAL HOME, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2023-03-27
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-27
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
JAMES H. DAVIS FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2021 610505524 2022-03-16 JAMES H. DAVIS FUNERAL HOME, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2022-03-16
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-16
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
JAMES H DAVIS FUNERAL HOME CBS BENEFIT PLAN 2021 610505524 2022-12-29 JAMES H DAVIS FUNERAL HOME 7
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-04-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA ST, OWENSBORO, KY, 42301

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
JAMES H DAVIS FUNERAL HOME CBS BENEFIT PLAN 2020 610505524 2021-12-14 JAMES H DAVIS FUNERAL HOME 7
Three-digit plan number (PN) 501
Effective date of plan 2021-04-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA ST, OWENSBORO, KY, 42301

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
JAMES H. DAVIS FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2020 610505524 2021-04-29 JAMES H. DAVIS FUNERAL HOME, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2021-04-29
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-29
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
JAMES H. DAVIS FUNERAL HOME, INC., INTEGRATED-401K PROFIT SHARING PLAN 2019 610505524 2020-03-03 JAMES H. DAVIS FUNERAL HOME, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2020-03-03
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-03
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
JAMES H. DAVIS FUNERAL HOME, INC., INTEGRATED-401( K) PROFIT SHARING PLAN 2018 610505524 2019-03-15 JAMES H. DAVIS FUNERAL HOME, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2019-03-15
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-15
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
JAMES H. DAVIS FH, INC., I-401( K) PSP 2017 610505524 2018-05-16 JAMES H. DAVIS FUNERAL HOME, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-16
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/03/22/20170322224223P030056553671001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2017-03-22
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/04/26/20160426103254P040048539847001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREET, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2016-04-26
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/03/20150603144100P030008566973001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/08/20140408081928P040100422517001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2014-04-08
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/13/20130513085939P030073609045001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2013-05-13
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058

Signature of
Role Plan administrator
Date 2013-05-12
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/17/20120317113518P040016279863001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058

Plan administrator’s name and address
Administrator’s EIN 610505524
Plan administrator’s name JAMES H. DAVIS FUNERAL HOME, INC.
Plan administrator’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058
Administrator’s telephone number 2706835377

Signature of
Role Plan administrator
Date 2012-03-17
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058

Plan administrator’s name and address
Administrator’s EIN 610505524
Plan administrator’s name JAMES H. DAVIS FUNERAL HOME, INC.
Plan administrator’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058
Administrator’s telephone number 2706835377

Signature of
Role Plan administrator
Date 2011-03-31
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/04/20100604102404P040010569541001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 812210
Sponsor’s telephone number 2706835377
Plan sponsor’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058

Plan administrator’s name and address
Administrator’s EIN 610505524
Plan administrator’s name JAMES H. DAVIS FUNERAL HOME, INC.
Plan administrator’s address 3009 FREDERICA STREE, OWENSBORO, KY, 423016058
Administrator’s telephone number 2706835377

Signature of
Role Plan administrator
Date 2010-06-04
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-04
Name of individual signing WILLIAM BOYLE
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
JUANITA DAVIS BOYLE Incorporator
JAMES H. DAVIS, JR. Incorporator
JAMES H. DAVIS Incorporator
VIRGINIA DAWSON DAVIS Incorporator

Registered Agent

Name Role
WILLIAM T. BOYLE, III Registered Agent

President

Name Role
William T Boyle III President

Vice President

Name Role
JOHN M HILL Vice President

Former Company Names

Name Action
3009 FREDERICA, INC. Merger

Assumed Names

Name Status Expiration Date
JAMES H DAVIS FUNERAL HOME & CREMATORY Active 2029-08-13
OWENSBORO CREMATION CENTER Inactive 2023-07-15
JAMES H. DAVIS FUNERAL HOME & CREMATORY Inactive 2020-03-16
CECIL FUNERAL HOME Inactive 2019-03-28

Filings

Name File Date
Certificate of Assumed Name 2024-08-13
Certificate of Assumed Name 2024-08-13
Annual Report 2024-02-28
Annual Report 2023-03-15
Annual Report 2022-03-04
Annual Report 2021-04-14
Annual Report 2020-02-27
Annual Report 2019-05-02
Annual Report 2018-05-02
Name Renewal 2018-01-24

Related by officers

JUANITA DAVIS BOYLE

3009 FREDERICA, INC.

JAMES H. DAVIS

3009 FREDERICA, INC. MULTI-HOSPITALS CORPORATION BIBLE BELIEVERS, INC. CITIZENS FIDELITY FOUNDATION, INC. ADGRAPHICS, INC. ASHLAND AUTOMATION SERVICES, INC. PORTER CORROSION CONTROL SERVICES INC. DAVIS ENGINEERING, INC. CEDAR RIDGE DRAFTING AND METALS, INC. CORPORATE RENOVATIONS, INC.

Related by address

3009 FREDERICA ST., OWENSBORO, KY 42301

3009 FREDERICA, INC.

Date of last update: 28 Jan 2025

Sources: Kentucky Secretary of State

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