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  5. EAST KENTUCKY HEALTH SERVICES CENTER, INC.

EAST KENTUCKY HEALTH SERVICES CENTER, INC.

Company Details

Name: EAST KENTUCKY HEALTH SERVICES CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 17 Nov 1971 (53 years ago)
Organization Date: 17 Nov 1971 (53 years ago)
Last Annual Report: 01 Jul 2024 (9 months ago)
Organization Number: 0015185
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41822
City: Hindman, Brinkley
Primary County: Knott County
Principal Office: P. O. BOX 849, HINDMAN, KY 41822
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2016 237170031 2018-06-05 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address P O BOX 849, HINDMAN, KY, 408220849

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2015 237170031 2017-06-09 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address P O BOX 849, HINDMAN, KY, 408220849

Signature of
Role Plan administrator
Date 2017-06-09
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2014 237170031 2016-06-08 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address P O BOX 849, HINDMAN, KY, 408220849

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2014 237170031 2016-06-07 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 15
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address P O BOX 849, HINDMAN, KY, 408220849

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2013 237170031 2015-03-19 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address PO BOX 849, HINDMAN, KY, 408220849

Signature of
Role Plan administrator
Date 2015-03-19
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2012 237170031 2014-03-06 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address PO BOX 849, HINDMAN, KY, 408220849

Signature of
Role Plan administrator
Date 2014-03-06
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2011 237170031 2013-02-28 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address PO BOX 849, HINDMAN, KY, 408220849

Plan administrator’s name and address
Administrator’s EIN 237170031
Plan administrator’s name EAST KENTUCKY HEALTH SERVICES CENTER, INC.
Plan administrator’s address PO BOX 849, HINDMAN, KY, 408220849
Administrator’s telephone number 6067853164

Signature of
Role Plan administrator
Date 2013-02-28
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2010 237170031 2012-02-25 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address PO BOX 849, HINDMAN, KY, 408220849

Plan administrator’s name and address
Administrator’s EIN 237170031
Plan administrator’s name EAST KENTUCKY HEALTH SERVICES CENTER, INC.
Plan administrator’s address PO BOX 849, HINDMAN, KY, 408220849
Administrator’s telephone number 6067853164

Signature of
Role Plan administrator
Date 2012-02-25
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2009 237170031 2011-03-16 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address PO BOX 849, HINDMAN, KY, 408220849

Plan administrator’s name and address
Administrator’s EIN 237170031
Plan administrator’s name EAST KENTUCKY HEALTH SERVICES CENTER, INC.
Plan administrator’s address PO BOX 849, HINDMAN, KY, 408220849
Administrator’s telephone number 6067853164

Signature of
Role Plan administrator
Date 2011-03-16
Name of individual signing BENNY RAY BAILEY
Valid signature Filed with authorized/valid electronic signature
EAST KENTUCKY HEALTH SERVICES CENTER, INC. 401(K) PROFIT SHARING PLAN 2009 237170031 2011-03-16 EAST KENTUCKY HEALTH SERVICES CENTER, INC. 14
Three-digit plan number (PN) 001
Effective date of plan 1975-12-22
Business code 621399
Sponsor’s telephone number 6067853164
Plan sponsor’s address PO BOX 849, HINDMAN, KY, 408220849

Plan administrator’s name and address
Administrator’s EIN 237170031
Plan administrator’s name EAST KENTUCKY HEALTH SERVICES CENTER, INC.
Plan administrator’s address PO BOX 849, HINDMAN, KY, 408220849
Administrator’s telephone number 6067853164

Registered Agent

Name Role
BENNY RAY BAILEY Registered Agent

President

Name Role
Michael Fannin President

Secretary

Name Role
Karen Sandlin Secretary

Vice President

Name Role
Patrick Conley Vice President

Director

Name Role
Kenny Boggs Director
Vance Hurley Director
Linda Amburgey Director
Jacob Wilson Director
Natanial Corey King Director
Tracy Smith Director
Eddie Patton Director
Robbie Slone Director
GRADY STUMBO Director
RAYMOND K. LEROUX Director

Incorporator

Name Role
RAYMOND L. LEROUX Incorporator
WARREN G. STUMBO Incorporator
BENNY RAY BAILEY Incorporator

Filings

Name File Date
Annual Report 2024-07-01
Annual Report Amendment 2024-07-01
Annual Report 2023-06-02
Registered Agent name/address change 2023-06-02
Annual Report 2022-06-30
Annual Report 2021-05-18
Annual Report 2020-04-03
Annual Report 2019-06-26
Annual Report 2018-08-15
Annual Report 2017-09-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7456547003 2020-04-07 0457 PPP PO BOX 849, HINDMAN, KY, 41822-0849
Loan Status Date 2020-12-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 124400
Loan Approval Amount (current) 136400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27783
Servicing Lender Name Community Trust Bank, Inc.
Servicing Lender Address 346 N Mayo Trl, PIKEVILLE, KY, 41501-1847
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HINDMAN, KNOTT, KY, 41822-0849
Project Congressional District KY-05
Number of Employees 16
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27783
Originating Lender Name Community Trust Bank, Inc.
Originating Lender Address PIKEVILLE, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 137233.35
Forgiveness Paid Date 2020-11-27

Related by officers

BENNY RAY BAILEY

DUE, INC. HAMILTON MERCANTILE, INC. THE KENTUCKY ASSOCIATION OF PRIMARY CARE CENTERS, INC. KENTUCKY PRIMARY CARE ASSOCIATION, INC. KENTUCKY COAL AND MINERAL COALITION, INC. THE WINNING COMBINATION, INC. PERIPHERAL VASCULAR LABS OF KENTUCKY, INC. SOUTHERN MEDICAL PARTNERS, L.L.C.

Michael Fannin

KNOTT COUNTY FARM BUREAU OF HINDMAN, KNOTT COUNTY, KENTUCKY, INC. FANNIN DEVELOPMENT COMPANY, LLC

Patrick Conley

THUNDER TRANSPORT LLC

Jacob Wilson

BARREN RIVER HAT COMPANY LLC

Tracy Smith

NORTHERN KENTUCKY BAR ASSOCIATION, INC. TRACY'S CUT ABOVE, LLC ROCK BOTTOM VACATIONS, LLC Block & Bloom L.L.C. Endeavor Homes LLC TLSS Enterprises LLC Big Stoner Farm Inc. Big Stoner Farm Inc.

GRADY STUMBO

A B S ENTERPRISE, INC. REGION 8 MANAGED CARE HEALTH PARTNERSHIP, INC. HINDMAN METHODIST CHURCH, INC.

WARREN G. STUMBO

HAMILTON MERCANTILE, INC.

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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