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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.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 17 Nov 1971 (53 years ago)
Organization Date: 17 Nov 1971 (53 years ago)
Last Annual Report: 01 Jul 2024 (7 months ago)
Organization Number: 0015185
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41822
Primary County: Knott
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

Incorporator

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

Director

Name Role
Natanial Corey King Director
Tracy Smith Director
Eddie Patton Director
Robbie Slone Director
GRADY STUMBO Director
RAYMOND K. LEROUX Director
WARREN G. STUMBO Director
BENNY RAY BAILEY Director
Kenny Boggs Director
Vance Hurley Director

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

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

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Related by address

No related companies by address

Date of last update: 04 Nov 2024

Sources: Kentucky Secretary of State

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