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  5. EMBRY-BOSSE ENTERPRISES, INC.

EMBRY-BOSSE ENTERPRISES, INC.

Company Details

Name: EMBRY-BOSSE ENTERPRISES, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 May 1950 (75 years ago)
Organization Date: 04 May 1950 (75 years ago)
Last Annual Report: 22 Feb 2023 (2 years ago)
Organization Number: 0015740
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 508 JARVIS LANE, LOUISVILLE, KY 40207
Place of Formation: KENTUCKY
Authorized Shares: 1500

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMBRY-BOSSE FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2022 610446003 2023-02-23 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2023-02-23
Name of individual signing GRANT F. EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-23
Name of individual signing GRANT F. EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2022 610446003 2023-04-19 EMBRY-BOSSE FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2023-04-19
Name of individual signing GRANT F. EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-19
Name of individual signing GRANT F. EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2021 610446003 2022-01-20 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2022-01-20
Name of individual signing GRANT F. EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-20
Name of individual signing GRANT F. EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2020 610446003 2021-03-23 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2021-03-23
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-23
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2019 610446003 2020-04-08 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FUNERAL HOME, INC., INTEGRATED-401K PROFIT SHARING PLAN 2018 610446003 2019-04-02 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2019-04-02
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-02
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FH, INC., I-401(K) PSP 2017 610446003 2018-06-15 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-15
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FH, INC., I-401K PSP 2016 610446003 2017-04-05 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2017-04-05
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-05
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FH, INC., I-401K PSP 2015 610446003 2016-04-05 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2016-04-05
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
EMBRY-BOSSE FH, INC., I-401K PSP 2014 610446003 2015-05-29 EMBRY-BOSSE FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/11/20140411091123P040296154403001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2014-04-11
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/09/20130409085852P040166252739001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Signature of
Role Plan administrator
Date 2013-04-09
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/03/20120403075604P040061764913001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Plan administrator’s name and address
Administrator’s EIN 610446003
Plan administrator’s name EMBRY-BOSSE FUNERAL HOME, INC.
Plan administrator’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498
Administrator’s telephone number 5026356371

Signature of
Role Plan administrator
Date 2012-04-03
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/14/20110614090001P040077855153001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Plan administrator’s name and address
Administrator’s EIN 610446003
Plan administrator’s name EMBRY-BOSSE FUNERAL HOME, INC.
Plan administrator’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498
Administrator’s telephone number 5026356371

Signature of
Role Plan administrator
Date 2011-06-14
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/25/20100525084939P030013039412001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 812210
Sponsor’s telephone number 5026356371
Plan sponsor’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498

Plan administrator’s name and address
Administrator’s EIN 610446003
Plan administrator’s name EMBRY-BOSSE FUNERAL HOME, INC.
Plan administrator’s address 2723 PRESTON HIGHWAY, LOUISVILLE, KY, 402172498
Administrator’s telephone number 5026356371

Signature of
Role Plan administrator
Date 2010-05-25
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-25
Name of individual signing GRANT EMBRY
Valid signature Filed with authorized/valid electronic signature

Vice President

Name Role
William Raymond Flamm Vice President

Treasurer

Name Role
Lisa J. Harden-Tandy Treasurer

Incorporator

Name Role
MARIE F. EMBRY Incorporator
ROBERT G. BOSSE Incorporator
JAMES G. EMBRY Incorporator

Registered Agent

Name Role
GRANT F. EMBRY Registered Agent

President

Name Role
Grant F Embry President

Secretary

Name Role
Lisa J. Harden-Tandy Secretary

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 398368 Agent - Life Inactive 2022-06-07 - 2024-02-06 - -

Former Company Names

Name Action
EMBRY-BOSSE ENTERPRIOSES, INC. Old Name
EMBRY-BOSSE FUNERAL HOME, INC. Old Name

Filings

Name File Date
Dissolution 2023-12-28
Principal Office Address Change 2023-02-23
Registered Agent name/address change 2023-02-23
Annual Report 2023-02-22
Amendment 2023-02-20
Annual Report 2022-02-15
Annual Report 2021-02-11
Annual Report 2020-02-11
Annual Report 2019-04-03
Annual Report 2018-04-10

Related by officers

ROBERT G. BOSSE

BOSSE FUNERAL HOME, INC.

JAMES G. EMBRY

AFRICAN CULTURAL RESEARCH INSTITUTE OF KENTUCKY, INC.

GRANT F. EMBRY

FUNERAL DIRECTORS VAULT, LTD. FUNERAL DIRECTOR'S VAULT CO. FIRST TRADITIONAL, INC. INDEPENDENTLY OWNED FUNERAL HOMES, INC.

Grant F Embry

FIRST TRADITIONAL, INC.

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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