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  5. FOREST HILLS VILLAGE, INC.

FOREST HILLS VILLAGE, INC.

Company Details

Name: FOREST HILLS VILLAGE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 05 Nov 1968 (56 years ago)
Organization Date: 05 Nov 1968 (56 years ago)
Last Annual Report: 05 Feb 2025 (a month ago)
Organization Number: 0018157
Industry: Real Estate
Number of Employees: Small (0-19)
ZIP code: 42001
City: Paducah
Primary County: McCracken County
Principal Office: 238 HIGHLAND BLVD., P. O. BOX 7056, PADUCAH, KY 42001
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOREST HILLS VILLAGE, INC. 403(B) PLAN 2023 610676617 2024-08-06 FOREST HILLS VILLAGE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing PAUL KING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing PAUL KING
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS VILLAGE CBS BENEFIT PLAN 2023 610676617 2024-12-30 FOREST HILLS VILLAGE 13
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 531210
Sponsor’s telephone number 2704425469
Plan sponsor’s address 238 HIGHLAND BLVD, PADUCAH, KY, 42002

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

Signature of
Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS VILLAGE, INC. 403(B) PLAN 2022 610676617 2023-08-16 FOREST HILLS VILLAGE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2023-08-10
Name of individual signing PAUL KING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-10
Name of individual signing PAUL KING
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS VILLAGE CBS BENEFIT PLAN 2022 610676617 2023-12-27 FOREST HILLS VILLAGE 15
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 531210
Sponsor’s telephone number 2704425469
Plan sponsor’s address 238 HIGHLAND BLVD, PADUCAH, KY, 42002

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
FOREST HILLS VILLAGE, INC. 403(B) PLAN 2021 610676617 2022-08-17 FOREST HILLS VILLAGE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing BRAD ARTERBURN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing BRAD ARTERBURN
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS VILLAGE CBS BENEFIT PLAN 2021 610676617 2022-12-29 FOREST HILLS VILLAGE 14
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 531210
Sponsor’s telephone number 2704425469
Plan sponsor’s address 238 HIGHLAND BLVD, PADUCAH, KY, 42002

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
FOREST HILLS VILLAGE, INC. 403(B) PLAN 2020 610676617 2021-10-08 FOREST HILLS VILLAGE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing BRAD ARTERBURN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing BRAD ARTERBURN
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS VILLAGE CBS BENEFIT PLAN 2020 610676617 2021-12-14 FOREST HILLS VILLAGE 13
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 531210
Sponsor’s telephone number 2704425469
Plan sponsor’s address 238 HIGHLAND BLVD, PADUCAH, KY, 42002

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
FOREST HILLS VILLAGE, INC. 403(B) PLAN 2019 610676617 2020-08-07 FOREST HILLS VILLAGE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS VILLAGE CBS BENEFIT PLAN 2019 610676617 2020-12-23 FOREST HILLS VILLAGE 13
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 531210
Sponsor’s telephone number 2704425469
Plan sponsor’s address 238 HIGHLAND BLVD, PADUCAH, KY, 42002

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

Signature of
Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/17/20190717090602P030255771357005.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-09
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/18/20180718104102P030049682765002.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/05/13/20190513165241P030227141633001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-13
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/13/20160713085205P040031390279005.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-27
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/04/20150804090621P030134018519005.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-08
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/16/20140716085657P030013013743005.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-01
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/12/20130812114529P030338510819004.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Signature of
Role Plan administrator
Date 2013-08-01
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-01
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726172027P040038477072003.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Plan administrator’s name and address
Administrator’s EIN 610676617
Plan administrator’s name FOREST HILLS VILLAGE, INC.
Plan administrator’s address PO BOX 7056, PADUCAH, KY, 420027056
Administrator’s telephone number 2704425469

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/01/20110801161346P030104801409005.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Plan administrator’s name and address
Administrator’s EIN 610676617
Plan administrator’s name FOREST HILLS VILLAGE, INC.
Plan administrator’s address PO BOX 7056, PADUCAH, KY, 420027056
Administrator’s telephone number 2704425469

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-07
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/26/20100726101612P040398903169030.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Plan administrator’s name and address
Administrator’s EIN 610676617
Plan administrator’s name FOREST HILLS VILLAGE, INC.
Plan administrator’s address PO BOX 7056, PADUCAH, KY, 420027056
Administrator’s telephone number 2704425469

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing JIM TINSLEY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 531110
Sponsor’s telephone number 2704425469
Plan sponsor’s address PO BOX 7056, PADUCAH, KY, 420027056

Plan administrator’s name and address
Administrator’s EIN 610676617
Plan administrator’s name FOREST HILLS VILLAGE, INC.
Plan administrator’s address PO BOX 7056, PADUCAH, KY, 420027056
Administrator’s telephone number 2704425469

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing JIM TINSLEY
Valid signature Filed with incorrect/unrecognized electronic signature

Vice President

Name Role
BRAD ARTERBURN Vice President

Director

Name Role
SHIRLEY WALKER Director
PAUL KING Director
MELISSA YATES Director
BRAD ARTERBURN Director
WILLIAM F. PAXTON Director
GEORGE E. WILEY Director
GEORGE E. BEIDERWELL Director
MRS. MAX SACHARNOSKI Director
DANDRIDGE F. WALTON Director

Secretary

Name Role
MELISSA YATES Secretary

Treasurer

Name Role
SHIRLEY WALKER Treasurer

President

Name Role
PAUL KING President

Incorporator

Name Role
WILLIAM F. PAXTON Incorporator
GEORGE E. WILEY Incorporator
GEORGE E. BEIDERWELL Incorporator
MRS. MAX SACHARNOSKI Incorporator
DANDRIDGE F. WALTON Incorporator

Registered Agent

Name Role
W. DAVID DENTON, ATTY. Registered Agent

Filings

Name File Date
Annual Report 2025-02-05
Reinstatement 2024-11-19
Reinstatement Certificate of Existence 2024-11-19
Reinstatement Approval Letter Revenue 2024-11-19
Administrative Dissolution 2024-10-12
Annual Report 2023-07-09
Annual Report 2022-07-06
Annual Report 2021-07-01
Annual Report 2020-06-16
Annual Report 2019-06-14

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0676617 Corporation Unconditional Exemption 238 HIGHLAND BLVD, PADUCAH, KY, 42003-5046 1969-09
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2024-05
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period May
Asset Amount 3874517
Income Amount 2196444
Form 990 Revenue Amount 2196444
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name FOREST HILLS VILLAGE INC
EIN 61-0676617
Tax Period 202305
Filing Type E
Return Type 990
File View File
Organization Name FOREST HILLS VILLAGE INC
EIN 61-0676617
Tax Period 202205
Filing Type E
Return Type 990
File View File
Organization Name FOREST HILLS VILLAGE INC
EIN 61-0676617
Tax Period 202005
Filing Type E
Return Type 990
File View File
Organization Name FOREST HILLS VILLAGE INC
EIN 61-0676617
Tax Period 201905
Filing Type E
Return Type 990
File View File
Organization Name FOREST HILLS VILLAGE INC
EIN 61-0676617
Tax Period 201805
Filing Type E
Return Type 990
File View File
Organization Name FOREST HILLS VILLAGE INC
EIN 61-0676617
Tax Period 201705
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6444007210 2020-04-28 0457 PPP 238 HIGHLAND BLVD, PADUCAH, KY, 42003-5046
Loan Status Date 2020-11-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 206400
Loan Approval Amount (current) 206400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27680
Servicing Lender Name The Paducah Bank and Trust Company
Servicing Lender Address 555 Jefferson St, PADUCAH, KY, 42001-1088
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PADUCAH, MCCRACKEN, KY, 42003-5046
Project Congressional District KY-01
Number of Employees 14
NAICS code 624229
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27680
Originating Lender Name The Paducah Bank and Trust Company
Originating Lender Address PADUCAH, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 207417.86
Forgiveness Paid Date 2020-11-03

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Sources: Kentucky Secretary of State

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