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  5. GRAYSON HOUSING, INC.

GRAYSON HOUSING, INC.

Company Details

Name: GRAYSON HOUSING, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
Organization Date: 22 Jan 1962 (63 years ago)
Last Annual Report: 05 Feb 2025 (a month ago)
Organization Number: 0020551
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42726
City: Clarkson, Millerstown, Peonia, Rock Creek, Wax
Primary County: Grayson County
Principal Office: 29 OLD HARTFORD RD, CANEYVILLE , KY 42726
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2018 610656880 2019-07-15 GRAYSON HOUSING, INC. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 WILLIAM THOMASON BYU # 1, LEITCHFIELD, KY, 427541419

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing DEBRA BOONE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2017 610656880 2018-09-17 GRAYSON HOUSING, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498

Signature of
Role Plan administrator
Date 2018-09-17
Name of individual signing DEBRA BOONE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2016 610656880 2017-03-03 GRAYSON HOUSING, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498

Signature of
Role Plan administrator
Date 2017-03-03
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2015 610656880 2016-09-21 GRAYSON HOUSING, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498

Signature of
Role Plan administrator
Date 2016-09-21
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-21
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2014 610656880 2015-05-14 GRAYSON HOUSING, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-11
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2013 610656880 2014-02-26 GRAYSON HOUSING, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Signature of
Role Plan administrator
Date 2014-02-24
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-24
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2012 610656880 2013-03-13 GRAYSON HOUSING, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Signature of
Role Plan administrator
Date 2013-03-13
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-13
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2011 610656880 2012-07-03 GRAYSON HOUSING, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Plan administrator’s name and address
Administrator’s EIN 610656880
Plan administrator’s name GRAYSON HOUSING, INC.
Plan administrator’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
Administrator’s telephone number 2702594028

Signature of
Role Plan administrator
Date 2012-07-03
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2010 610656880 2011-04-05 GRAYSON HOUSING, INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Plan administrator’s name and address
Administrator’s EIN 610656880
Plan administrator’s name GRAYSON HOUSING, INC.
Plan administrator’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
Administrator’s telephone number 2702594028

Signature of
Role Plan administrator
Date 2011-03-31
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2009 610656880 2010-07-28 GRAYSON HOUSING, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Plan administrator’s name and address
Administrator’s EIN 610656880
Plan administrator’s name GRAYSON HOUSING, INC.
Plan administrator’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
Administrator’s telephone number 2702594028

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
GLEN H. GOFF Incorporator
DAVID DAVISON Incorporator
C. A. YOUNG Incorporator
BOYD SISK Incorporator
SHELTON LIKINS Incorporator

Registered Agent

Name Role
LAURA GOFF Registered Agent

President

Name Role
LAURA GOFF President

Secretary

Name Role
NANCY JO ESCUE Secretary

Vice President

Name Role
DEBBIE BRACKETT Vice President

Director

Name Role
Ricky Paul Director
Nina Meredith Director
Barry Anderson Director
Robert Hatfield Director
C. A. YOUNG Director
BOYD SISK Director
SHELTON LIKINS Director
GLEN H. GOFF Director
DAVID DAVISON Director

Filings

Name File Date
Annual Report 2025-02-05
Annual Report 2024-05-15
Annual Report 2024-05-15
Registered Agent name/address change 2024-05-15
Principal Office Address Change 2024-05-15
Principal Office Address Change 2024-05-15
Registered Agent name/address change 2024-05-15
Annual Report 2023-05-09
Annual Report 2022-03-08
Annual Report 2021-02-10

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
317641819 0452110 2014-11-26 505 WILLIAM THOMAS BYWAY, LEITCHFIELD, KY, 42754
Inspection Type Unprog Rel
Scope Partial
Safety/Health Safety
Close Conference 2014-11-26
Case Closed 2015-02-24

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19260501 B10
Issuance Date 2015-01-14
Abatement Due Date 2015-01-20
Current Penalty 3600.0
Initial Penalty 6300.0
Nr Instances 1
Nr Exposed 5
Related Event Code (REC) Referral
Gravity 10
Citation ID 01002
Citaton Type Serious
Standard Cited 19261053 B01
Issuance Date 2015-01-14
Abatement Due Date 2015-01-20
Current Penalty 3600.0
Initial Penalty 6300.0
Nr Instances 1
Nr Exposed 5
Related Event Code (REC) Referral
Gravity 10

Related by officers

GLEN H. GOFF

GOFF, INC. GRAYSON COUNTY EDUCATION FOUNDATION, INC.

DAVID DAVISON

OHIO COUNTY CATTLEMEN'S ASSOCIATION, INC.

NANCY JO ESCUE

DUFF CEMETERY, INCORPORATED DINNER BELL BUFFET & ANTIQUES, LLC Empire Concrete Pumping, LLC EMPIRE CONCRETE, LLC

Ricky Paul

GRAYSON HOUSING, INC. II

Barry Anderson

Riverstone Technology LLC

Robert Hatfield

PROMENADE COURT TOWNHOMES OWNERS' ASSOCIATION, INC. MEADOWBROOK HOMES, INC. MOCA, INC. 5 Star Barbarians, LLC Meadowbrook Concrete LLC L.G. Hatfield Cattle Company Limited Liability Company Steel Worx Limited Liability Company

BOYD SISK

BRECKINRIDGE-GRAYSON PROGRAMS INC. LEITCHFIELD GRAYSON COUNTY INDUSTRIAL AND DEVELOPMENT FOUNDATION, INC.

SHELTON LIKINS

GRAYSON COUNTY PUBLIC LIBRARY DISTRICT CONSTRUCTION CORPORATION

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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