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HARRIS FUNERAL HOME, INCORPORATED

Company Details

Name: HARRIS FUNERAL HOME, INCORPORATED
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 17 Jun 1960 (65 years ago)
Organization Date: 17 Jun 1960 (65 years ago)
Last Annual Report: 05 Feb 2025 (2 months ago)
Organization Number: 0021941
Industry: Business Services
Number of Employees: Small (0-19)
ZIP code: 42431
City: Madisonville
Primary County: Hopkins County
Principal Office: 134 N. MAIN ST., MADISONVILLE, KY 42431
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARRIS FUNERAL HOME CBS BENEFIT PLAN 2023 610588669 2024-04-29 HARRIS FUNERAL HOME 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-08-01
Business code 812210
Sponsor’s telephone number 2708216601
Plan sponsor’s address 134 N MAIN STREET, MADISONVILLE, KY, 42431

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 2024-04-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
HARRIS FUNERAL HOME CBS BENEFIT PLAN 2022 610588669 2023-12-27 HARRIS FUNERAL HOME 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-08-01
Business code 812210
Sponsor’s telephone number 2708216601
Plan sponsor’s address 134 N MAIN STREET, MADISONVILLE, KY, 42431

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

President

Name Role
Dorothy WILSON President

Incorporator

Name Role
J. T. CRAFT Incorporator
HARLEY STOKES Incorporator
S. T. HARRIS Incorporator
EVA B. HARRIS Incorporator

Secretary

Name Role
TRUDI WILSON Secretary

Treasurer

Name Role
TRUDI WILSON Treasurer

Vice President

Name Role
Tim WILSON Vice President

Director

Name Role
TIMOTHY WILSON Director
Trudi Wilson Director
William John-Michael Simpson Director

Registered Agent

Name Role
TRUDI WILSON Registered Agent

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 400024 Agent - Life Inactive 2002-05-09 - 2004-02-24 - -

Former Company Names

Name Action
HARRIS FUNERAL HOME, INC. Old Name

Filings

Name File Date
Annual Report 2025-02-05
Annual Report 2024-06-26
Annual Report 2023-03-17
Annual Report 2022-03-17
Registered Agent name/address change 2022-03-17
Annual Report 2021-08-19
Annual Report 2020-06-24
Annual Report 2019-06-24
Annual Report 2018-07-02
Annual Report 2017-06-28

Sources: Kentucky Secretary of State