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LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.

Company Details

Name: LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 31 Oct 1973 (52 years ago)
Organization Date: 31 Oct 1973 (52 years ago)
Last Annual Report: 04 Feb 2025 (4 months ago)
Organization Number: 0030023
Industry: Educational Services
Number of Employees: Large (100+)
ZIP code: 42629
City: Jamestown, Bryan, Creelsboro, Rowena, Sewellton
Primary County: Russell County
Principal Office: P O BOX 830, 23 INDUSTRY DRIVE, JAMESTOWN, KY 42629-0830
Place of Formation: KENTUCKY

President

Name Role
Ricky Craig President

Director

Name Role
JUDGE C. H. STULTS Director
JUDGE BOYCE HUDSON Director
John Frank Director
Ricky Craig Director
Carolyn Compton Director
JUDGE GARFIELD GRIFFIN Director
JUDGE JOE M. CERRATO Director
JUDGE LYLE H. WEBB Director
Gary Robertson Director

Secretary

Name Role
John Frank Secretary

Treasurer

Name Role
Gary Robertson Treasurer

Vice President

Name Role
Carolyn Compton Vice President

Incorporator

Name Role
JOE M. CERRATO Incorporator
LYLE H. WEBB Incorporator
BOYCE HUDSON Incorporator
C. H. STULTS Incorporator
GARFIELD GRIFFIN Incorporator

Registered Agent

Name Role
HON. DERRICK HELM Registered Agent

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
PU76PZFWMB61
CAGE Code:
4BDW0
UEI Expiration Date:
2025-08-05

Business Information

Activation Date:
2024-08-07
Initial Registration Date:
2006-02-22

National Provider Identifier

NPI Number:
1386325447
Certification Date:
2023-07-31

Authorized Person:

Name:
BETH DAVENPORT
Role:
FINANCE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
171M00000X - Case Manager/Care Coordinator
Is Primary:
No
Selected Taxonomy:
172A00000X - Driver
Is Primary:
No
Selected Taxonomy:
172V00000X - Community Health Worker
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
405300000X - Prevention Professional
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Former Company Names

Name Action
LAKE CUMBERLAND COMMUNITY SERVICE ORGANIZATION, INC. Old Name

Filings

Name File Date
Annual Report 2025-02-04
Annual Report 2024-01-22
Annual Report 2023-01-04
Annual Report 2022-03-07
Annual Report 2021-02-09

USAspending Awards / Financial Assistance

Date:
2024-06-27
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEAD START AND EARLY HEAD START
Obligated Amount:
7815974.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-06-02
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN
Obligated Amount:
958805.91
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-07-31
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL COMMUNITIES OPIOID RESPONSE-IMPLEMENTATION
Obligated Amount:
988549.45
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2019-07-12
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEAD START AND EARLY HEAD START
Obligated Amount:
35374887.38
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2019-06-11
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)
Obligated Amount:
200000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-0855431
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)
Ruling Date:
1984-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Fax:
(270) 343-6400
Add Date:
2022-07-07
Operation Classification:
Auth. For Hire, Priv. Pass. (Business), State Gov't
power Units:
0
Drivers:
8
Inspections:
0
FMCSA Link:

Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2400000236 Grant 2023-09-01 2024-06-30 375268
Department Attorney General
Category (952) HUMAN SERVICES
Authorization Kentucky Opioid Abatement Awards
Document View Document

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-11 2025 Education and Labor Cabinet Department Of Education Fin Assist/Non-State Agencies Nutritional & Health Serv Asst 24948.96
Executive 2025-01-29 2025 Health & Family Services Cabinet Department For Community Based Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 9876.22
Executive 2024-12-27 2025 Health & Family Services Cabinet Department For Community Based Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 11356.99
Executive 2024-12-17 2025 Education and Labor Cabinet Department Of Education Fin Assist/Non-State Agencies Nutritional & Health Serv Asst 37645.2
Executive 2024-11-20 2025 Education and Labor Cabinet Department Of Education Fin Assist/Non-State Agencies Nutritional & Health Serv Asst 46765.9

Sources: Kentucky Secretary of State