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  5. THE KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.

THE KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.

Company Details

Name: THE KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 03 Dec 1954 (70 years ago)
Organization Date: 03 Dec 1954 (70 years ago)
Last Annual Report: 28 Jun 2024 (10 months ago)
Organization Number: 0039067
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 9403 MILL BROOK RD., LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2023 610728963 2024-07-11 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 623000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2022 610728963 2023-06-06 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 623000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2021 610728963 2022-04-13 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2020 610728963 2021-06-24 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2019 610728963 2020-09-21 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2018 610728963 2019-09-27 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2012 610728963 2013-09-20 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s mailing address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
Plan administrator’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Number of participants as of the end of the plan year
Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-20
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-20
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOC OF HEALTH CARE FACILITIES, INC. 401K PLAN 2011 610728963 2012-07-19 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Plan administrator’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing RUBY JO CUMMINS LUBARSKY
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOC OF HEALTH CARE FACILITIES, INC. 401K PLAN 2010 610728963 2011-05-20 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Plan administrator’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Signature of
Role Plan administrator
Date 2011-05-20
Name of individual signing RUBY JO CUMMINS LUBARSKY
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOC OF HEALTH CARE FACILITIES, INC. 401K PLAN 2009 610728963 2010-07-12 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Plan administrator’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing RUBY JO CUMMINS LUBARSKY
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
Jason Gumm Director
Mark Bowman Director
Michelle Jarboe Director
L. A. BUTTERFIELD Director
JAMES E. MILLER Director
MRS. AVA HEROD Director
ELIZABETH P. BAXTER Director
IRA O. WALLACE Director

Incorporator

Name Role
IRA O. WALLACE Incorporator
ELIZABETH P. BAXTER Incorporator
JAMES E. MILLER Incorporator
MRS. AVA HEROD Incorporator
L. A. BUTTERFIELD Incorporator
JANICE E. MILLER Incorporator
AVO HEROD Incorporator

President

Name Role
Adam Mather President

Secretary

Name Role
David McKenzie Secretary

Treasurer

Name Role
Philip Travis Treasurer

Registered Agent

Name Role
ADAM MATHER Registered Agent

Former Company Names

Name Action
KENTUCKY ASSOCIATION OF NURSING HOMES, INC. Old Name

Filings

Name File Date
Registered Agent name/address change 2024-06-28
Annual Report 2024-06-28
Annual Report 2023-06-30
Annual Report 2022-06-30
Annual Report 2021-06-24
Annual Report 2020-06-27
Annual Report 2019-06-20
Annual Report 2018-06-07
Annual Report 2017-06-29
Annual Report 2016-06-30

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0728963 Association Unconditional Exemption 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223-5039 1973-11
In Care of Name -
Group Exemption Number 0000
Subsection Board of Trade, Business League, Chamber of Commerce, Real Estate Board
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 not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2024-06
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 Jun
Asset Amount 1989790
Income Amount 3068975
Form 990 Revenue Amount 2437449
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
EIN 61-0728963
Tax Period 202306
Filing Type E
Return Type 990O
File View File
Organization Name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
EIN 61-0728963
Tax Period 202206
Filing Type E
Return Type 990O
File View File
Organization Name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
EIN 61-0728963
Tax Period 202006
Filing Type P
Return Type 990O
File View File
Organization Name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
EIN 61-0728963
Tax Period 201906
Filing Type P
Return Type 990O
File View File
Organization Name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
EIN 61-0728963
Tax Period 201806
Filing Type P
Return Type 990O
File View File
Organization Name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
EIN 61-0728963
Tax Period 201706
Filing Type P
Return Type 990O
File View File
Organization Name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
EIN 61-0728963
Tax Period 201606
Filing Type P
Return Type 990O
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4845258006 2020-06-26 0457 PPP 9403 MILL BROOK RD, LOUISVILLE, KY, 40223-4001
Loan Status Date 2021-08-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 192100
Loan Approval Amount (current) 192100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27569
Servicing Lender Name Stock Yards Bank & Trust Company
Servicing Lender Address 1040 E Main St, LOUISVILLE, KY, 40206-1856
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40223-4001
Project Congressional District KY-03
Number of Employees 9
NAICS code 813410
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 27569
Originating Lender Name Stock Yards Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 194126.26
Forgiveness Paid Date 2021-07-21

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Related by address

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Sources: Kentucky Secretary of State

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