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KENTUCKY PRIMARY CARE ASSOCIATION, INC.

Company Details

Name: KENTUCKY PRIMARY CARE ASSOCIATION, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 07 Dec 1976 (48 years ago)
Organization Date: 07 Dec 1976 (48 years ago)
Last Annual Report: 15 Apr 2024 (a year ago)
Organization Number: 0076940
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40601
City: Frankfort, Hatton
Primary County: Franklin County
Principal Office: 651 COMANCHE TRAIL, FRANKFORT, KY 40601
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
P7CSWZDTNP27 2025-01-25 651 COMANCHE TRL, FRANKFORT, KY, 40601, 1753, USA 651 COMANCHE TRL, FRANKFORT, KY, 40601, 1753, USA

Business Information

URL http://www.kpca.net
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-01-30
Initial Registration Date 2006-11-07
Entity Start Date 1976-12-06
Fiscal Year End Close Date Jun 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MOLLY LEWIS
Role CEO
Address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601, USA
Title ALTERNATE POC
Name RACHAEL FITZGERALD
Role CDO
Address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601, USA
Government Business
Title PRIMARY POC
Name MOLLY LEWIS
Role CHIEF EXECUTIVE OFFICER
Address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2023 310900381 2024-10-04 KENTUCKY PRIMARY CARE ASSOCIATION 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2022 310900381 2023-07-25 KENTUCKY PRIMARY CARE ASSOCIATION 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2021 310900381 2022-09-12 KENTUCKY PRIMARY CARE ASSOCIATION 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address 651 COMANCHE TRAIL, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2020 310900381 2021-10-06 KENTUCKY PRIMARY CARE ASSOCIATION 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2019 310900381 2020-10-07 KENTUCKY PRIMARY CARE ASSOCIATION 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2018 310900381 2019-09-30 KENTUCKY PRIMARY CARE ASSOCIATION 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2017 310900381 2018-07-03 KENTUCKY PRIMARY CARE ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2016 310900381 2017-06-12 KENTUCKY PRIMARY CARE ASSOCIATION 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of

Role Plan administrator
Date 2017-06-12
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2015 310900381 2016-07-14 KENTUCKY PRIMARY CARE ASSOCIATION 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of

Role Plan administrator
Date 2016-07-14
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2014 310900381 2015-06-30 KENTUCKY PRIMARY CARE ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of

Role Plan administrator
Date 2015-06-30
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/08/20141008141452P030012749407001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of

Role Plan administrator
Date 2014-10-08
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/28/20130628101205P030273174003001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Number of participants as of the end of the plan year

Active participants 6
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 5
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 2013-06-28
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/25/20120725101152P040035253968001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year

Active participants 5
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 5
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 2012-07-25
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/07/20110607071140P040073727249001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year

Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 5
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 2011-06-06
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year

Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year

Active participants 5
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 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/29/20100729100352P040405798129001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address

Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year

Active participants 5
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 5
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 2010-07-29
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
BENNY RAY BAILEY Director
GREGORY CULLEY Director
LOIS A. BAKER Director
DAVID WILLIS Director
HAP SCHWEDER Director
Jack Miniard Director
Stephanie Moore Director
Barry Martin Director
Sally Jordan Director
Mike Stanley Director

Incorporator

Name Role
BENNY RAY BAILEY, PH. D. Incorporator
GREGORY CULLEY, M.D. Incorporator
LOIS A. BAKER Incorporator

Registered Agent

Name Role
MOLLY LEWIS Registered Agent

Vice President

Name Role
Barry Martin Vice President

Treasurer

Name Role
John Lillybridge Treasurer

President

Name Role
Stephanie Moore President

Filings

Name File Date
Annual Report 2024-04-15
Annual Report 2023-03-14
Registered Agent name/address change 2022-06-22
Annual Report 2022-03-04
Annual Report 2021-03-08
Annual Report 2020-03-23
Principal Office Address Change 2020-03-23
Principal Office Address Change 2019-05-02
Annual Report 2019-05-02
Registered Agent name/address change 2019-04-30

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
P04CS16157 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2009-09-01 2010-08-31 HEALTH CENTER CLUSTER PLANNING GRANTS
Recipient KENTUCKY PRIMARY CARE ASSOCIATION INC
Recipient Name Raw KENTUCKY PRIMARY CARE ASSOCIATION, INC
Recipient UEI P7CSWZDTNP27
Recipient DUNS 036622801
Recipient Address P.O. BOX 751, FRANKFORT, FRANKLIN, KENTUCKY, 40602-0751, UNITED STATES
Obligated Amount 80000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
U58CS06811 Department of Health and Human Services 93.129 - TECHNICAL AND NON-FINANCIAL ASSISTANCE TO HEALTH CENTERS 2006-04-01 2012-03-31 STATE AND REGIONAL PRIMARY CARE ASSOCIATIONS
Recipient KENTUCKY PRIMARY CARE ASSOCIATION INC
Recipient Name Raw KENTUCKY PRIMARY CARE ASSOCIATION, INC
Recipient UEI P7CSWZDTNP27
Recipient DUNS 036622801
Recipient Address P.O. BOX 751, FRANKFORT, FRANKLIN, KENTUCKY, 40602-0751, UNITED STATES
Obligated Amount 5483008.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
31-0900381 Corporation Unconditional Exemption 651 COMANCHE TRL, FRANKFORT, KY, 40601-1753 1977-04
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 Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 23800923
Income Amount 15558450
Form 990 Revenue Amount 15558450
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 public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 202306
Filing Type E
Return Type 990T
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 202206
Filing Type E
Return Type 990T
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 202006
Filing Type P
Return Type 990T
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201906
Filing Type P
Return Type 990T
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201806
Filing Type P
Return Type 990T
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201806
Filing Type P
Return Type 990T
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201706
Filing Type P
Return Type 990T
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201706
Filing Type P
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201703
Filing Type E
Return Type 990
File View File
Organization Name KENTUCKY PRIMARY CARE ASSOCIATION INC
EIN 31-0900381
Tax Period 201603
Filing Type E
Return Type 990
File View File

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-01-16 2025 Health & Family Services Cabinet Department For Medicaid Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 258893.98
Executive 2025-01-16 2025 Health & Family Services Cabinet Department For Community Based Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 80016.85
Executive 2024-12-18 2025 Health & Family Services Cabinet Department For Community Based Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 83571.72
Executive 2024-12-18 2025 Health & Family Services Cabinet Department For Medicaid Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 270395.78
Executive 2024-11-13 2025 Health & Family Services Cabinet Department For Community Based Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 81809.41
Executive 2024-10-25 2025 Health & Family Services Cabinet Department For Public Health Travel Exp & Exp Allowances In-State Travel 600
Executive 2024-10-10 2025 Health & Family Services Cabinet Department For Medicaid Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 262727.13
Executive 2024-10-08 2025 Health & Family Services Cabinet Department For Community Based Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 92530.5
Executive 2024-10-08 2025 Health & Family Services Cabinet Department For Medicaid Services Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 299381.82
Executive 2024-08-27 2025 Health & Family Services Cabinet CHFS - Department for Aging and Independent Living Miscellaneous Services Expenses Rel T/Shows,Fairs&Exp 600

Sources: Kentucky Secretary of State