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WESTERN KENTUCKY REGIONAL BLOOD CENTER, INC.

Company Details

Name: WESTERN KENTUCKY REGIONAL BLOOD CENTER, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 16 Dec 1977 (47 years ago)
Organization Date: 16 Dec 1977 (47 years ago)
Last Annual Report: 04 Mar 2024 (10 months ago)
Organization Number: 0085473
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42301
Primary County: Daviess
Principal Office: 3015 OLD HARTFORD RD., OWENSBORO, KY 42301
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTERN KENTUCKY REGIONAL BLOOD CENTER CBS BENEFIT PLAN 2022 610930633 2023-12-27 WESTERN KENTUCKY REGIONAL BLOOD CENTER 18
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2022-01-01
Business code 621900
Sponsor’s telephone number 2706849296
Plan sponsor’s address 3015 OLD HARTFORD RD, OWENSBORO, KY, 42303

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
WESTERN KENTUCKY REGIONAL BLOOD CENTER MEDOVA LIFESTYLE HEALTH PLAN 2022 610930633 2024-02-08 WESTERN KENTUCKY REGIONAL BLOOD CENTER 0
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 621900
Sponsor’s telephone number 2706849296
Plan sponsor’s address 3015 OLD HARTFORD RD, OWENSBORO, KY, 423031349

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT, INC.
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2024-02-07
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
WESTERN KENTUCKY REGIONAL BLOOD CENTER CBS BENEFIT PLAN 2021 610930633 2022-12-29 WESTERN KENTUCKY REGIONAL BLOOD CENTER 18
Three-digit plan number (PN) 502
Effective date of plan 2022-01-01
Business code 621900
Sponsor’s telephone number 2706849296
Plan sponsor’s address 3015 OLD HARTFORD RD, OWENSBORO, KY, 42303

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 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MARK W. STARNES Registered Agent

President

Name Role
Russ Ranallo President

Secretary

Name Role
Nancy Augenstein Secretary

Treasurer

Name Role
Nancy Augenstein Treasurer

Vice President

Name Role
Brian Ward Vice President

Director

Name Role
Jason Mills Director
Nancy Augenstein Director
Betty Hall Director
DR. FRANK PITZER Director
JAMES WALKER Director
ELIAS KAWAS Director
JAMES COLLINS Director
RICHARD BYRNES Director

Incorporator

Name Role
JAMES COLLINS Incorporator

Filings

Name File Date
Annual Report 2024-03-04
Annual Report 2023-05-01
Annual Report 2022-03-11
Annual Report 2021-02-09
Annual Report 2020-02-12
Annual Report 2019-04-18
Annual Report 2018-04-20
Annual Report 2017-02-27
Annual Report 2016-06-06
Annual Report 2015-04-08

Date of last update: 03 Dec 2024

Sources: Kentucky Secretary of State