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MONROE MEDICAL FOUNDATION, INC.

Company Details

Name: MONROE MEDICAL FOUNDATION, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
Organization Date: 05 Jan 1979 (46 years ago)
Last Annual Report: 03 Feb 2025 (4 months ago)
Organization Number: 0114648
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42167
City: Tompkinsville, T Ville
Primary County: Monroe County
Principal Office: MONROE CO. MEDICAL CENTER, 529 CAPP HARLAN RD., TOMPKINSVILLE, KY 42167
Place of Formation: KENTUCKY

Secretary

Name Role
Vicky McFall Secretary

Vice President

Name Role
Judy Rowland Vice President

Director

Name Role
Fowler Ross, O.D. Director
JOE FRED BUTLER, JR. Director
JAMES RUSSELL Director
JOE B. BAXTER Director
Judy Rowland Director
Jimmy Goodman Director
Jack Anderson, DO Director
Vicky McFall Director
Polly Baker Director
Anthony Carter, M.D. Director

President

Name Role
Donnie Peden President

Registered Agent

Name Role
JIMMY GOODMAN Registered Agent

Incorporator

Name Role
JAMES RUSSELL Incorporator
JOE FRED BUTLER, JR. Incorporator
JOE B. BAXTER Incorporator

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:
Z6JZU7CMNFL9
UEI Expiration Date:
2025-07-26

Business Information

Doing Business As:
MONROE MEDICAL FOUNDATION INC
Activation Date:
2024-07-30
Initial Registration Date:
2023-07-26

National Provider Identifier

NPI Number:
1689255671
Certification Date:
2021-03-25

Authorized Person:

Name:
ALISA NICHOLE MELTON
Role:
ASST. C.F.O.
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2704875784

Form 5500 Series

Employer Identification Number (EIN):
310949874
Plan Year:
2012
Number Of Participants:
205
Sponsors DBA Name:
MONROE COUNTY MEDICAL CENTER
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
198
Sponsors DBA Name:
MONROE COUNTY MEDICAL CENTER
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
197
Sponsors DBA Name:
MONROE COUNTY MEDICAL CENTER
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
203
Sponsors DBA Name:
MONROE COUNTY MEDICAL CENTER
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
213
Sponsors DBA Name:
MONROE COUNTY MEDICAL CENTER
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
MONROE COUNTY MEDICAL CENTER Inactive 2024-04-22

Filings

Name File Date
Annual Report 2025-02-03
Annual Report 2024-04-18
Annual Report 2023-06-29
Annual Report 2022-06-22
Annual Report 2021-06-22

USAspending Awards / Financial Assistance

Date:
2021-02-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2000000.00
Total Face Value Of Loan:
2000000.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2062632.00
Total Face Value Of Loan:
2062632.00

Tax Exempt

Employer Identification Number (EIN) :
31-0949874
In Care Of Name:
% DBA MONROE COUNTY MEDICAL CENTER
Ruling Date:
1979-03
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2021-02-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2000000
Current Approval Amount:
2000000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
2021888.89
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2062632
Current Approval Amount:
2062632
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
2086753.34

Sources: Kentucky Secretary of State