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  5. MONROE MEDICAL FOUNDATION, INC.

MONROE MEDICAL FOUNDATION, INC.

Company Details

Name: MONROE MEDICAL FOUNDATION, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Organization Date: 05 Jan 1979 (46 years ago)
Last Annual Report: 18 Apr 2024 (9 months ago)
Organization Number: 0114648
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42167
Primary County: Monroe
Principal Office: MONROE CO. MEDICAL CENTER, 529 CAPP HARLAN RD., TOMPKINSVILLE, KY 42167
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Z6JZU7CMNFL9 2024-09-07 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, 1808, USA 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, USA

Business Information
Doing Business As MONROE MEDICAL FOUNDATION INC
URL mcmccares.com
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2023-09-12
Initial Registration Date 2023-07-26
Entity Start Date 1979-03-01
Fiscal Year End Close Date Feb 28

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANDREA MCLERRAN
Role CEO
Address 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, USA
Government Business
Title PRIMARY POC
Name ANDREA MCLERRAN
Role CEO
Address 529 CAPP HARLAN RD, TOMPKINSVILLE, KY, 42167, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2012 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 205
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Number of participants as of the end of the plan year
Active participants 213
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2012 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 198
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Number of participants as of the end of the plan year
Active participants 205
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2011 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 197
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Plan administrator’s name and address
Administrator’s EIN 310949874
Plan administrator’s name MONROE MEDICAL FOUNDATION, INC.
Plan administrator’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Administrator’s telephone number 2704879231

Number of participants as of the end of the plan year
Active participants 185
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2010 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC. 203
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Plan administrator’s name and address
Administrator’s EIN 310949874
Plan administrator’s name MONROE MEDICAL FOUNDATION, INC.
Plan administrator’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Administrator’s telephone number 2704879231

Number of participants as of the end of the plan year
Active participants 197
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
KENTUCKY HOSPITAL EMPLOYEE HEALTH BENEFIT PLAN 2009 310949874 2013-10-21 MONROE MEDICAL FOUNDATION, INC 213
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-11-01
Business code 622000
Sponsor’s telephone number 2704879231
Plan sponsor’s DBA name MONROE COUNTY MEDICAL CENTER
Plan sponsor’s mailing address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Plan sponsor’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167

Plan administrator’s name and address
Administrator’s EIN 310949874
Plan administrator’s name MONROE MEDICAL FOUNDATION, INC
Plan administrator’s address 529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY, 42167
Administrator’s telephone number 2704879231

Number of participants as of the end of the plan year
Active participants 203
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-21
Name of individual signing RICKIE BROWN
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
Kem C Coe Secretary

Vice President

Name Role
Judy Rowland Vice President

Director

Name Role
Fowler Ross, O.D. Director
Judy Rowland Director
Jimmy Goodman Director
Polly Baker, Pres. Director
Kem C Coe, Sec. Director
Donnie Peden Director
Jack Anderson, DO Director
Vicky McFall Director
JOE FRED BUTLER, JR. Director
JAMES RUSSELL Director

Incorporator

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

President

Name Role
Polly Baker President

Registered Agent

Name Role
JIMMY GOODMAN Registered Agent

Assumed Names

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

Filings

Name File Date
Annual Report 2024-04-18
Annual Report 2023-06-29
Annual Report 2022-06-22
Annual Report 2021-06-22
Annual Report 2020-05-19
Annual Report 2019-04-24
Name Renewal 2018-11-05
Annual Report 2018-05-31
Annual Report 2017-06-22
Annual Report 2016-06-22

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Polly Baker

PEOPLES BANK OF TOMPKINSVILLE MONROE COUNTY PUBLIC LIBRARY SERVICE CORPORATION EDMONTON STATE BANK

JIMMY GOODMAN

WEST MONROE COUNTY INDUSTRIAL FOUNDATION, INCORPORATED

Related by address

No related companies by address

Date of last update: 28 Jan 2025

Sources: Kentucky Secretary of State

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