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OWSLEY COUNTY HEALTH CARE CENTER, INC.

Company Details

Name: OWSLEY COUNTY HEALTH CARE CENTER, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 13 Apr 1979 (46 years ago)
Organization Date: 13 Apr 1979 (46 years ago)
Last Annual Report: 03 Jun 2024 (7 months ago)
Organization Number: 0117135
Industry: Health Services
Number of Employees: Large (100+)
Principal Office: P.O. BOX 250, BOONEVILLE, KY 413140250
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2023 610984463 2024-09-17 OWSLEY COUNTY HEALTH CARE CENTER, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address 20 COUNTY BARN ROAD, BOONEVILLE, KY, 41314
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2020 610984463 2021-04-13 OWSLEY COUNTY HEALTH CARE CENTER, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address 20 COUNTY BARN RD., BOONEVILLE, KY, 41314
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2019 610984463 2020-09-30 OWSLEY COUNTY HEALTH CARE CENTER, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address 20 COUNTY BARN RD., BOONEVILLE, KY, 41314
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2018 610984463 2019-02-25 OWSLEY COUNTY HEALTH CARE CENTER, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address 20 COUNTY BARN RD., BOONEVILLE, KY, 41314
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2017 610984463 2018-10-03 OWSLEY COUNTY HEALTH CARE CENTER, INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address KY 11, BOONEVILLE, KY, 41314
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2016 610984463 2017-07-19 OWSLEY COUNTY HEALTH CARE CENTER, INC. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing WHITTNEY YOUNTS
Valid signature Filed with authorized/valid electronic signature
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2015 610984463 2016-07-28 OWSLEY COUNTY HEALTH CARE CENTER, INC. 93
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing WHITTNEY YOUNTS
Valid signature Filed with authorized/valid electronic signature
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2015 610984463 2016-07-29 OWSLEY COUNTY HEALTH CARE CENTER, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing WHITTNEY YOUNTS
Valid signature Filed with authorized/valid electronic signature
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2014 610984463 2015-05-13 OWSLEY COUNTY HEALTH CARE CENTER, INC. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing WHITTNEY YOUNTS
Valid signature Filed with authorized/valid electronic signature
OWSLEY COUNTY HEALTH CARE CENTER, INC. 403(B) RETIREMENT PLAN 2013 610984463 2014-10-01 OWSLEY COUNTY HEALTH CARE CENTER, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Signature of
Role Plan administrator
Date 2014-10-01
Name of individual signing WHITTNEY YOUNTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015144436P030039633971001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing WHITTNEY YOUNTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/27/20120727152433P040001274755001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Plan administrator’s name and address
Administrator’s EIN 610984463
Plan administrator’s name OWSLEY COUNTY HEALTH CARE CENTER, INC.
Plan administrator’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314
Administrator’s telephone number 6065936302

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing JUDY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017073738P030700497616001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Plan administrator’s name and address
Administrator’s EIN 610984463
Plan administrator’s name OWSLEY COUNTY HEALTH CARE CENTER, INC.
Plan administrator’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314
Administrator’s telephone number 6065936302

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing JUDY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/04/20101004180656P070002176355001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 6065936302
Plan sponsor’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314

Plan administrator’s name and address
Administrator’s EIN 610984463
Plan administrator’s name OWSLEY COUNTY HEALTH CARE CENTER, INC.
Plan administrator’s address STATE HIGHWAY 11, BOONEVILLE, KY, 41314
Administrator’s telephone number 6065936302

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing JUDY TERRY
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
TIMOTHY C. WILLS Registered Agent

President

Name Role
Travis Smith President

Secretary

Name Role
Linda Witt Secretary

Treasurer

Name Role
Linda Witt Treasurer

Director

Name Role
Arnold Wilson Director
Bobby Smith Director
Phyllis Reffitt Director
Roger Roberts Director
Judy Terry Director
Linda Witt Director
DALE ROBERTS Director
BERNARD WILSON Director
KENNETH GUMM Director
ARNOLD WILSON Director

Incorporator

Name Role
SANDRA D. FREEBURGER Incorporator

Filings

Name File Date
Annual Report 2024-06-03
Annual Report 2023-06-06
Annual Report 2022-04-18
Annual Report 2021-03-05
Annual Report 2020-02-18
Annual Report 2019-05-03
Annual Report 2018-04-19
Annual Report 2017-05-04
Annual Report 2016-06-13
Registered Agent name/address change 2015-12-31

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TIMOTHY C. WILLS

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Travis Smith

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Linda Witt

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Bobby Smith

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Judy Terry

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DALE ROBERTS

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ARNOLD WILSON

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WAYNE MARSHALL

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SANDRA D. FREEBURGER

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Jason Wilson

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No related companies by address

Date of last update: 04 Dec 2024

Sources: Kentucky Secretary of State

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