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  5. MARCUM & WALLACE MEMORIAL HOSPITAL, INC..

MARCUM & WALLACE MEMORIAL HOSPITAL, INC..

Company Details

Name: MARCUM & WALLACE MEMORIAL HOSPITAL, INC..
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
File Date: 30 Sep 1977 (47 years ago)
Organization Date: 30 Sep 1977 (47 years ago)
Last Annual Report: 28 Apr 2016 (9 years ago)
Managed By: Members
Organization Number: 0145774
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40336
Primary County: Estill
Principal Office: 60 MERCY CT, IRVINE, KY 40336
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARCUM & WALLACE MEMORIAL HOSPITAL HEALTH BENEFITS PLAN 2015 610927491 2016-10-13 MARCUM & WALLACE MEMORIAL HOSPITAL 114
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 622000
Sponsor’s telephone number 6067322113
Plan sponsor’s mailing address 60 MERCY CT, IRVINE, KY, 403361331
Plan sponsor’s address 60 MERCY CT, IRVINE, KY, 403361331

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing DANA STEPP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing DANA STEPP
Valid signature Filed with authorized/valid electronic signature
MARCUM & WALLACE MEMORAL HOSPITAL HEALTH BENEFITS PLAN 2013 610927461 2014-10-09 MARCUM & WALLACE MEMORIAL HOSPITAL 105
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 622000
Sponsor’s telephone number 6067322113
Plan sponsor’s mailing address 60 MERCY COURT, IRVINE, KY, 40336
Plan sponsor’s address 60 MERCY COURT, IRVINE, KY, 40336

Number of participants as of the end of the plan year
Active participants 100

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing DANA STEPP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing DANA STEPP
Valid signature Filed with authorized/valid electronic signature
MARCUM & WALLACE MEMORIAL HOSPITAL 403(B) PLAN 2009 610927491 2010-10-15 MARCUM & WALLACE MEMORIAL HOSPITAL 188
Three-digit plan number (PN) 003
Effective date of plan 2009-08-01
Business code 622000
Sponsor’s telephone number 6067232113
Plan sponsor’s mailing address 60 MERCY COURT, IRVINE, KY, 40336
Plan sponsor’s address 60 MERCY COURT, IRVINE, KY, 40336

Plan administrator’s name and address
Administrator’s EIN 610927491
Plan administrator’s name MARCUM & WALLACE MEMORIAL HOSPITAL
Plan administrator’s address 60 MERCY COURT, IRVINE, KY, 40336
Administrator’s telephone number 6067232113

Number of participants as of the end of the plan year
Active participants 188
Number of participants with account balances as of the end of the plan year 1

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing SUSAN STARLING
Valid signature Filed with authorized/valid electronic signature
MARCUM & WALLACE MEMORIAL HOSPITAL 403(B) PLAN 2009 610927491 2010-10-19 MARCUM & WALLACE MEMORIAL HOSPITAL 188
Three-digit plan number (PN) 003
Effective date of plan 2009-08-01
Business code 622000
Sponsor’s telephone number 6067232113
Plan sponsor’s mailing address 60 MERCY COURT, IRVINE, KY, 40336
Plan sponsor’s address 60 MERCY COURT, IRVINE, KY, 40336

Plan administrator’s name and address
Administrator’s EIN 610927491
Plan administrator’s name MARCUM & WALLACE MEMORIAL HOSPITAL
Plan administrator’s address 60 MERCY COURT, IRVINE, KY, 40336
Administrator’s telephone number 6067232113

Number of participants as of the end of the plan year
Active participants 188
Number of participants with account balances as of the end of the plan year 1

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing SUSAN STARLING
Valid signature Filed with authorized/valid electronic signature
MARCUM & WALLACE MEMORIAL HOSPITAL 401(K) PROFIT SHARING PLAN 2009 610927491 2010-10-15 MARCUM & WALLACE MEMORIAL HOSPITAL 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 622000
Sponsor’s telephone number 6067232113
Plan sponsor’s mailing address 60 MERCY COURT, IRVINE, KY, 40336
Plan sponsor’s address 60 MERCY COURT, IRVINE, KY, 40336

Plan administrator’s name and address
Administrator’s EIN 610927491
Plan administrator’s name MARCUM & WALLACE MEMORIAL HOSPITAL
Plan administrator’s address 60 MERCY COURT, IRVINE, KY, 40336
Administrator’s telephone number 6067232113

Number of participants as of the end of the plan year
Active participants 98
Other retired or separated participants entitled to future benefits 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing SUSAN STARLING
Valid signature Filed with authorized/valid electronic signature
MARCUM & WALLACE MEMORIAL HOSPITAL 403(B) PLAN 2009 610927491 2010-10-20 MARCUM & WALLACE MEMORIAL HOSPITAL 188
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-08-01
Business code 622000
Sponsor’s telephone number 6067232113
Plan sponsor’s mailing address 60 MERCY COURT, IRVINE, KY, 40336
Plan sponsor’s address 60 MERCY COURT, IRVINE, KY, 40336

Plan administrator’s name and address
Administrator’s EIN 610927491
Plan administrator’s name MARCUM & WALLACE MEMORIAL HOSPITAL
Plan administrator’s address 60 MERCY COURT, IRVINE, KY, 40336
Administrator’s telephone number 6067232113

Number of participants as of the end of the plan year
Active participants 188
Number of participants with account balances as of the end of the plan year 1

Signature of
Role Plan administrator
Date 2010-10-20
Name of individual signing SUSAN STARLING
Valid signature Filed with authorized/valid electronic signature
MARCUM & WALLACE MEMORIAL HOSPITAL HEALTH BENEFITS PLAN 2009 610927461 2010-10-15 MARCUM & WALLACE MEMORIAL HOSPITAL 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-06-01
Business code 622000
Sponsor’s telephone number 6067232113
Plan sponsor’s mailing address 60 MERCY COURT, IRVINE, KY, 40336
Plan sponsor’s address 60 MERCY COURT, IRVINE, KY, 40336

Plan administrator’s name and address
Administrator’s EIN 610927461
Plan administrator’s name MARCUM & WALLACE MEMORIAL HOSPITAL
Plan administrator’s address 60 MERCY COURT, IRVINE, KY, 40336
Administrator’s telephone number 6067232113

Number of participants as of the end of the plan year
Active participants 88

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing SUSAN STARLING
Valid signature Filed with authorized/valid electronic signature
MARCUM & WALLACE MEMORIAL HOSPITAL HEALTH BENEFITS PLAN 2009 610927461 2010-10-19 MARCUM & WALLACE MEMORIAL HOSPITAL 88
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-06-01
Business code 622000
Sponsor’s telephone number 6067232113
Plan sponsor’s mailing address 60 MERCY COURT, IRVINE, KY, 40336
Plan sponsor’s address 60 MERCY COURT, IRVINE, KY, 40336

Plan administrator’s name and address
Administrator’s EIN 610927461
Plan administrator’s name MARCUM & WALLACE MEMORIAL HOSPITAL
Plan administrator’s address 60 MERCY COURT, IRVINE, KY, 40336
Administrator’s telephone number 6067232113

Number of participants as of the end of the plan year
Active participants 88

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing SUSAN STARLING
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
BEN CORNELISON Incorporator
SISTER M. DENISE GOUGH, Incorporator
SISTER NANCY KORDENBROCK Incorporator
FRANCIS GREEN MILLER Incorporator
SISTER M. ANDREA COLLOPY Incorporator

Director

Name Role
MR. BEN CORNELISON Director
SISTER M. ANDREA COLLOPY Director
MICHAEL HARDY Director
SR. PATRICIA RICE Director
FRANK KINCAID Director
DARRELL BILLING Director
JANICE BUSH Director
SISTER NANCY KORDENBROCK Director
SISTER M. DENISE GOUGH, Director
FRANCIS GREEN MILLER Director

Secretary

Name Role
STEPHEN JACKSON Secretary

Registered Agent

Name Role
SUSAN L. STARLING Registered Agent

Signature

Name Role
CURTIS DAVIS Signature
ANN K MILLER Signature

President

Name Role
RODNEY DAVIS President

Vice President

Name Role
CURTIS DAVIS Vice President

Treasurer

Name Role
STEPHEN JACKSON Treasurer

Former Company Names

Name Action
ESTILL COUNTY HOSPITAL, INC. Old Name
MARCUM AND WALLACE MEMORIAL HOSPITAL, INC. Old Name
MARCUM & WALLACE MEMORIAL HOSPITAL, INC.. Type Conversion

Assumed Names

Name Status Expiration Date
MERCY HEALTH-MARCUM & WALLACE HOSPITAL AUXILIARY Active 2029-07-26
MERCY HEALTH - MARCUM AND WALLACE HOSPITAL Active 2028-05-18
MERCY HEALTH - MARCUM AND WALLACE SURGERY Active 2028-05-18
HARNESS HEALTH PHARMACY #220 Active 2027-11-01
MARCUM & WALLACE MEMORIAL HOSPITAL, INC. Active 2027-01-01
MERCY SURGERY CLINIC Inactive 2022-03-07
MARCUM & WALLACE MEMORIAL HOSPITAL Inactive 2020-10-29
CONVENIENT CARE MARCUM & WALLACE MEMORIAL HOSPITAL Inactive 2008-07-15

Filings

Name File Date
Certificate of Assumed Name 2024-07-26
Annual Report 2024-05-15
Name Renewal 2023-05-08
Name Renewal 2023-05-08
Annual Report 2023-03-08
Registered Agent name/address change 2023-03-08
Certificate of Assumed Name 2022-11-01
Registered Agent name/address change 2022-08-29
Annual Report 2022-03-14
Name Renewal 2021-12-14

Related by officers

BEN CORNELISON

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FRANCIS GREEN MILLER

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SISTER M. ANDREA COLLOPY

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STEPHEN JACKSON

MIDDLETOWN VILLA CONDOS, LLC JJAF PROPERTIES, LLC WKO HOLDINGS, LLC

CURTIS DAVIS

CURT DAVIS TRUCK REPAIR, LLC. DAVCOR LTD CO

RODNEY DAVIS

THE MORTGAGE CENTER L.L.C. COMMONWEALTH CARE INCORPORATED BOURBON CITY HOOP FEST, LLC

MICHAEL HARDY

RICE STATION CHRISTIAN CHURCH OF ESTILL COUNTY, KENTUCKY, INC. POP TECHNOLOGY, INC. POP TECHNOLOGY MARKETING, LLC ESTILL COUNTY ATHLETIC FOUNDATION FOR EXCELLENCE, INC.

FRANK KINCAID

W.O. JOHNSON AMERICAN LEGION POST 89 INC.

Related by address

No related companies by address

Date of last update: 14 Jan 2025

Sources: Kentucky Secretary of State

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