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CALDWELL COUNTY HOSPITAL, INC.

Company Details

Name: CALDWELL COUNTY HOSPITAL, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 02 Jun 1947 (78 years ago)
Organization Date: 02 Jun 1947 (78 years ago)
Last Annual Report: 05 Mar 2024 (10 months ago)
Organization Number: 0157029
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42445
Primary County: Caldwell
Principal Office: 100 MEDICAL CENTER DRIVE, P. O. BOX 410, PRINCETON, KY 42445
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2023 610432526 2024-10-01 CALDWELL COUNTY HOSPITAL, INC. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2022 610432526 2023-10-13 CALDWELL COUNTY HOSPITAL, INC. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2021 610432526 2022-10-17 CALDWELL COUNTY HOSPITAL, INC. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2020 610432526 2021-10-12 CALDWELL COUNTY HOSPITAL, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2019 610432526 2020-09-09 CALDWELL COUNTY HOSPITAL, INC. 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2018 610432526 2019-09-20 CALDWELL COUNTY HOSPITAL, INC. 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2017 610432526 2018-10-12 CALDWELL COUNTY HOSPITAL, INC. 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2016 610432526 2017-10-16 CALDWELL COUNTY HOSPITAL, INC. 33
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2015 610432526 2016-10-17 CALDWELL COUNTY HOSPITAL, INC. 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing JOSEPH GRAY
Valid signature Filed with authorized/valid electronic signature
CALDWELL COUNTY HOSPITAL, INC. PROFIT SHARING PLAN 2014 610432526 2015-10-15 CALDWELL COUNTY HOSPITAL, INC. 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address

Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing JOSEPH GRAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015122417P040021046285003.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address

Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015145400P040015336101003.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address

Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/08/20121008095121P030000614964001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address

Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445
Administrator’s telephone number 2703650300

Signature of

Role Plan administrator
Date 2012-10-08
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/14/20111014121546P030149027201002.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address

Administrator’s EIN 610432526
Plan administrator’s name CHARLES LOVELL, JR.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445
Administrator’s telephone number 2703650300

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/04/20101004150827P040002970642002.pdf
Three-digit plan number (PN) 003
Effective date of plan 1991-07-01
Business code 622000
Sponsor’s telephone number 2703650300
Plan sponsor’s address P.O. BOX 410, PRINCETON, KY, 42445

Plan administrator’s name and address

Administrator’s EIN 610432526
Plan administrator’s name CALDWELL COUNTY HOSPITAL, INC.
Plan administrator’s address P.O. BOX 410, PRINCETON, KY, 42445
Administrator’s telephone number 2703650300

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing CHARLES LOVELL, JR.
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
B. TODD WETZEL Registered Agent

Director

Name Role
HENRY SEVISON Director
CLYDE O. WOOD Director
GRAYSON HARRALSON Director
ALTON TEMPLETON Director
J. B. LESTER Director
Joe Falder Director
Joe Gray Director
Brent Bugg Director
Pat Lander Director
David Lee Oliver, DDS Director

Incorporator

Name Role
J. B. LESTER Incorporator
HENRY SEVISON Incorporator
CLYDE O. WOOD Incorporator
ALTON TEMPLETON Incorporator
GRAYSON HARRALSON Incorporator

Secretary

Name Role
David Lee Oliver, DDS Secretary

Officer

Name Role
Brent Bugg Officer

Former Company Names

Name Action
CALDWELL COUNTY WAR MEMORIAL HOSPITAL, INCORPORATED Old Name
CALDWELL COUNTY WAR MEMORIAL HOSPITAL AND SKILLED NURSING FACILITY, INCORPORATED Old Name

Assumed Names

Name Status Expiration Date
CALDWELL MEDICAL ASSOCIATES Active 2028-06-05
CALDWELL MEDICAL CENTER Active 2028-06-05

Filings

Name File Date
Annual Report 2024-03-05
Name Renewal 2023-06-05
Name Renewal 2023-06-05
Annual Report 2023-03-15
Annual Report 2022-03-28
Annual Report 2021-02-10
Annual Report 2020-02-28
Annual Report 2019-04-18
Amendment 2019-03-01
Certificate of Assumed Name 2018-06-21

Date of last update: 13 Jan 2025

Sources: Kentucky Secretary of State