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LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.

Company Details

Name: LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Organization Date: 31 Jan 1964 (61 years ago)
Last Annual Report: 07 Mar 2024 (10 months ago)
Organization Number: 0158547
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42078
Primary County: Livingston
Principal Office: 131 HOSPITAL DRIVE, SALEM, KY 42078
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES RETIREMENT PLAN 2023 610518022 2024-06-25 LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. 194
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-07-01
Business code 622000
Sponsor’s telephone number 2709887280
Plan sponsor’s address 131 HOSPITAL DRIVE, SALEM, KY, 42078
KY HOSPITAL EMPLOYEE HEALTH BENEFIT DENTAL PLAN 2011 610518022 2012-10-15 LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. 91
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Three-digit plan number (PN) 502
Effective date of plan 1990-09-01
Business code 622000
Sponsor’s telephone number 2709887280
Plan sponsor’s address 131 HOSPITAL DRIVE, SALEM, KY, 42078

Plan administrator’s name and address

Administrator’s EIN 610518022
Plan administrator’s name LIVINGSTON HOSPITAL AND HEALTHCARE
Plan administrator’s address 131 HOSPITAL DRIVE, SALEM, KY, 42078
Administrator’s telephone number 2709887280

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing CARLA WIGGINS
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
ROSCOE FAULKNER Director
Larry McGregor Director
William Barnes Director
William Guyette Director
Stephen Williams Director
Ghassan Yazigi Director
Jared Florence Director
Brad Housman Director
Andy Fox Director
Allen White Director

Incorporator

Name Role
ROSCOE FAULKNER Incorporator
TOMMYE MAY Incorporator
SHELBY VAUGHN Incorporator
G. D. KITCHEN Incorporator
W. B. BUTLER Incorporator
J. R. DEBOE Incorporator
ROBERT SPRAGUE Incorporator
S. D. LOYD Incorporator
EDWARD F. RILEY Incorporator
WAYNE NELSON Incorporator

Registered Agent

Name Role
ROD SHANE WHITTINGTON Registered Agent

President

Name Role
Barry Chittenden President

Secretary

Name Role
Jim Belt Secretary

Vice President

Name Role
Susan Alexander Vice President

Former Company Names

Name Action
COMMUNITY MEDICAL CENTER, INCORPORATED Old Name
LIVINGSTON COUNTY HOSPITAL, INC. Old Name

Assumed Names

Name Status Expiration Date
EDDYVILLE FAMILY MEDICAL Inactive 2022-12-05

Filings

Name File Date
Annual Report 2024-03-07
Annual Report 2023-07-27
Annual Report 2022-07-28
Amended and Restated Articles 2022-01-11
Registered Agent name/address change 2021-12-01
Annual Report 2021-05-24
Annual Report 2020-06-01
Annual Report 2019-04-19
Annual Report 2018-05-17
Name Renewal 2017-08-04

Date of last update: 11 Jan 2025

Sources: Kentucky Secretary of State