| Name: | NURSING HOME OMBUDSMAN AGENCY OF THE BLUEGRASS, INC. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Non-profit |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| File Date: | 18 Nov 1981 (43 years ago) |
| Organization Date: | 18 Nov 1981 (43 years ago) |
| Last Annual Report: | 28 Feb 2024 (a year ago) |
| Organization Number: | 0161717 |
| Industry: | Social Services |
| Number of Employees: | Medium (20-99) |
| ZIP code: | 40517 |
| Primary County: | Fayette |
| Principal Office: | 3138 CUSTER DRIVE, SUITE 110, LEXINGTON, KY 40517 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAX DEFERRED ANNUITY PLAN OF NURSING HOME OMBUDSMAN AGENCY, INC. | 2011 | 610996520 | 2012-07-26 | NURSING HOME OMBUDSMAN AGENCY OF THE BLUEGRASS, INC. | 1 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 610996520 |
| Plan administrator’s name | NURSING HOME OMBUDSMAN AGENCY OF THE BLUEGRASS, INC. |
| Plan administrator’s address | 1530 NICHOLASVILLE ROAD, LEXINGTON, KY, 40503 |
| Administrator’s telephone number | 8592779215 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-26 |
| Name of individual signing | SHERRY CULP |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-07-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 6062786072 |
| Plan sponsor’s address | 1530 NICHOLASVILLE RD, LEXINGTON, KY, 40503 |
Plan administrator’s name and address
| Administrator’s EIN | 610996520 |
| Plan administrator’s name | NURSING HOME OMBUDSMAN AGENCY OF THE BLUEGRASS, INC. |
| Plan administrator’s address | 1530 NICHOLASVILLE RD, LEXINGTON, KY, 40503 |
| Administrator’s telephone number | 6062786072 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | SHERRY CULP |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-08 |
| Name of individual signing | SHERRY CULP |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Stephanie Humes | President |
| Name | Role |
|---|---|
| Donna Smith | Treasurer |
| Name | Role |
|---|---|
| Don Pasley | Director |
| Karen Williams | Director |
| Ryles Kjellsen | Director |
| Name | Role |
|---|---|
| Brian Dufresne | Vice President |
| Name | Role |
|---|---|
| DENISE WELLS | Registered Agent |
| Name | Action |
|---|---|
| BLUEGRASS LONG TERM CARE OMBUDSMAN PROGRAM, INC. | Old Name |
| Name | File Date |
|---|---|
| Annual Report | 2024-02-28 |
| Annual Report | 2023-03-14 |
| Annual Report | 2022-03-09 |
| Annual Report | 2021-04-07 |
| Registered Agent name/address change | 2020-02-12 |
| Annual Report | 2020-02-12 |
| Annual Report | 2019-04-25 |
| Annual Report | 2018-04-10 |
| Annual Report | 2017-05-04 |
| Registered Agent name/address change | 2016-06-17 |
Date of last update: 08 Jan 2025
Sources: Kentucky Secretary of State
