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PENNYROYAL HOSPICE, INC.

Company Details

Name: PENNYROYAL HOSPICE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 14 Apr 1982 (43 years ago)
Organization Date: 14 Apr 1982 (43 years ago)
Last Annual Report: 07 Feb 2025 (4 months ago)
Organization Number: 0165993
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42240
City: Hopkinsville
Primary County: Christian County
Principal Office: 220 BURLEY AVENUE, HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

Incorporator

Name Role
GARY GRAGG Incorporator
LYNN COHN Incorporator
DAVID COTTHOFF Incorporator
CONNIE NILES Incorporator
ROBERT M. FRANZ Incorporator

Director

Name Role
LYNN COHN Director
DAVID COTTHOFF Director
ROBERT M. FRANZ Director
GARY GRAGG Director
CONNIE NILES Director
Tom Sholar Director
Carolyn Self Director
Stephen Underwood Director

Registered Agent

Name Role
KELLY MARTIN Registered Agent

Officer

Name Role
Rebecca Boggess Officer
Selina Pyle Officer
Kelly Martin Officer

National Provider Identifier

NPI Number:
1487626776
Certification Date:
2020-06-24

Authorized Person:

Name:
MRS. MELONY L SANDLIN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
8552707671

Form 5500 Series

Employer Identification Number (EIN):
311076528
Plan Year:
2023
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
30
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-02-07
Annual Report 2024-05-15
Annual Report 2023-03-17
Annual Report 2022-03-07
Annual Report 2021-02-10

Tax Exempt

Employer Identification Number (EIN) :
31-1076528
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1984-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Sources: Kentucky Secretary of State