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HAYSWOOD HEALTH SERVICES, INC.

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Company Details

Name: HAYSWOOD HEALTH SERVICES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 17 Nov 1982 (43 years ago)
Organization Date: 17 Nov 1982 (43 years ago)
Last Annual Report: 13 Mar 2024 (a year ago)
Organization Number: 0172188
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 41056
City: Maysville, Sardis
Primary County: Mason County
Principal Office: 207 Stanley Reed Court , FL 3, MAYSVILLE, KY 41056
Place of Formation: KENTUCKY

Secretary

Name Role
ANNLYN F PURDON Secretary

Director

Name Role
WM DAVID GREEN Director
PHILIP F. CASELLO Director
THERESA MITCHELL Director
GARY HERBEK Director
R. DENNISON KELLER, SR. Director
MARION RUSSELL Director
JUDY VANCE Director
RODNEY BAKER Director
ROBERT ROSS Director
RICK LAWRENCE Director

Incorporator

Name Role
HAYSWOOD HOSPITAL, INC. Incorporator

Registered Agent

Name Role
ANNLYN F. PURDON Registered Agent

Treasurer

Name Role
ANNLYN F PURDON Treasurer

President

Name Role
ROBERT ROSS President

Vice President

Name Role
RODNEY BAKER Vice President

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
3V7Y8
UEI Expiration Date:
2019-11-14

Business Information

Activation Date:
2018-11-16
Initial Registration Date:
2004-05-25

National Provider Identifier

NPI Number:
1669426748
Certification Date:
2024-02-07

Authorized Person:

Name:
MS. ANNLYN FURNIER PURDON
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
6065649484

Filings

Name File Date
Annual Report 2024-03-13
Principal Office Address Change 2024-03-13
Registered Agent name/address change 2024-03-13
Annual Report 2023-04-24
Annual Report 2022-01-13

USAspending Awards / Financial Assistance

Date:
2021-02-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
343040.00
Total Face Value Of Loan:
343040.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
290057.50
Total Face Value Of Loan:
290057.50

Tax Exempt

Employer Identification Number (EIN) :
61-1013557
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:
1983-09
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
290057.5
Current Approval Amount:
290057.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
291757.56
Date Approved:
2021-02-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
343040
Current Approval Amount:
343040
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
346413.23

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Sources: Kentucky Secretary of State