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  5. ELIZABETHTOWN ANIMAL HOSPITAL, INC.

ELIZABETHTOWN ANIMAL HOSPITAL, INC.

Company Details

Name: ELIZABETHTOWN ANIMAL HOSPITAL, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 15 Dec 1983 (41 years ago)
Organization Date: 15 Dec 1983 (41 years ago)
Last Annual Report: 12 Feb 2025 (2 months ago)
Organization Number: 0184555
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 831 RING RD., ELIZABETHTOWN, KY 42701
Place of Formation: KENTUCKY
Common No Par Shares: 500

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELIZABETHTOWN ANIMAL HOSPITAL CBS BENEFIT PLAN 2023 611039063 2024-12-30 ELIZABETHTOWN ANIMAL HOSPITAL 12
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING RD, ELIZABETHTOWN, KY, 42701

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2023 611039063 2024-07-18 ELIZABETHTOWN ANIMAL HOSPITAL, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing SHANNON C. HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing SHANNON C. HALL
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL CBS BENEFIT PLAN 2022 611039063 2023-12-27 ELIZABETHTOWN ANIMAL HOSPITAL 13
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING RD, ELIZABETHTOWN, KY, 42701

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2022 611039063 2023-05-09 ELIZABETHTOWN ANIMAL HOSPITAL, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2023-05-09
Name of individual signing SHANNON C. HALL
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL CBS BENEFIT PLAN 2021 611039063 2022-12-29 ELIZABETHTOWN ANIMAL HOSPITAL 15
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING RD, ELIZABETHTOWN, KY, 42701

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2021 611039063 2022-05-12 ELIZABETHTOWN ANIMAL HOSPITAL, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2022-05-12
Name of individual signing MARK A. NALL
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2020 611039063 2021-06-09 ELIZABETHTOWN ANIMAL HOSPITAL, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2021-06-09
Name of individual signing MARK A. NALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-09
Name of individual signing MARK A. NALL
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2019 611039063 2020-06-24 ELIZABETHTOWN ANIMAL HOSPITAL, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing MARK A. NALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-24
Name of individual signing MARK A. NALL
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2018 611039063 2019-05-13 ELIZABETHTOWN ANIMAL HOSPITAL, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing SHANNON C. HALL
Valid signature Filed with authorized/valid electronic signature
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2017 611039063 2018-07-26 ELIZABETHTOWN ANIMAL HOSPITAL, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing SHANNON C. HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/12/20170612065726P040002388909001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541940
Sponsor’s telephone number 2707378220
Plan sponsor’s address 831 RING ROAD, ELIZABETHTOWN, KY, 42701

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing SHANNON C. HALL
Valid signature Filed with authorized/valid electronic signature

Vice President

Name Role
Jeremy L Yates Vice President
Ben A Yates Vice President

Registered Agent

Name Role
M. A. NALL Registered Agent

President

Name Role
M Chad Bailey President

Secretary

Name Role
Mark A Nall Secretary

Treasurer

Name Role
Grant T Whobrey Treasurer

Director

Name Role
L. C. GORE Director
A. L. YATES Director
M. L. THOMAS Director

Incorporator

Name Role
L. C. GORE Incorporator
A. L. YATES Incorporator
M. L. THOMAS Incorporator

Filings

Name File Date
Annual Report 2025-02-12
Annual Report 2024-02-29
Annual Report 2023-04-26
Annual Report 2022-04-11
Annual Report 2021-04-06
Annual Report 2020-03-24
Annual Report 2019-06-05
Annual Report 2018-04-03
Registered Agent name/address change 2018-03-29
Annual Report 2017-05-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5644427000 2020-04-06 0457 PPP 831 RING RD, ELIZABETHTOWN, KY, 42701-8724
Loan Status Date 2021-04-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 251200
Loan Approval Amount (current) 251200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27775
Servicing Lender Name South Central Bank, Inc.
Servicing Lender Address 501 S L Rogers Wells Blvd, GLASGOW, KY, 42141
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ELIZABETHTOWN, HARDIN, KY, 42701-8724
Project Congressional District KY-02
Number of Employees 35
NAICS code 541940
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 27775
Originating Lender Name South Central Bank, Inc.
Originating Lender Address GLASGOW, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 253614.31
Forgiveness Paid Date 2021-03-29

Related by officers

Mark A Nall

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M. L. THOMAS

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Related by address

No related companies by address

Sources: Kentucky Secretary of State

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