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ELIZABETHTOWN ANIMAL HOSPITAL, INC.

Company Details

Name: ELIZABETHTOWN ANIMAL HOSPITAL, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 15 Dec 1983 (41 years ago)
Organization Date: 15 Dec 1983 (41 years ago)
Last Annual Report: 29 Feb 2024 (a year ago)
Organization Number: 0184555
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42701
Primary County: Hardin
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 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 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 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 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
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN 2016 611039063 2017-06-12 ELIZABETHTOWN ANIMAL HOSPITAL, INC 19
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 2017-06-12
Name of individual signing SHANNON C. HALL
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
M. A. NALL Registered Agent

Vice President

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

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 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
Annual Report 2016-03-07

Date of last update: 09 Dec 2024

Sources: Kentucky Secretary of State