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HOSPICE OF LAKE CUMBERLAND, INC.

Company Details

Name: HOSPICE OF LAKE CUMBERLAND, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 23 Jul 1984 (41 years ago)
Organization Date: 23 Jul 1984 (41 years ago)
Last Annual Report: 29 Feb 2024 (a year ago)
Organization Number: 0191905
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 100 PARKWAY DRIVE, SOMERSET, KY 42503
Place of Formation: KENTUCKY

President

Name Role
GREG REDMON President

Director

Name Role
KARA HAWK Director
MARK ROSS Director
RON GLEAVES Director
ROBIN TARTER Director
LINDA FRYE Director
JAY MCSHURLEY Director
GENE CHESHIRE Director
ROSCOE KELLEY Director
RENNY SMITH Director
MILLIE WEAVER Director

Incorporator

Name Role
JERRY ROGERS Incorporator
GERARD WEIGEL, M.D. Incorporator
SALLY MULLINS Incorporator

Registered Agent

Name Role
EURETHA GODBY Registered Agent

Secretary

Name Role
PAT TAYLER Secretary

Treasurer

Name Role
JENNIFER ROBERTSON Treasurer

Vice President

Name Role
DERRICK TERRY Vice President

National Provider Identifier

NPI Number:
1851494124

Authorized Person:

Name:
MR. BRIAN J DAVIS
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
6066792971

Form 5500 Series

Employer Identification Number (EIN):
311118731
Plan Year:
2023
Number Of Participants:
80
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
79
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
72
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
62
Sponsors Telephone Number:

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Charitable Gaming EXE0002482 Exempt Organization Inactive - - - - Somerset, PULASKI, KY

Former Company Names

Name Action
SOMERSET PULASKI COUNTY COMMUNITY HOSPICE Old Name

Filings

Name File Date
Annual Report 2024-02-29
Annual Report 2023-04-21
Annual Report 2022-03-24
Annual Report 2021-06-30
Annual Report 2020-04-23

USAspending Awards / Financial Assistance

Date:
2020-04-08
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:
974000.00
Total Face Value Of Loan:
974000.00

Tax Exempt

Employer Identification Number (EIN) :
31-1118731
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:
1985-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
974000
Current Approval Amount:
974000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
981764.94

Sources: Kentucky Secretary of State