| Name: | PENNYRILE HOME MEDICAL, INC. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| Organization Date: | 02 Jan 1985 (40 years ago) |
| Last Annual Report: | 28 Feb 2024 (a year ago) |
| Organization Number: | 0196922 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42241 |
| Primary County: | Christian |
| Principal Office: | 7654 EAGLE WAY HOPKINSVILLE, KY 42241 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 2000 |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | PENNYRILE HOME MEDICAL, INC., ILLINOIS | CORP_67045009 | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PENNYRILE HOME MEDICAL CBS BENEFIT PLAN | 2022 | 611070275 | 2023-12-27 | PENNYRILE HOME MEDICAL | 12 | |||||||||||||||||||||||||||||||
|
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| 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 |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 532400 |
| Sponsor’s telephone number | 2708899431 |
| Plan sponsor’s address | 217 BURLEY AVENUE, HOPKINSVILLE, KY, 422408725 |
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 |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 532400 |
| Sponsor’s telephone number | 2708899431 |
| Plan sponsor’s address | 307 MAIN STREET, CADIZ, KY, 42211 |
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 | 2021-12-14 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| DAVID CHESNUT | Registered Agent |
| Name | Role |
|---|---|
| DAVE CHESNUT | Director |
| JOE CLEMENT | Director |
| Name | Role |
|---|---|
| JOE CLEMENT | Incorporator |
| DAVE CLEMENT | Incorporator |
| Name | Role |
|---|---|
| David B Chesnut | President |
| Name | Role |
|---|---|
| Emily D Chesnut | Vice President |
| Name | Action |
|---|---|
| CLEMENT HEALTH SERVICES CO. | Old Name |
| Name | Status | Expiration Date |
|---|---|---|
| WESTERN KENTUCKY CULLIGAN | Inactive | 2003-07-15 |
| Name | File Date |
|---|---|
| Annual Report | 2024-02-28 |
| Annual Report | 2023-04-20 |
| Registered Agent name/address change | 2022-09-19 |
| Principal Office Address Change | 2022-09-19 |
| Annual Report | 2022-03-15 |
| Annual Report | 2021-02-09 |
| Annual Report | 2020-02-19 |
| Annual Report | 2019-04-02 |
| Annual Report | 2019-04-02 |
| Annual Report | 2018-04-10 |
Date of last update: 15 Jan 2025
Sources: Kentucky Secretary of State
