| Name: | PENNYRILE HOME MEDICAL, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| Organization Date: | 02 Jan 1985 (40 years ago) |
| Last Annual Report: | 15 Mar 2025 (a month ago) |
| Organization Number: | 0196922 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42241 |
| City: | Hopkinsville |
| Primary County: | Christian County |
| 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 |
|---|---|
| Emily D Chesnut | Vice President |
| Name | Role |
|---|---|
| JOE CLEMENT | Director |
| DAVE CHESNUT | Director |
| Name | Role |
|---|---|
| David B Chesnut | President |
| Name | Role |
|---|---|
| DAVID CHESNUT | Registered Agent |
| Name | Role |
|---|---|
| JOE CLEMENT | Incorporator |
| DAVE CLEMENT | Incorporator |
| Department | License Number | License Type / Line of Authority | Status | Issue Date | Effective Date | Inactive Date | Expiry Date | Address |
|---|---|---|---|---|---|---|---|---|
| Department of Professional Licensing | 272578 | Home Medical Equipment and Services Provider | Expired | 2021-08-12 | - | - | 2023-09-30 | 830 Fairview Ave., Ste. B5, Bowling Green, KY 42101 |
| Department of Professional Licensing | 169485 | Home Medical Equipment and Services Provider | Active | 2012-08-07 | - | - | 2026-09-30 | 7654 Eagle Way, Hopkinsville, KY 42240 |
| Department of Professional Licensing | 169484 | Home Medical Equipment and Services Provider | Expired | 2012-08-07 | - | - | 2018-09-30 | 307 East Main Street, Cadiz, KY 42211 |
| Department of Professional Licensing | 169486 | Home Medical Equipment and Services Provider | Expired | 2012-08-07 | - | - | 2015-11-23 | 2975 Lone Oak Road, Paducah, KY 42003 |
| Agency Interest Id | Program | Activity Type | Current Milestone | Issued Date | Milestone Date | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 166697 | Wastewater | KPDES Ind Storm Gen Const | Approval Issued | 2020-09-29 | 2020-09-29 | |||||||||
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| Name | Action |
|---|---|
| CLEMENT HEALTH SERVICES CO. | Old Name |
| Name | Status | Expiration Date |
|---|---|---|
| WESTERN KENTUCKY CULLIGAN | Inactive | 2003-07-15 |
| Name | File Date |
|---|---|
| Annual Report | 2025-03-15 |
| Annual Report Amendment | 2025-03-15 |
| Annual Report | 2024-02-28 |
| Annual Report | 2023-04-20 |
| Principal Office Address Change | 2022-09-19 |
| Registered Agent name/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 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | VA6261X4360 | 2011-02-28 | 2011-02-28 | 2011-02-28 | |||||||||||||||||||||
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| Title | PROSTHETICS |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
| Recipient | PENNYRILE HOME MEDICAL, INC |
| UEI | SH67LN24L7H1 |
| Legacy DUNS | 192172617 |
| Recipient Address | 307 MAIN ST, CADIZ, 422119104, UNITED STATES |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8689307007 | 2020-04-08 | 0457 | PPP | 217 BURLEY AVE, HOPKINSVILLE, KY, 42240-8725 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Branch | Contract Id | Procurement Type | Begin Date | End Date | Amount | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Executive | 1900010286 | Standard Goods and Services | - | - | 1117 | |||||||
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| Executive | 2200001831 | Standard Goods and Services | - | - | 2200 | |||||||
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| Executive | 2400000442 | Standard Goods and Services | - | - | 19430 | |||||||
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| Executive | 2400005932 | Standard Goods and Services | - | - | 1200 | |||||||
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| Executive | 2500001693 | Standard Goods and Services | - | - | 15141 | |||||||
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| Executive | 2300001212 | Standard Goods and Services | 2022-09-01 | 2023-06-30 | 13950.6 | |||||||
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| Executive | 2200001128 | Standard Goods and Services | 2021-10-25 | 2022-10-24 | 14505.5 | |||||||
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| Executive | 2100002503 | Standard Goods and Services | 2020-10-25 | 2021-10-24 | 14516 | |||||||
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| Executive | 1900003402 | Standard Goods and Services | 2018-10-25 | 2020-10-24 | 26736 | |||||||
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| Branch | Date of Service | Fiscal Year | Cabinet | Department | Classification | Item Name | Amount |
|---|---|---|---|---|---|---|---|
| Executive | 2025-02-14 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 85 |
| Executive | 2025-01-14 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 2442 |
| Executive | 2025-01-08 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 479 |
| Executive | 2024-12-04 | 2025 | Education and Labor Cabinet | Department For Workforce Investment | Fin Assist/Non-State Emp | Rehab-Client Serv Cst-1099 Rpt | 16731.68 |
| Executive | 2024-12-02 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 350 |
| Executive | 2024-11-25 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 3 |
| Executive | 2024-11-25 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Supplies | Medical Supplies | 9.5 |
| Executive | 2024-11-21 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 951 |
| Executive | 2024-11-20 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 756 |
| Executive | 2024-10-07 | 2025 | Health & Family Services Cabinet | Behavioral Health, Developmental & Intellectual Disabilities | Rentals | Rental Of Equipment-1099 Rept | 18 |
Sources: Kentucky Secretary of State
