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KILGORE SAMARITAN COUNSELING CENTER, INC.

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Company Details

Name: KILGORE SAMARITAN COUNSELING CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 01 May 1987 (38 years ago)
Organization Date: 01 May 1987 (38 years ago)
Last Annual Report: 07 Mar 2024 (a year ago)
Organization Number: 0228745
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40242
City: Louisville, Briarwood, Langdon Place, Lyndon, Meadow...
Primary County: Jefferson County
Principal Office: KILGORE SAMARITAN CENTER, 918 ORMSBY LANE, LOUISVILLE, KY 40242
Place of Formation: KENTUCKY

Registered Agent

Name Role
RICHARD H. C. CLAY Registered Agent

Director

Name Role
JIM HAYNES Director
JAMES G. APPLE Director
EDITH BREED Director
PRENTICE E. BROWN, JR. Director
FINIS E. DAVIS Director
REV. GLENN DORRIS Director
Ann Schell Director
TERRY TYLER Director

Incorporator

Name Role
NIELS O. EWING Incorporator
JAMES G. APPLE Incorporator
BETTY MOSS Incorporator

President

Name Role
Fred Davis President

Secretary

Name Role
Jim Segal Secretary

Treasurer

Name Role
Lee Groza Treasurer

National Provider Identifier

NPI Number:
1831294586
Certification Date:
2021-02-22

Authorized Person:

Name:
MR. BARRY G WINSTEAD
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
Yes

Contacts:

Fax:
5023274675

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Charitable Gaming EXE0001319 Exempt Organization Active - - - - Louisville, JEFFERSON, KY

Filings

Name File Date
Annual Report 2024-03-07
Annual Report 2023-03-28
Annual Report 2022-05-04
Annual Report 2021-05-13
Annual Report 2020-03-17

USAspending Awards / Financial Assistance

Date:
2020-05-27
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:
-10000.00
Total Face Value Of Loan:
111310.00
Date:
2020-04-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-1131420
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:
1988-12
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$121,310
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$111,310
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$112,322.06
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $108,722
Healthcare: $2588

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Sources: Kentucky Secretary of State