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BOWLING GREEN-WARREN COUNTY PRIMARY CARE CENTER, INC.

Company Details

Name: BOWLING GREEN-WARREN COUNTY PRIMARY CARE CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 28 May 1987 (38 years ago)
Organization Date: 28 May 1987 (38 years ago)
Last Annual Report: 05 Feb 2025 (a month ago)
Organization Number: 0229752
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42102
City: Bowling Green
Primary County: Warren County
Principal Office: 225 NATCHEZ TRACE AVENUE, P O BOX 1177, BOWLING GREEN, KY 42102-1177
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
C166A3KB66Y1 2025-02-14 225 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103, 7995, USA 225 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103, 7995, USA

Business Information

Congressional District 02
State/Country of Incorporation KY, USA
Activation Date 2024-02-19
Initial Registration Date 2003-11-11
Entity Start Date 2001-06-25
Fiscal Year End Close Date Feb 28

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JOHN LILLYBRIDGE
Role CEO
Address 225 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103, 7995, USA
Government Business
Title PRIMARY POC
Name JOHN LILLYBRIDGE
Role CEO
Address 225 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103, 7995, USA
Past Performance
Title PRIMARY POC
Name JOHN LILLYBRIDGE
Role CEO
Address 225 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103, USA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300S8XHWEWWHNOB46 0229752 US-KY GENERAL ACTIVE 1987-05-28

Addresses

Legal C/O JOHN LILLYBRIDGE, 225 NATCHEZ TRACE AVENUE, BOWLING GREEN, US-KY, US, 42103
Headquarters C/O JOHN LILLYBRIDGE, 225 NATCHEZ TRACE AVENUE, BOWLING GREEN, US-KY, US, 42103

Registration details

Registration Date 2018-04-26
Last Update 2023-10-19
Status LAPSED
Next Renewal 2023-10-18
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 0229752

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRVIEW COMMUNITY HEALTH CENTER 401(K) PLAN 2016 611386859 2017-07-20 BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621111
Sponsor’s telephone number 2703939426
Plan sponsor’s address 615 7TH AVENUE, BOWLING GREEN, KY, 42101

Signature of

Role Plan administrator
Date 2017-07-20
Name of individual signing JOHN LILLYBRIDGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing JOHN LILLYBRIDGE
Valid signature Filed with authorized/valid electronic signature

President

Name Role
Charles Wallace President

Vice President

Name Role
April Baker Vice President

Secretary

Name Role
Brandy Zachery Secretary

Treasurer

Name Role
David Sparks Treasurer

Director

Name Role
Charles Wallace Sr. Director
Michelle Cole Director
April Baker Director
David Sparks Director
Michael Hubbard Director
Janice Brady Director
Lori Mitts Director
Yvette Coleman Director
Vicki Beach Director
Brandy Zachery Director

Registered Agent

Name Role
JOHN LILLYBRIDGE Registered Agent

Incorporator

Name Role
CHARLES D. BUNCH Incorporator

Assumed Names

Name Status Expiration Date
THE FAIRVIEW COMMUNITY HEALTH CENTER Inactive 2021-02-16

Filings

Name File Date
Annual Report 2025-02-05
Annual Report 2024-05-15
Annual Report 2023-03-16
Annual Report 2022-03-03
Registered Agent name/address change 2021-02-09
Annual Report 2021-02-09
Annual Report 2020-02-12
Registered Agent name/address change 2019-05-28
Annual Report 2019-05-28
Principal Office Address Change 2019-05-28

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C81CS13892 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient BOWLING GREEN-WARREN COUNTY PRIMARY CARE CENTER, INC.
Recipient Name Raw BOWLING GREEN-WARREN CTY PRI CARE CTR DBA FAI
Recipient UEI C166A3KB66Y1
Recipient DUNS 135748288
Recipient Address P.O. BOX 1177, BOWLING GREEN, WARREN, KENTUCKY, 42101, UNITED STATES
Obligated Amount 564650.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11566 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient BOWLING GREEN-WARREN COUNTY PRIMARY CARE CENTER, INC.
Recipient Name Raw BOWLING GREEN-WARREN CTY PRI CARE CTR DBA FAI
Recipient UEI C166A3KB66Y1
Recipient DUNS 135748288
Recipient Address P.O. BOX 1177, BOWLING GREEN, WARREN, KENTUCKY, 42101, UNITED STATES
Obligated Amount 244525.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00856 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2003-03-01 2014-02-28 HEALTH CENTER CLUSTER
Recipient BOWLING GREEN-WARREN COUNTY PRIMARY CARE CENTER, INC.
Recipient Name Raw BOWLING GREEN-WARREN CTY PRI CARE CTR DBA FAI
Recipient UEI C166A3KB66Y1
Recipient DUNS 135748288
Recipient Address P.O. BOX 1177, BOWLING GREEN, WARREN, KENTUCKY, 42101, UNITED STATES
Obligated Amount 13375534.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-1386859 Corporation Unconditional Exemption 225 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103-7995 2001-09
In Care of Name % JOHN LILLYBRIDGE
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2024-02
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Feb
Asset Amount 14549574
Income Amount 8594602
Form 990 Revenue Amount 8594602
National Taxonomy of Exempt Entities Education: Education N.E.C.
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER INC
EIN 61-1386859
Tax Period 202302
Filing Type E
Return Type 990
File View File
Organization Name BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER INC
EIN 61-1386859
Tax Period 202202
Filing Type E
Return Type 990
File View File
Organization Name BOWLING GREEN WARREN COUNTY PRIMARY CARE CENTER INC
EIN 61-1386859
Tax Period 202002
Filing Type E
Return Type 990
File View File
Organization Name BOWLING GREEN - WARREN COUNTY PRIMARY CARE CENTER INC
EIN 61-1386859
Tax Period 201902
Filing Type E
Return Type 990
File View File
Organization Name BOWLING GREEN - WARREN COUNTY PRIMARY CARE CENTER INC
EIN 61-1386859
Tax Period 201702
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5646147101 2020-04-13 0457 PPP 225 NATCHEZ TRACE AVE, BOWLING GREEN, KY, 42103-7995
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 800600
Loan Approval Amount (current) 800600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOWLING GREEN, WARREN, KY, 42103-7995
Project Congressional District KY-02
Number of Employees 93
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 805270.17
Forgiveness Paid Date 2020-11-19

Sources: Kentucky Secretary of State