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LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX, INC.

Company Details

Name: LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 22 Nov 1988 (36 years ago)
Organization Date: 22 Nov 1988 (36 years ago)
Last Annual Report: 20 Mar 2025 (a month ago)
Organization Number: 0251219
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 130 FLOYD STREET, SUITE 100, SOMERSET, KY 42503
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
P8JKDXY54JM3 2025-01-31 130 FLOYD ST, APT 100, SOMERSET, KY, 42503, 2808, USA 130 FLOYD STREET, SUITE 100, SOMERSET, KY, 42503, 3814, USA

Business Information

Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2024-02-21
Initial Registration Date 2017-08-29
Entity Start Date 1989-04-05
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 624120

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JANNIE BAKER
Role HOUSING SPECIALIST
Address 130 FLOYD STREET, SUITE 100, SOMERSET, KY, 42503, USA
Title ALTERNATE POC
Name TRACIE HORTON
Role EXECUTIVE DIRECTOR
Address 130 SOUTHERN SCHOOL ROAD, SOMERSET, KY, 42503, USA
Government Business
Title PRIMARY POC
Name JANNIE BAKER
Role HOUSING SPECIALIST
Address 130 FLOYD STREET, SUITE 100, SOMERSET, KY, 42503, USA
Title ALTERNATE POC
Name TRACIE HORTON
Role EXECUTIVE DIRECTOR
Address 130 SOUTHERN SCHOOL ROAD, SOMERSET, KY, 42503, USA
Past Performance Information not Available

Director

Name Role
Lisa Isaacs Director
DR. ROSCOE KELLY Director
Claude Tiller Director
JANE ANN BOTZMAN Director
JEFFREY SCOTT LAWLESS Director
WILLIAM MOORE Director
CHARLES HARRIS Director
ANNE TACKETT Director
EMILY UNTHANK Director
JORDAN POLSTON Director

Registered Agent

Name Role
JANNIE BAKER Registered Agent

Treasurer

Name Role
JANE ANN BOTZMAN Treasurer

Secretary

Name Role
JANE ANN BOTZMAN Secretary

Incorporator

Name Role
WILLIAM MOORE Incorporator

Vice President

Name Role
LISA ISAACS Vice President

Signature

Name Role
CLAUDE TILLER Signature

President

Name Role
CLAUDE TILLER President

Filings

Name File Date
Annual Report 2025-03-20
Annual Report 2024-05-17
Annual Report 2023-04-21
Annual Report 2022-05-13
Annual Report 2021-05-21
Annual Report 2020-04-08
Annual Report 2019-06-12
Annual Report 2018-05-23
Annual Report 2017-04-17
Annual Report 2016-03-21

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-1150057 Corporation Unconditional Exemption 130 FLOYD ST APT 100, SOMERSET, KY, 42503-2808 1989-04
In Care of Name -
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 Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 485275
Income Amount 373084
Form 990 Revenue Amount 373084
National Taxonomy of Exempt Entities -
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 LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX INC
EIN 61-1150057
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX INC
EIN 61-1150057
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX INC
EIN 61-1150057
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX INC
EIN 61-1150057
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX INC
EIN 61-1150057
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name LAKE CUMBERLAND MR INDEPENDENT LIVING COMPLEX INC
EIN 61-1150057
Tax Period 201612
Filing Type P
Return Type 990
File View File

Sources: Kentucky Secretary of State