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  5. LIFELINE HOMECARE, INC.

LIFELINE HOMECARE, INC.

Headquarter

Company Details

Name: LIFELINE HOMECARE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Mar 1989 (36 years ago)
Organization Date: 24 Mar 1989 (36 years ago)
Last Annual Report: 16 May 2024 (10 months ago)
Organization Number: 0256366
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42502
City: Somerset
Primary County: Pulaski County
Principal Office: 246 POPLAR AVENUE, SUITE 3, PO BOX 429, SOMERSET, KY 42502
Place of Formation: KENTUCKY
Authorized Shares: 1000

Links between entities

Type Company Name Company Number State
Headquarter of LIFELINE HOMECARE, INC., MISSISSIPPI 980680 MISSISSIPPI
Headquarter of LIFELINE HOMECARE, INC., FLORIDA F93000002406 FLORIDA

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XK42GCUL2N96 2024-06-07 246 POPLAR AVENUE, STE 3, SOMERSET, KY, 42502, USA PO BOX 429, SOMERSET, KY, 42502, USA

Business Information
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2023-06-12
Initial Registration Date 2022-07-25
Entity Start Date 1989-07-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 624120
Product and Service Codes R401

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANTHONY ROGERS
Address 246 POPLAR AVE, SUITE 3, SOMERSET, KY, 42503, USA
Government Business
Title PRIMARY POC
Name ANTHONY ROGERS
Address 246 POPLAR AVE, SUITE 3, SOMERSET, KY, 42503, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFELINE HOMECARE INC CBS BENEFIT PLAN 2023 611161293 2024-04-29 LIFELINE HOMECARE INC 17
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-11-01
Business code 621610
Sponsor’s telephone number 6066784032
Plan sponsor’s address 246 POPLAR AVE STE 3, SOMERSET, KY, 42503

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 2024-04-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
LIFELINE HOMECARE INC CBS BENEFIT PLAN 2022 611161293 2023-12-27 LIFELINE HOMECARE INC 17
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-11-01
Business code 621610
Sponsor’s telephone number 6066784032
Plan sponsor’s address 246 POPLAR AVE STE 3, SOMERSET, KY, 42503

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 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF LIFELINE HOMECARE, INC. 2020 611161293 2021-10-12 LIFELINE HOMECARE, INC. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-04-01
Business code 621610
Sponsor’s telephone number 6066784032
Plan sponsor’s address PO BOX 429, SOMERSET, KY, 425020429

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing JAMES T. WILSON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF LIFELINE HOMECARE, INC. 2019 611161293 2020-10-05 LIFELINE HOMECARE, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-04-01
Business code 621610
Sponsor’s telephone number 6066784032
Plan sponsor’s address PO BOX 429, SOMERSET, KY, 425020429

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing JAMES T. WILSON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF LIFELINE HOMECARE, INC. 2018 611161293 2019-10-10 LIFELINE HOMECARE, INC. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-04-01
Business code 621610
Sponsor’s telephone number 6066784032
Plan sponsor’s address PO BOX 429, SOMERSET, KY, 425020429

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing JAMES T. WILSON
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
James T Wilson Secretary

Director

Name Role
Hunter B. Killen Director
James T. Wilson Director
James T. Wilson, Jr. Director
Anthony M. Rogers Director
William J. Wilson, III Director
Winter R. Huff Director
WILLIAM M. SELVIDGE, M.D Director
JAMES T. WILSON Director

Incorporator

Name Role
JAMES T. WILSON Incorporator

Vice President

Name Role
Anthony M Rogers Vice President

President

Name Role
James T Wilson President

Registered Agent

Name Role
JAMES T. WILSON Registered Agent

Assumed Names

Name Status Expiration Date
LIFELINE HOMECARE SOLUTIONS Inactive 2022-03-22

Filings

Name File Date
Annual Report 2024-05-16
Registered Agent name/address change 2023-05-02
Annual Report 2023-05-02
Annual Report 2022-06-24
Annual Report 2021-06-23
Annual Report 2020-06-02
Annual Report 2019-05-28
Annual Report 2018-04-10
Annual Report 2017-05-11
Name Renewal 2016-12-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7909237008 2020-04-08 0457 PPP 600 Clifty St Ste 16, SOMERSET, KY, 42503-1710
Loan Status Date 2021-01-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 623900
Loan Approval Amount (current) 623900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 26897
Servicing Lender Name Bank of Columbia
Servicing Lender Address 144 Public Sq, COLUMBIA, KY, 42728-1452
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SOMERSET, PULASKI, KY, 42503-1710
Project Congressional District KY-05
Number of Employees 113
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 26897
Originating Lender Name Bank of Columbia
Originating Lender Address COLUMBIA, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 629352.72
Forgiveness Paid Date 2021-03-01

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P2890287 LIFELINE HOMECARE INC - XK42GCUL2N96 246 POPLAR AVENUE, STE 3, SOMERSET, KY, 42502-
Capabilities Statement Link -
Phone Number 606-678-4032
Fax Number -
E-mail Address anthony.rogers@lifelinehomecareky.com
WWW Page -
E-Commerce Website -
Contact Person ANTHONY ROGERS
County Code (3 digit) 199
Congressional District 05
Metropolitan Statistical Area -
CAGE Code 9BZP8
Year Established 1989
Accepts Government Credit Card No
Legal Structure Corporation
Ownership and Self-Certifications -
Business Development Servicing Office KENTUCKY DISTRICT OFFICE (SBA office code 0457)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 624120
NAICS Code's Description Services for the Elderly and Persons with Disabilities
Small Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Related by officers

James T Wilson

LIFELINE HEALTH CARE, INC. JAY CONSTRUCTION CO. INCORPORATED LIFELINE MANAGEMENT, INC. DIVERSICARE, INC. LIFELINE HEALTH CARE OF KENTUCKY LIFELINE HEALTH CARE OF KENTUCKY #3, INC. LIFELINE PRIVATE DUTY SERVICES, INC. THE LIFELINE HEALTH GROUP, INC. LIFELINE CONSULTING SERVICES, INC. LIFELIGHT HOME HEALTH CARE, INC.

James T. Wilson

FIRST BANCORP, INC. CREATIVE INVESTMENT GROUP, LLC

Winter R. Huff

AXEX REALTY, LLC ATTORNEYS SERVICES OF KENTUCKY, PLLC

WILLIAM M. SELVIDGE, M.D

HELIOS CORPORATION AURORA, INC. LIFELINE HEALTH CARE OF KENTUCKY LIFELINE HEALTH CARE OF KENTUCKY #2, INC. LIFELINE PRIVATE DUTY SERVICES, INC. LIFELINE RESPIRATORY SERVICES, INC. BLOOD PROCUREMENT SERVICES, INC. NICK, LTD.

JAMES T. WILSON

DIVERSICARE REHAB SERVICES, INC. LIFELINE REALTY B.Y.O.B. CORPORATION CARL HELM DRILLING CO. KENTUCKY AIR CONTROL, INC. TRUESDELL WILSON SALES & SERVICE, INC. SOL-EN, INC. ALTERNACARE, INC. LIFELINE MANAGEMENT, INC. DIVERSICARE, INC.

Anthony M Rogers

HYPERIAL GROUP, LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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