| Name: | COLUMBIA MEDICAL EQUIPMENT, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Profit |
| File Date: | 13 Apr 1989 (36 years ago) |
| Organization Date: | 13 Apr 1989 (36 years ago) |
| Last Annual Report: | 14 Jun 2018 (7 years ago) |
| Organization Number: | 0257254 |
| Principal Office: | 2991 CAMPBELLSVILLE ROAD, PO BOX 550, COLUMBIA, KY 427281054 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBIA MEDICAL EQUIPMENT, INC. 401(K) PLAN | 2009 | 611157887 | 2010-10-12 | COLUMBIA MEDICAL EQUIPMENT, INC. | 29 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 611157887 |
| Plan administrator’s name | COLUMBIA MEDICAL EQUIPMENT, INC. |
| Plan administrator’s address | 2991 CAMPBELLSVILLE RD/PO BOX 550, COLUMBIA, KY, 42728 |
| Administrator’s telephone number | 2703845143 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | FRANK HARRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 2703845143 |
| Plan sponsor’s address | 2991 CAMPBELLSVILLE ROAD, COLUMBIA, KY, 42728 |
Plan administrator’s name and address
| Administrator’s EIN | 611157887 |
| Plan administrator’s name | COLUMBIA MEDICAL EQUIPMENT, INC |
| Plan administrator’s address | 2991 CAMPBELLSVILLE ROAD, COLUMBIA, KY, 42728 |
| Administrator’s telephone number | 2703845143 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-23 |
| Name of individual signing | FRANK HARRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 2703845143 |
| Plan sponsor’s address | 2991 CAMPBELLSVILLE RD/PO BOX 550, COLUMBIA, KY, 42728 |
Plan administrator’s name and address
| Administrator’s EIN | 611157887 |
| Plan administrator’s name | COLUMBIA MEDICAL EQUIPMENT, INC. |
| Plan administrator’s address | 2991 CAMPBELLSVILLE RD/PO BOX 550, COLUMBIA, KY, 42728 |
| Administrator’s telephone number | 2703845143 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-15 |
| Name of individual signing | FRANK HARRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| DAVID DOWMAN | Director |
| JERRY KNIFLEY | Director |
| BARRY N. FROST | Director |
| BARRY FROST | Director |
| Name | Role |
|---|---|
| DAVID BOWMAN | Incorporator |
| JERRY KNIFLEY | Incorporator |
| BARRY N. FROST | Incorporator |
| Name | Role |
|---|---|
| SHELDON STEPHENS CPA | Registered Agent |
| Name | Role |
|---|---|
| Barry Frost | President |
| Name | Role |
|---|---|
| Barry Frost | Secretary |
| Name | Role |
|---|---|
| Jerry Knifley | Treasurer |
| Name | Role |
|---|---|
| Jerry Knifley | Vice President |
| Department | License Number | License Type / Line of Authority | Status | Issue Date | Effective Date | Inactive Date | Expiry Date | Address |
|---|---|---|---|---|---|---|---|---|
| Department of Professional Licensing | 169842 | Home Medical Equipment and Services Provider | Expired | 2012-09-12 | - | - | 2013-05-20 | 216 Poplar Ave, Ste 100, Somerset, KY 42503 |
| Department of Professional Licensing | 169841 | Home Medical Equipment and Services Provider | Expired | 2012-09-12 | - | - | 2018-09-30 | 92 Joe T Petty Dr, Ste 700, Russell Springs, KY 42642 |
| Department of Professional Licensing | 169840 | Home Medical Equipment and Services Provider | Expired | 2012-09-12 | - | - | 2018-09-30 | 2991 Campbellsville Road, Columbia, KY 42728 |
| Department of Professional Licensing | 169839 | Home Medical Equipment and Services Provider | Expired | 2012-09-12 | - | - | 2018-09-30 | 111 Wildflower Ln, Ste B, Campbellsville, KY 42718 |
| Department of Professional Licensing | 169838 | Home Medical Equipment and Services Provider | Expired | 2012-09-12 | - | - | 2018-09-30 | 258 Burkesville Rd, Albany, KY 42602 |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2019-10-16 |
| Annual Report | 2018-06-14 |
| Annual Report | 2017-06-04 |
| Annual Report | 2016-05-31 |
| Annual Report | 2015-06-03 |
| Annual Report | 2014-06-16 |
| Annual Report | 2013-05-30 |
| Registered Agent name/address change | 2013-02-22 |
| Principal Office Address Change | 2013-02-21 |
| Annual Report | 2012-06-06 |
Sources: Kentucky Secretary of State
