| Name: | PINE KNOT FUNERAL HOME, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 22 Jul 1994 (31 years ago) |
| Organization Date: | 22 Jul 1994 (31 years ago) |
| Last Annual Report: | 05 Feb 2025 (2 months ago) |
| Organization Number: | 0333526 |
| Industry: | Business Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42635 |
| City: | Pine Knot |
| Primary County: | McCreary County |
| Principal Office: | HIGHWAY 27 SOUTH, CAL HILL RD., PINE KNOT, KY 42635 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 2000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PINE KNOT FUNERAL HOME CBS BENEFIT PLAN | 2023 | 611265814 | 2024-12-30 | PINE KNOT FUNERAL HOME | 15 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 846429706 |
| Plan administrator’s name | JOSEPH HSU |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2024-12-30 |
| Name of individual signing | JOSEPH HSU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 6063549100 |
| Plan sponsor’s address | 140 OLD CAL HILL SPUR, PINE KNOT, KY, 426359175 |
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 |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 6063549100 |
| Plan sponsor’s address | 140 CAL HILL SPUR, PINE KNOT, KY, 42635 |
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 | 2022-12-29 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 6063549100 |
| Plan sponsor’s address | 140 CAL HILL SPUR, PINE KNOT, KY, 42635 |
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 | 2021-12-14 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| DEBBIE CAMPBELL MURPHY | Registered Agent |
| Name | Role |
|---|---|
| DEBBIE CAMPBELL MURPHY | Secretary |
| Name | Role |
|---|---|
| Debbie Campbell Murphy | Director |
| Name | Role |
|---|---|
| LARRY CAMPBELL | Incorporator |
| Name | Role |
|---|---|
| Debbie Campbell Murphy | President |
| Department | License Number | License Type / Line of Authority | Status | Issue Date | Effective Date | Inactive Date | Expiry Date | Address |
|---|---|---|---|---|---|---|---|---|
| Department of Insurance | DOI ID 398609 | Agent - Life | Active | 2020-06-18 | - | - | 2026-03-31 | - |
| Name | File Date |
|---|---|
| Annual Report | 2025-02-05 |
| Annual Report | 2024-02-01 |
| Annual Report | 2023-06-05 |
| Annual Report | 2022-05-16 |
| Annual Report | 2021-02-09 |
| Annual Report | 2020-03-05 |
| Annual Report | 2019-06-27 |
| Annual Report | 2018-02-20 |
| Annual Report | 2017-04-27 |
| Annual Report | 2016-03-31 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9924337109 | 2020-04-15 | 0457 | PPP | 140 E CAL HILL SPUR, PINE KNOT, KY, 42635-9194 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Sources: Kentucky Secretary of State
