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  5. GRAYSON COUNTY MEDICAL FOUNDATION, INC.

GRAYSON COUNTY MEDICAL FOUNDATION, INC.

Company Details

Name: GRAYSON COUNTY MEDICAL FOUNDATION, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
File Date: 12 Oct 1994 (30 years ago)
Organization Date: 12 Oct 1994 (30 years ago)
Last Annual Report: 07 Mar 2022 (3 years ago)
Organization Number: 0337047
ZIP code: 42754
Primary County: Grayson
Principal Office: 130 EAST MARKET STREET, LEITCHFIELD, KY 42754
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TWIN LAKES MEDICAL FOUNDATION, INC. 403(B) PLAN 2018 611269278 2019-02-07 TWIN LAKES MEDICAL FOUNDATION, INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 2702591619
Plan sponsor’s address 908 WALLACE AVENUE, LEITCHFIELD, KY, 42754

Signature of
Role Plan administrator
Date 2019-02-07
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-07
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature
TWIN LAKES MEDICAL FOUNDATION, INC. 403(B) PLAN 2017 611269278 2018-09-24 TWIN LAKES MEDICAL FOUNDATION, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 0000000000
Plan sponsor’s address 908 WALLACE AVENUE, LEITCHFIELD, KY, 42754

Signature of
Role Plan administrator
Date 2018-09-24
Name of individual signing WAYNE MERIWETHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-24
Name of individual signing WAYNE MERIWETHER
Valid signature Filed with authorized/valid electronic signature
TWIN LAKES MEDICAL FOUNDATION, INC. 403(B) PLAN 2017 611269278 2018-09-24 TWIN LAKES MEDICAL FOUNDATION, INC. 2
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 0000000000
Plan sponsor’s address 908 WALLACE AVENUE, LEITCHFIELD, KY, 42754

Signature of
Role Plan administrator
Date 2018-09-24
Name of individual signing WAYNE MERIWETHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-24
Name of individual signing WAYNE MERIWETHER
Valid signature Filed with authorized/valid electronic signature
TWIN LAKES MEDICAL FOUNDATION, INC. 403(B) PLAN 2016 611269278 2017-07-19 TWIN LAKES MEDICAL FOUNDATION, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 0000000000
Plan sponsor’s address 908 WALLACE AVENUE, LEITCHFIELD, KY, 42754

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-19
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature
TWIN LAKES MEDICAL FOUNDATION, INC. 403(B) PLAN 2015 611269278 2016-07-14 TWIN LAKES MEDICAL FOUNDATION, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 0000000000
Plan sponsor’s address 908 WALLACE AVENUE, LEITCHFIELD, KY, 42754

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-14
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature
TWIN LAKES MEDICAL FOUNDATION, INC. 403(B) PLAN 2014 611269278 2015-05-14 TWIN LAKES MEDICAL FOUNDATION, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 0000000000
Plan sponsor’s address 908 WALLACE AVENUE, LEITCHFIELD, KY, 42754

Signature of
Role Plan administrator
Date 2015-05-14
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-14
Name of individual signing JOHN MERIWETHER
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
PAUL BRYANT Director
CAROLYNTHOMASON Director
ANNA RAYE MONTGOMERY Director

Incorporator

Name Role
STEPHEN L. MEREDITH Incorporator

Registered Agent

Name Role
WAYNE MERIWETHER Registered Agent

Former Company Names

Name Action
TWIN LAKES MEDICAL FOUNDATION, INC. Old Name

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-03-07
Principal Office Address Change 2021-06-14
Annual Report 2021-06-14
Amendment 2020-12-07
Annual Report 2020-02-12
Annual Report 2019-04-19
Annual Report 2018-04-19
Annual Report 2017-04-26
Annual Report 2016-03-14

Related by officers

PAUL BRYANT

GRAYCO, INCORPORATED PARKLAND MANOR, INC. BELL COUNTY ECONOMIC DEVELOPMENT FOUNDATION, INC. OK DEVELOPMENT COMPANY MOCA, INC. BRYANT SERVICES, LLC BRYANT FARMS, INC. PAUL B'S MEAT SHOP & DELI, INC OCS-NCS JV II LLC

STEPHEN L. MEREDITH

TRIUNITY HEALTH PLAN, INC. GRAYSON COUNTY COMMUNITY HEALTH FOUNDATION, INC.

WAYNE MERIWETHER

GRAYSON COUNTY HOSPITAL FOUNDATION, INC. GRAYCO, INCORPORATED GRAYSON COUNTY PUBLIC HOSPITAL DISTRICT CORPORATION

Related by address

130 EAST MARKET STREET, LEITCHFIELD, KY 42754

WTK HOLDINGS, INC.

Date of last update: 22 Dec 2024

Sources: Kentucky Secretary of State

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