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  5. BLACKBURN & WARD FUNERAL HOME, INC.

BLACKBURN & WARD FUNERAL HOME, INC.

Company Details

Name: BLACKBURN & WARD FUNERAL HOME, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 26 Jun 1995 (30 years ago)
Organization Date: 26 Jun 1995 (30 years ago)
Last Annual Report: 10 Jun 2024 (7 months ago)
Organization Number: 0402203
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 40383
Primary County: Woodford
Principal Office: 161 BROADWAY, VERSAILLES, KY 40383
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACKBURN & WARD FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN 2023 611283721 2024-04-18 BLACKBURN & WARD FUNERAL HOME, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-18
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN 2022 611283721 2023-03-31 BLACKBURN & WARD FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2023-03-31
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-31
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN 2021 611283721 2022-04-11 BLACKBURN & WARD FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2022-04-11
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-11
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN 2020 611283721 2021-04-07 BLACKBURN & WARD FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-07
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN 2019 611283721 2020-06-02 BLACKBURN & WARD FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing WILLIAM BUTCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-02
Name of individual signing WILLIAM BUTCHER
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN 2018 611283721 2019-07-03 BLACKBURN & WARD FUNERAL HOME, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-03
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FH, INC., 401(K) PSP 2016 611283721 2017-10-10 BLACKBURN & WARD FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing BILLY BUTCHER
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FH, INC., I-PSP 2015 611283721 2016-10-10 BLACKBURN & WARD FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FH, INC., I-401K PSP 2014 611283721 2015-04-03 BLACKBURN & WARD FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2015-04-03
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-03
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
BLACKBURN & WARD FH, INC., I-401K PSP 2013 611283721 2014-03-03 BLACKBURN & WARD FUNERAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2014-03-03
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-03
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/22/20130722090819P040400167169001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/11/20120711152512P040002711344001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 403831156

Plan administrator’s name and address
Administrator’s EIN 611283721
Plan administrator’s name BLACKBURN & WARD FUNERAL HOME, INC.
Plan administrator’s address 161 BROADWAY, VERSAILLES, KY, 403831156
Administrator’s telephone number 8598734991

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/08/20110708081801P040092311169001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 403831156

Plan administrator’s name and address
Administrator’s EIN 611283721
Plan administrator’s name BLACKBURN & WARD FUNERAL HOME, INC.
Plan administrator’s address 161 BROADWAY, VERSAILLES, KY, 403831156
Administrator’s telephone number 8598734991

Signature of
Role Plan administrator
Date 2011-07-08
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/30/20100630184754P030075794056001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 812210
Sponsor’s telephone number 8598734991
Plan sponsor’s address 161 BROADWAY, VERSAILLES, KY, 403831156

Plan administrator’s name and address
Administrator’s EIN 611283721
Plan administrator’s name BLACKBURN & WARD FUNERAL HOME, INC.
Plan administrator’s address 161 BROADWAY, VERSAILLES, KY, 403831156
Administrator’s telephone number 8598734991

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing J STEPHEN WARD
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
WILLIAM B. BUTCHER Registered Agent

Secretary

Name Role
Leigh Ann Lewis Secretary

Treasurer

Name Role
William B. Butcher Treasurer

Incorporator

Name Role
JAMES STEPHEN WARD Incorporator

President

Name Role
William B. Butcher President

Assumed Names

Name Status Expiration Date
OLDHAM, ROBERTS & POWELL FUNERAL HOME Active 2029-12-16
TUCKER, YOCUM & WILSON FUNERAL HOME Active 2026-12-08
FOREVER MEMORIALS Active 2025-08-10

Filings

Name File Date
Certificate of Assumed Name 2024-12-13
Annual Report 2024-06-10
Annual Report 2023-05-02
Annual Report 2022-03-06
Certificate of Assumed Name 2021-12-08
Annual Report 2021-04-14
Certificate of Assumed Name 2020-08-10
Annual Report 2020-06-15
Annual Report 2019-06-25
Annual Report 2018-01-14

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: Kentucky Secretary of State

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