| Name: | THE LIFELINE FOUNDATION, INC. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Non-profit |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| File Date: | 08 May 1996 (29 years ago) |
| Organization Date: | 08 May 1996 (29 years ago) |
| Last Annual Report: | 28 Feb 2024 (a year ago) |
| Organization Number: | 0415868 |
| Industry: | Miscellaneous Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 42501 |
| Primary County: | Pulaski |
| Principal Office: | 310 CLEMENTS AVE, SOMERSET, KY 42501 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE LIFELINE FOUNDATION INC CBS BENEFIT PLAN | 2022 | 611304043 | 2023-12-27 | THE LIFELINE FOUNDATION INC | 1 | |||||||||||||||||||||||||||||||
|
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| 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 | 2020-02-01 |
| Business code | 624410 |
| Sponsor’s telephone number | 6066760057 |
| Plan sponsor’s address | 309 PARK AVE, 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 | 2022-12-29 |
| 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 | 2020-02-01 |
| Business code | 624410 |
| Sponsor’s telephone number | 6066760057 |
| Plan sponsor’s address | 309 PARK AVE, 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 | 2021-12-14 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-02-01 |
| Business code | 624410 |
| Sponsor’s telephone number | 6066760057 |
| Plan sponsor’s address | 309 PARK AVE, SOMERSET, KY, 42503 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | KELLY WOLF |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2020-12-23 |
| Name of individual signing | KELLY WOLF |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| J T Wilson | Director |
| PHYLLIS LAWSON | Director |
| JAMES T. WILSON | Director |
| REBECCA GIRDLER | Director |
| DR. RICHARD WEDDLE | Director |
| LARRY DAVIS | Director |
| John Wilson | Director |
| Name | Role |
|---|---|
| JAMES T. WILSON | Incorporator |
| REBECCA GIRDLER | Incorporator |
| DR. RICHARD WEDDLE | Incorporator |
| LARRY DAVIS | Incorporator |
| Name | Role |
|---|---|
| JAMES T. WILSON | Registered Agent |
| Name | Role |
|---|---|
| Phyllis Lawson | President |
| Name | Status | Expiration Date |
|---|---|---|
| THE CHILDREN'S HOUSE | Expiring | 2025-05-13 |
| Name | File Date |
|---|---|
| Annual Report | 2024-02-28 |
| Annual Report | 2023-03-17 |
| Principal Office Address Change | 2022-03-07 |
| Annual Report | 2022-03-07 |
| Annual Report | 2021-02-09 |
| Certificate of Assumed Name | 2020-05-13 |
| Annual Report | 2020-02-12 |
| Annual Report | 2019-04-18 |
| Annual Report | 2018-04-11 |
| Principal Office Address Change | 2017-04-21 |
Date of last update: 14 Jan 2025
Sources: Kentucky Secretary of State
