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  5. THE LIFELINE FOUNDATION, INC.

THE LIFELINE FOUNDATION, INC.

Company Details

Name: THE LIFELINE FOUNDATION, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 08 May 1996 (29 years ago)
Organization Date: 08 May 1996 (29 years ago)
Last Annual Report: 09 Feb 2025 (2 months ago)
Organization Number: 0415868
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 42501
City: Somerset, Acorn, Alcalde, Elihu, Poplarville, Publ...
Primary County: Pulaski County
Principal Office: 310 CLEMENTS AVE, SOMERSET, KY 42501
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE LIFELINE FOUNDATION INC CBS BENEFIT PLAN 2023 611304043 2024-12-30 THE LIFELINE FOUNDATION INC 1
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 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
THE LIFELINE FOUNDATION INC CBS BENEFIT PLAN 2022 611304043 2023-12-27 THE LIFELINE FOUNDATION INC 1
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 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
THE LIFELINE FOUNDATION INC CBS BENEFIT PLAN 2021 611304043 2022-12-29 THE LIFELINE FOUNDATION INC 1
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
THE LIFELINE FOUNDATION INC CBS BENEFIT PLAN 2020 611304043 2021-12-14 THE LIFELINE FOUNDATION INC 3
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
THE LIFELINE FOUNDATION INC CBS BENEFIT PLAN 2019 611304043 2020-12-23 THE LIFELINE FOUNDATION INC 3
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

Registered Agent

Name Role
JAMES T. WILSON Registered Agent

Director

Name Role
LARRY DAVIS Director
J T Wilson Director
PHYLLIS LAWSON Director
John Wilson Director
JAMES T. WILSON Director
REBECCA GIRDLER Director
DR. RICHARD WEDDLE Director

Incorporator

Name Role
JAMES T. WILSON Incorporator
REBECCA GIRDLER Incorporator
DR. RICHARD WEDDLE Incorporator
LARRY DAVIS Incorporator

President

Name Role
Phyllis Lawson President

Assumed Names

Name Status Expiration Date
THE CHILDREN'S HOUSE Expiring 2025-05-13

Filings

Name File Date
Annual Report 2025-02-09
Annual Report 2024-02-28
Annual Report 2023-03-17
Annual Report 2022-03-07
Principal Office Address Change 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

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-1304043 Corporation Unconditional Exemption 309 PARK AVE, SOMERSET, KY, 42503-1541 1996-10
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2024-03
Asset 500,000 to 999,999
Income 25,000 to 99,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Mar
Asset Amount 779835
Income Amount 56957
Form 990 Revenue Amount 54387
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name LIFELINE FOUNDATION INC
EIN 61-1304043
Tax Period 202203
Filing Type E
Return Type 990
File View File
Organization Name LIFELINE FOUNDATION INC
EIN 61-1304043
Tax Period 202203
Filing Type E
Return Type 990T
File View File
Organization Name LIFELINE FOUNDATION INC
EIN 61-1304043
Tax Period 202003
Filing Type E
Return Type 990
File View File
Organization Name LIFELINE FOUNDATION INC
EIN 61-1304043
Tax Period 201903
Filing Type E
Return Type 990
File View File
Organization Name LIFELINE FOUNDATION INC
EIN 61-1304043
Tax Period 201803
Filing Type E
Return Type 990
File View File
Organization Name LIFELINE FOUNDATION INC
EIN 61-1304043
Tax Period 201703
Filing Type E
Return Type 990
File View File
Organization Name LIFELINE FOUNDATION INC
EIN 61-1304043
Tax Period 201603
Filing Type E
Return Type 990
File View File

Related by officers

JAMES T. WILSON

DIVERSICARE REHAB SERVICES, INC. LIFELINE REALTY B.Y.O.B. CORPORATION CARL HELM DRILLING CO. KENTUCKY AIR CONTROL, INC. TRUESDELL WILSON SALES & SERVICE, INC. SOL-EN, INC. ALTERNACARE, INC. LIFELINE MANAGEMENT, INC. DIVERSICARE, INC.

LARRY DAVIS

HOSKINS & MCKECHNIE, INC. CLAY-LAUREL COAL COMPANY, INC. MINERAL SERVICES OF KENTUCKY, INC. SHERRI-JAY FUEL CO. L. A. PIPELINE CONSTRUCTION CO., INC. HEALTH CARE ASSOCIATES, INC. SAND RUN BAPTIST CHURCH, INC. PROFESSIONAL AND EXECUTIVE FINANCIAL PLANNING CO. OF LEXINGTON, INC. L. A. PIPE LINE CONSTRUCTIONS CO., INC. THE KENTUCKY QUARTER, INC.

J T Wilson

VITA MANAGEMENT, INC.

PHYLLIS LAWSON

GATEWAY COMMUNITY SERVICE ORGANIZATION, INC. LAWSON TRUCKING COMPANY, INC. THE FRENCHBURG LIONS CLUB, INC. MENIFEE COUNTY SCHOOL DISTRICT FINANCE CORPORATION MENIFEE COUNTY NURSING HOME CORPORATION MENIFEE COUNTY LIONS CLUB INC. THE FIRST CHRISTIAN KINDERGARTEN, INC. ORWIN PROPERTIES, LLC MIRIAM BEZA MEMORIAL FOUNDATION, INC. RENOVATED HOMES LLC

John Wilson

ROLLINS, INC. ALPHA GAMMA RHO ALUMNI ASSOCIATION OF BOWLING GREEN, KENTUCKY, INCORPORATED INTELLICALL OPERATOR SERVICES, INC. DMD ASSOCIATES, LLC ST. ANTHONY'S LANDING CONDOMINIUMS COUNCIL OF CO-OWNERS, INC. HAMBURG FARMS CONDOMINIUM ASSOCIATION, INC. RIVER CITIES USBC INC UNITED SHORTLINE INSURANCE SERVICES, INC. MCDONALD TRANSIT ASSOCIATES, INC. VELOX, LLC

REBECCA GIRDLER

BLOOD CONSERVATION SERVICES, INC. BLOOD PROCUREMENT SERVICES, INC. NICK, LTD. SUPPLIMED U.S.A., INC. LIFELIGHT HOME HEALTH CARE, INC. PROTACARE GROUP, INC. PROTACARE HEALTH ALLIANCE, INC. BULL ROAD LLC

Phyllis Lawson

LAWSON TRUCKING COMPANY, INC. PULASKI COUNTY AFFILIATE OF THE DOLLY PARTON IMAGINATION LIBRARY, INC.

Related by address

310 CLEMENTS AVE, SOMERSET, KY 42501

RENOVATED HOMES LLC

Sources: Kentucky Secretary of State

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