| Name: | BEAVER DAM HEALTH CARE MANOR, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Non-profit |
| File Date: | 09 Aug 1996 (29 years ago) |
| Organization Date: | 09 Aug 1996 (29 years ago) |
| Last Annual Report: | 15 Feb 2008 (17 years ago) |
| Organization Number: | 0419859 |
| Principal Office: | 602 COURTLAND ST, SUITE 200, ORLANDO, FL 32804 |
| Place of Formation: | KENTUCKY |
| Name | Role |
|---|---|
| BERNARD ELLIOT | Treasurer |
| Name | Role |
|---|---|
| WALLACE COE | Secretary |
| Name | Role |
|---|---|
| WILLIAM JONES | Chairman |
| Name | Role |
|---|---|
| HOMER GROVE | Director |
| HUBERT MOOG | Director |
| ROBERT MURPHY | Director |
| RELIOUS WALDEN | Director |
| HENRY J. CARUBBA | Director |
| J DERYL KNUTSON | Director |
| TIM HOATSON | Director |
| JOHN BULLOCK | Director |
| Name | Role |
|---|---|
| WILLIAM JONES | Signature |
| Vann Camp | Signature |
| Name | Role |
|---|---|
| J DARIN STEWART | Incorporator |
| Name | Role |
|---|---|
| VANN CAMP | President |
| Name | Role |
|---|---|
| CARMEN YOUNG | Registered Agent |
| Name | Status | Expiration Date |
|---|---|---|
| BEAVER DAM HEALTH CARE MANOR | Inactive | 2008-07-15 |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2009-11-03 |
| Annual Report | 2008-02-15 |
| Annual Report | 2007-04-02 |
| Annual Report | 2006-09-25 |
| Statement of Change | 2005-06-24 |
| Annual Report | 2005-06-24 |
| Annual Report | 2003-09-03 |
| Name Renewal | 2003-07-15 |
| Amendment | 2003-05-27 |
| Annual Report | 2002-11-21 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 308980416 | 0452110 | 2005-06-27 | 1595 US HWY 231 S, BEAVER DAM, KY, 42320 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 307082354 | 0452110 | 2004-03-16 | 1595 US HWY 231 S, BEAVER DAM, KY, 42320 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100133 A01 |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-06 |
| Current Penalty | 875.0 |
| Initial Penalty | 875.0 |
| Nr Instances | 1 |
| Nr Exposed | 10 |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIA |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Current Penalty | 875.0 |
| Initial Penalty | 875.0 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIE |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 01002C |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIG |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 01002D |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02VIII |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 01002E |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIJ |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 01002F |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIK |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 01002G |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIL |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 01002H |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIM |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 2031004 |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-06 |
| Nr Instances | 1 |
| Nr Exposed | 10 |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19100132 D02 |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-13 |
| Nr Instances | 1 |
| Nr Exposed | 25 |
| Citation ID | 02003 |
| Citaton Type | Other |
| Standard Cited | 19101030 C01 IVB |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-27 |
| Nr Instances | 1 |
| Nr Exposed | 76 |
| Citation ID | 02004 |
| Citaton Type | Other |
| Standard Cited | 19101200 F05 I |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-20 |
| Nr Instances | 5 |
| Nr Exposed | 10 |
| Citation ID | 02005 |
| Citaton Type | Other |
| Standard Cited | 19101200 F05 II |
| Issuance Date | 2004-04-26 |
| Abatement Due Date | 2004-05-20 |
| Nr Instances | 5 |
| Nr Exposed | 10 |
Sources: Kentucky Secretary of State
