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CALDWELL COUNTY FREE CLINIC, INC.

Company Details

Name: CALDWELL COUNTY FREE CLINIC, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Non-profit
File Date: 17 Sep 1997 (28 years ago)
Organization Date: 17 Sep 1997 (28 years ago)
Last Annual Report: 22 Jun 2023 (2 years ago)
Organization Number: 0438801
ZIP code: 42445
City: Princeton
Primary County: Caldwell County
Principal Office: P O BOX 832, PRINCETON, KY 42445
Place of Formation: KENTUCKY

Registered Agent

Name Role
B TODD WETZEL Registered Agent

President

Name Role
BOB HAYES President

Secretary

Name Role
CINDY BIRRELL Secretary

Director

Name Role
DIANE COOPER Director
TERESA WURTS Director
MARTHA C. PRESLER Director
DR BRIAN GUTHRIE Director
DR DUANE MIKSCH Director
RUMSEY TAYLOR JR Director

Treasurer

Name Role
WAYNE G. YATES Treasurer

Incorporator

Name Role
DR BRIAN GUTHRIE Incorporator
DR DUANE MIKSCH Incorporator
RUMSEY TAYLOR JR Incorporator

National Provider Identifier

NPI Number:
1356568331

Authorized Person:

Name:
MRS. DONNA MAY BOWERS
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2703653203

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-06-22
Annual Report 2022-06-28
Annual Report 2021-05-13
Annual Report 2020-02-26

Tax Exempt

Employer Identification Number (EIN) :
61-1316804
In Care Of Name:
% WAYNE YATES
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)
Ruling Date:
1998-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Sources: Kentucky Secretary of State