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  5. EPHRAIM MCDOWELL HEALTH, INC.

EPHRAIM MCDOWELL HEALTH, INC.

Company Details

Name: EPHRAIM MCDOWELL HEALTH, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 07 Nov 1997 (27 years ago)
Organization Date: 07 Nov 1997 (27 years ago)
Last Annual Report: 18 Mar 2025 (a month ago)
Organization Number: 0441188
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40422
City: Danville
Primary County: Boyle County
Principal Office: 217 SOUTH THIRD ST., DANVILLE, KY 40422
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
WU28Y86KCKT7 2025-03-26 217 S THIRD STREET, DANVILLE, KY, 40422, 1823, USA 217 S THIRD STREET, DANVILLE, KY, 40422, 1823, USA

Business Information
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-03-28
Initial Registration Date 2023-04-18
Entity Start Date 1997-11-07
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMANDA KINMAN
Role CFO
Address 217 S THIRD STREET, DANVILLE, KY, 40422, USA
Government Business
Title PRIMARY POC
Name AMANDA KINMAN
Role CFO
Address 217 S THIRD STREET, DANVILLE, KY, 40422, USA
Past Performance Information not Available

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493000J8L4QLDHFTO46 0441188 US-KY GENERAL ACTIVE 1997-07-10

Addresses
Legal C/O TAMMY MEADE ENSSLIN, Danville, US-KY, US, 40422
Headquarters 217 SOUTH THIRD ST., Danville, US-KY, US, 40422

Registration details
Registration Date 2023-06-05
Last Update 2024-06-06
Status LAPSED
Next Renewal 2024-06-05
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 0441188

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EPHRAIM MCDOWELL HEALTH LONG TERM DISABILITY PLAN 2016 610492356 2017-07-28 EPHRAIM MCDOWELL HEALTH 992
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393452
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 992

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LIBBY MAYES
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH TERM LIFE GROUP INSURANCE PLAN AND ADD 2016 610492356 2017-07-28 EPHRAIM MCDOWELL HEALTH 1268
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393452
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 1268

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LIBBY MAYES
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH VOLUNTARY DISABILITY INCOME PROTECTION PLAN 2016 610492356 2017-07-28 EPHRAIM MCDOWELL HEALTH 411
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393452
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 411

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LIBBY MAYES
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH VOLUNTARY VISION PLAN 2016 610492356 2017-07-28 EPHRAIM MCDOWELL HEALTH 949
File View Page
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393452
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 949

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LIBBY MAYES
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH VOLUNTARY PREPAID DENTAL CARE PLAN 2016 610492356 2017-07-28 EPHRAIM MCDOWELL HEALTH 2169
File View Page
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393452
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 2169

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LIBBY MAYES
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH HEALTH PROTECTION PLAN 2016 610492356 2017-07-28 EPHRAIM MCDOWELL HEALTH 1168
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393452
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823
Administrator’s telephone number 8592393452

Number of participants as of the end of the plan year
Active participants 1155
Retired or separated participants receiving benefits 18

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LIBBY MAYES
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH VOLUNTARY DISABILITY INCOME PROTECTION 2015 610492356 2016-07-27 EPHRAIM MCDOWELL HEALTH 571
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 571

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH LONG TERM DISABILITY PLAN 2015 610492356 2016-07-27 EPHRAIM MCDOWELL HEALTH 1042
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREEET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREEET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 1042

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH TERM LIFE GROUP INSURANCE PLAN AND ADD 2015 610492356 2016-07-27 EPHRAIM MCDOWELL HEALTH 1259
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 1259

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
EPHRAIM MCDOWELL HEALTH VOLUNTARY PREPAID DENTAL CARE PLAN 2015 610492356 2016-07-27 EPHRAIM MCDOWELL HEALTH 2190
File View Page
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 2190

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/27/20160727093415P040039980461001.pdf
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 939

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/27/20160727072713P030051828647001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823

Number of participants as of the end of the plan year
Active participants 1371
Retired or separated participants receiving benefits 12
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015211310P030019413823001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name CARL E. METZ
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 404221823
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1274
Retired or separated participants receiving benefits 210
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/21/20151021102726P030003357173001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 622000
Sponsor’s telephone number 6062393460
Plan sponsor’s address 217 S 3RD ST, DANVILLE, KY, 404221894

Signature of
Role Plan administrator
Date 2015-10-21
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-21
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/10/20140410130955P030097974133001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 661

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/10/20140410130935P030097973957001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 1213
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/10/20140410130916P030097973941001.pdf
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 891

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/10/20140410130854P030097973829001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 1275
Retired or separated participants receiving benefits 5

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/10/20140410130823P030097973701001.pdf
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 963
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-10
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 661

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 1213
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015140608P040015279269001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 580
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 891

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 963
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 1275
Retired or separated participants receiving benefits 5

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Number of participants as of the end of the plan year
Active participants 661
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-29
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-29
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015065921P030016243202001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name CARL E. METZ
Plan administrator’s address EPHRAIM MCDOWELL HEALTH, 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 663
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/19/20121019124830P030021190178001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1267
Retired or separated participants receiving benefits 12
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017100504P040154718545001.pdf
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 903
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1267
Retired or separated participants receiving benefits 12
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1267
Retired or separated participants receiving benefits 12
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-18
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013161406P030689189792001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 487
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 903
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013161344P030148362401001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 936
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013161334P030148362289001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1213
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 487
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 487
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 903
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 936
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1213
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 487
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592396463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592396463

Number of participants as of the end of the plan year
Active participants 824
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 673
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1158
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 827
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/19/20121019124813P030021190066001.pdf
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 673
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 673
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017100515P040695289392001.pdf
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 827
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 673
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013161453P030689192240001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1158
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013161444P030689191696001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592396463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592396463

Number of participants as of the end of the plan year
Active participants 824
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013161435P030148363313001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 489
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 673
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013161314P030148362097001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1049
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1158
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 489
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 827
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 827
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1158
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592396463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592396463

Number of participants as of the end of the plan year
Active participants 824
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 489
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 673
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 827
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1049
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 489
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 520
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 673
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 521
Effective date of plan 2008-01-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 827
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1982-12-01
Business code 622000
Sponsor’s telephone number 8592396463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592396463

Number of participants as of the end of the plan year
Active participants 824
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1988-12-01
Business code 622000
Sponsor’s telephone number 8592393463
Plan sponsor’s mailing address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Plan sponsor’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422

Plan administrator’s name and address
Administrator’s EIN 610492356
Plan administrator’s name EPHRAIM MCDOWELL HEALTH
Plan administrator’s address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422
Administrator’s telephone number 8592393463

Number of participants as of the end of the plan year
Active participants 1049
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CARL METZ
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
KEVIN J. HABLE Incorporator

Director

Name Role
Thomas Hager Director
JoEtta Wickliffe Director
Brian Little Director
Justin Lande Director
Rebecca Chatham Director
Scott Bottoms Director
James W Dunn Director
Jeremy Tarter Director
RACHEL WHITE Director
Daniel E McKay Director

President

Name Role
David Grigson President

Secretary

Name Role
Eric Guerrant Secretary

Treasurer

Name Role
Chris Whitworth Treasurer

Vice President

Name Role
Tiffany Yeast Vice President

Registered Agent

Name Role
WILLIAM TYRE STAPLES Registered Agent

Assumed Names

Name Status Expiration Date
EPHRAIM MCDOWELL CANCER SUPPORT CLINIC Active 2026-02-16
EPHRAIM MCDOWELL HEALTH REWARDS Inactive 2009-09-29
RUSSELL COUNTY HOSPITAL Inactive 2004-09-03

Filings

Name File Date
Annual Report 2025-03-18
Registered Agent name/address change 2025-02-20
Annual Report 2024-06-07
Annual Report 2023-04-06
Annual Report 2022-04-28
Annual Report 2021-02-16
Name Renewal 2020-10-16
Annual Report 2020-05-05
Annual Report 2019-01-16
Annual Report 2018-05-08

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-1324736 Corporation Unconditional Exemption 217 S 3RD ST, DANVILLE, KY, 40422-1823 1999-01
In Care of Name % AMANDA KINMAN
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 Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2023-09
Asset 50,000,000 to greater
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 238402380
Income Amount 11125327
Form 990 Revenue Amount 9559300
National Taxonomy of Exempt Entities -
Sort Name RUSSELL COUNTY HOSPITAL

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 supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 202209
Filing Type E
Return Type 990T
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 202109
Filing Type E
Return Type 990T
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 202009
Filing Type P
Return Type 990T
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201909
Filing Type P
Return Type 990T
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201809
Filing Type P
Return Type 990T
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201709
Filing Type P
Return Type 990
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201709
Filing Type P
Return Type 990T
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201609
Filing Type P
Return Type 990T
File View File
Organization Name EPHRAIM MCDOWELL HEALTH INC
EIN 61-1324736
Tax Period 201609
Filing Type E
Return Type 990
File View File

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
2202269 Intrastate Non-Hazmat 2011-10-17 - - 4 1 Priv. Pass.(Non-business)
Legal Name EPHRAIM MCDOWELL HEALTH
DBA Name EPOHRAIM MCDOWEL HEALTH
Physical Address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422, US
Mailing Address 217 SOUTH THIRD STREET, DANVILLE, KY, 40422, US
Phone (859) 239-1675
Fax (859) 239-6705
E-mail CDENNY@EMRMC.ORG

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Related by officers

KEVIN J. HABLE

CITIZENS DEPOSIT BANCSHARES, INC. OHIO VALLEY BANCORP, INC. PIONEER BANCSHARES, INC. TRI AND BOUTCHER, INC. COMMONWEALTH BANCORP. SHIVELY BANCSHARES CORPORATION FLOYD COUNTY BANCSHARES CORPORATION FOURTH STREET GRAIN COMPANY MID-SOUTH CREDIT INSURANCE SERVICES, INC. SIXTH AVENUE COAL COMPANY

Thomas Hager

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. LAKE VILLAGE WATER ASSOCIATION, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

JoEtta Wickliffe

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. THE JAMES B. HAGGIN MEMORIAL HOSPITAL, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

David Grigson

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. JOHN F. CASH, JR. AND JOHN F. CASH, SR. ENDOWMENT FUND, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. MCDOWELL HOME HEALTH AGENCY, INC. Central Kentucky Sliders Baseball, Inc.

Brian Little

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. TRIANGLE MART, INC. PATEL CORPORATION EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. BOYLE YOUTH SOCCER ASSOCIATION INC.

Justin Lande

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. COOPERATIVECARE, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

Eric Guerrant

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. Eric Guerrant MD , PLLC EMPACT MIDWEST, LLC EMPACT, LLC Clark's Run Risk Enterprises, LLC

Chris Whitworth

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. EMHFL, INC. ROYAL PROPERTY RENTALS, LLC

Tiffany Yeast

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. MCDOWELL HOME HEALTH AGENCY, INC. SOCIETY FOR HUMAN ENGAGEMENT AND RESOURCE DEVELOPMENT Inc.

Rebecca Chatham

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

Scott Bottoms

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. BAKER-SHELBY, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

James W Dunn

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. JAMES W. DUNN, M.D., P.S.C. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. ATOHAAS AMERICAS INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. Mortgage Resolution Group, Inc.

Jeremy Tarter

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

RACHEL WHITE

SHELBY PARK NEIGHBORHOOD ASSOCIATION, INC. MUIR CHAPEL CHRISTIAN METHODIST EPISCOPAL CHURCH INC. HAL'S HAVEN INC. CLARK'S RUN ENVIRONMENTAL AND EDUCATIONAL CORPORATION GREEN FACTOR, INC.

Daniel E McKay

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. THE JAMES B. HAGGIN MEMORIAL HOSPITAL, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. COOPERATIVECARE, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. EMHFL, INC. L & D Property, LLC

WILLIAM TYRE STAPLES

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. THE JAMES B. HAGGIN MEMORIAL HOSPITAL, INC. HAGGIN MEMORIAL HOSPITAL FOUNDATION, INC. EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. COOPERATIVECARE, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. EMHFL, INC. CENTRAL KENTUCKY SURGERY CENTER, LLC BLUEGRASS IMMEDIATE CARE, LLC

ROBERT W. STIGALL

DANVILLE PROFESSIONAL PARK NORTH

ROBERT L. DONLON

EPHRAIM MCDOWELL ENTERPRISES, INC. EPHRAIM MCDOWELL HEALTH SERVICES, INC. EPHRAIM MCDOWELL MANAGEMENT, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. CORPORATE FAMILY SERVICES, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC.

Linda Tillman

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

David Meade

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. THE BOYD COUNTY PUBLIC SCHOOL FOUNDATION FOR CHILDREN, INC. MCDOWELL HOME HEALTH AGENCY, INC. Backwoods Cabins LLC MEADE ENTERPRISES, LLC TITAN CONTRACTING LLC

Woods Adams

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC.

Shay Pendygraft

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. EMHFL, INC.

Chris Davis

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. GARRARD COUNTY CHAMBER OF COMMERCE, INC. HERITAGE HOSPICE, INC. CHRISTIAN WORSHIP CENTER, PROVIDENCE, KENTUCKY, INC. EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. MONROE COUNTY BASS CLUB, INC. WOLF PEN WOODS COMMUNITY ASSOCIATION, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. WINCHESTER RETIREMENT PLACE, INC.

Shawn Markham

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. THE JAMES B. HAGGIN MEMORIAL HOSPITAL, INC. HAGGIN MEMORIAL HOSPITAL FOUNDATION, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. MCDOWELL HOME HEALTH AGENCY, INC. MARKHAMS MOBILE LLC

David Montgomery

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. FAIRLANE BAPTIST CHURCH OF ALEXANDRIA, KENTUCKY INCORPORATED KENTUCKIANA MINORITY BUSINESS COUNCIL, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. ADVANCED DELIVERY SYSTEMS, INC. MCDOWELL HOME HEALTH AGENCY, INC. TRAVELEX INC. COVESTRO LLC TICKETS.COM INC. Commonwealth Thread Ltd. Co.

DAVID SIMPSON

TOTITA INC. SIMPSON ELECTRIC, INC. SIMPSON'S DISTRIBUTORS, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. HI POINT VILLAGE HOMEOWNERS ASSOCIATION, INC. SIMPSON HOMES, LLC SIMPSON & ASSOCIATES, INC. S & V PROPERTIES, LLC METRO FLOOR COVERING, INC. D&D FLOORING, INC.

Related by address

217 SOUTH THIRD ST., DANVILLE, KY 40422

EPHRAIM MCDOWELL ENTERPRISES, INC. EPHRAIM MCDOWELL HEALTH SERVICES, INC. EPHRAIM MCDOWELL MANAGEMENT, INC. COOPERATIVECARE, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. EPHRAIM MCDOWELL SERVICES, INC. RCEM, INC.

Sources: Kentucky Secretary of State

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