| Name: | BOSLEY FUNERAL HOME, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 15 Dec 1997 (27 years ago) |
| Organization Date: | 15 Dec 1997 (27 years ago) |
| Last Annual Report: | 31 May 2024 (a year ago) |
| Organization Number: | 0442800 |
| Industry: | Miscellaneous Services |
| Number of Employees: | Small (0-19) |
| ZIP code: | 40033 |
| City: | Lebanon, Calvary |
| Primary County: | Marion County |
| Principal Office: | PO BOX 613, 246 SOUTH PROCTOR KNOTT AVE., LEBANON, KY 40033 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 1000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BOSLEY FUNERAL HOME CBS BENEFIT PLAN | 2023 | 611318166 | 2024-12-30 | BOSLEY FUNERAL HOME | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 846429706 |
| Plan administrator’s name | JOSEPH HSU |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2024-12-30 |
| Name of individual signing | JOSEPH HSU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 2706923187 |
| Plan sponsor’s address | 246 S. PROCTOR KNOTT AVE, LEBANON, KY, 40033 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-27 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 2706923187 |
| Plan sponsor’s address | 246 S. PROCTOR KNOTT AVE, LEBANON, KY, 40033 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-29 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 2706923187 |
| Plan sponsor’s address | 246 S. PROCTOR KNOTT AVE, LEBANON, KY, 40033 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | SHAWNA BURTON |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-14 |
| Name of individual signing | SHAWNA BURTON |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 2706923187 |
| Plan sponsor’s address | 246 S. PROCTOR KNOTT AVE, LEBANON, KY, 40033 |
Plan administrator’s name and address
| Administrator’s EIN | 846429706 |
| Plan administrator’s name | KELLY WOLF |
| Plan administrator’s address | 464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number | 5026954700 |
Signature of
| Role | Plan administrator |
| Date | 2020-12-23 |
| Name of individual signing | KELLY WOLF |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Richard Moraja Jr | Vice President |
| Name | Role |
|---|---|
| JAMES RICHARD MORAJA SR | Registered Agent |
| Name | Role |
|---|---|
| James R Moraja Sr | President |
| Name | Role |
|---|---|
| JAMES R MORAJA SR. | Director |
| Name | Role |
|---|---|
| ROBERT L GOODIN JR | Incorporator |
| Name | Status | Expiration Date |
|---|---|---|
| BOSLEY FUNERAL HOME | Inactive | 2013-07-15 |
| Name | File Date |
|---|---|
| Annual Report | 2024-05-31 |
| Annual Report | 2023-05-08 |
| Annual Report | 2022-05-02 |
| Annual Report | 2021-05-24 |
| Annual Report | 2020-04-23 |
| Annual Report | 2019-04-25 |
| Annual Report | 2018-04-30 |
| Annual Report | 2017-04-28 |
| Annual Report | 2016-07-05 |
| Reinstatement Certificate of Existence | 2015-10-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7023457201 | 2020-04-28 | 0457 | PPP | 246 S PROCTOR KNOTT AVE, LEBANON, KY, 40033-1248 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Sources: Kentucky Secretary of State
