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  5. TRI-RIVERS HEALTHCARE, PLLC

TRI-RIVERS HEALTHCARE, PLLC

Company Details

Name: TRI-RIVERS HEALTHCARE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 22 Nov 1999 (25 years ago)
Organization Date: 22 Nov 1999 (25 years ago)
Last Annual Report: 26 Jun 2024 (9 months ago)
Managed By: Members
Organization Number: 0483842
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42078
City: Salem, Lola
Primary County: Livingston County
Principal Office: 141 HOSPITAL DRIVE, SALEM, KY 42078
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2023 611357247 2024-07-26 TRI-RIVERS HEALTHCARE, PLLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address P.O. BOX 347, SALEM, KY, 420780347

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2022 611357247 2023-07-13 TRI-RIVERS HEALTHCARE, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address 141 HOSPITAL DRIVE, SUITE 102, SALEM, KY, 420788043

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2021 611357247 2022-07-26 TRI-RIVERS HEALTHCARE, PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address 141 HOSPITAL DRIVE, SUITE 102, P.O. BOX 347, SALEM, KY, 420788043

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2020 611357247 2021-06-21 TRI-RIVERS HEALTHCARE, PLLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address 141 HOSPITAL DRIVE, SUITE 102, SALEM, KY, 420788043

Signature of
Role Plan administrator
Date 2021-06-21
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2019 611357247 2020-07-07 TRI-RIVERS HEALTHCARE, PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address 141 HOSPITAL DRIVE, SUITE 102, P.O. BOX 347, SALEM, KY, 420788043

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2018 611357247 2019-07-26 TRI-RIVERS HEALTHCARE, PLLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2017 611357247 2018-08-21 TRI-RIVERS HEALTHCARE, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Signature of
Role Plan administrator
Date 2018-08-21
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2016 611357247 2017-07-05 TRI-RIVERS HEALTHCARE, PLLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2015 611357247 2016-07-18 TRI-RIVERS HEALTHCARE, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
TRI-RIVERS HEALTHCARE, PLLC 401(K) PROFIT SHARING PLAN 2014 611357247 2015-07-29 TRI-RIVERS HEALTHCARE, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/09/20140709102624P030030957511001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Plan administrator’s name and address
Administrator’s EIN 611357247
Plan administrator’s name TRI-RIVERS HEALTHCARE, PLLC
Plan administrator’s address PO BOX 347, SALEM, KY, 42078
Administrator’s telephone number 2709883298

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/03/20131003100022P040022420817001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Plan administrator’s name and address
Administrator’s EIN 611357247
Plan administrator’s name TRI-RIVERS HEALTHCARE, PLLC
Plan administrator’s address PO BOX 347, SALEM, KY, 42078
Administrator’s telephone number 2709883298

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/19/20120719084602P040007237490001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address PO BOX 347, SALEM, KY, 42078

Plan administrator’s name and address
Administrator’s EIN 611357247
Plan administrator’s name TRI-RIVERS HEALTHCARE, PLLC
Plan administrator’s address PO BOX 347, SALEM, KY, 42078
Administrator’s telephone number 2709883298

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-19
Name of individual signing WILLIAM E. BARNES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/18/20110718104123P030030026055001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address 141 HOSPITAL DRIVE, P.O. BOX 347, SALEM, KY, 42078

Plan administrator’s name and address
Administrator’s EIN 611357247
Plan administrator’s name TRI-RIVERS HEALTHCARE, PLLC
Plan administrator’s address 141 HOSPITAL DRIVE, P.O. BOX 347, SALEM, KY, 42078
Administrator’s telephone number 2709883298

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing WILLIAM BARNES
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address 141 HOSPITAL DRIVE, P.O. BOX 347, SALEM, KY, 42078

Plan administrator’s name and address
Administrator’s EIN 611357247
Plan administrator’s name TRI-RIVERS HEALTHCARE, PLLC
Plan administrator’s address 141 HOSPITAL DRIVE, P.O. BOX 347, SALEM, KY, 42078
Administrator’s telephone number 2709883298

Signature of
Role Employer/plan sponsor
Date 2010-06-10
Name of individual signing WILLIAM BARNES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/14/20100614123603P040101645634001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2709883298
Plan sponsor’s address 141 HOSPITAL DRIVE, P.O. BOX 347, SALEM, KY, 42078

Plan administrator’s name and address
Administrator’s EIN 611357247
Plan administrator’s name TRI-RIVERS HEALTHCARE, PLLC
Plan administrator’s address 141 HOSPITAL DRIVE, P.O. BOX 347, SALEM, KY, 42078
Administrator’s telephone number 2709883298

Signature of
Role Plan administrator
Date 2010-06-14
Name of individual signing WILLIAM BARNES
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MICHAEL HENEISEN Registered Agent

Member

Name Role
William E Barnes, Jr Member
Ghassan Yazigi Member

Organizer

Name Role
THEODORE S. HUTCHINS Organizer

Filings

Name File Date
Annual Report 2024-06-26
Annual Report 2023-06-30
Annual Report 2022-06-28
Annual Report 2021-06-25
Annual Report 2020-06-29
Annual Report 2019-06-25
Annual Report 2018-06-28
Annual Report 2017-06-29
Annual Report 2016-06-30
Annual Report 2015-06-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9683918307 2021-01-31 0457 PPS 141 Hospital Dr, Salem, KY, 42078-8043
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 281414.5
Loan Approval Amount (current) 281414.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27590
Servicing Lender Name Farmers Bank & Trust Company
Servicing Lender Address 201 S Main St, MARION, KY, 42064-1542
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Salem, LIVINGSTON, KY, 42078-8043
Project Congressional District KY-01
Number of Employees 40
NAICS code 541990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27590
Originating Lender Name Farmers Bank & Trust Company
Originating Lender Address MARION, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 283110.7
Forgiveness Paid Date 2021-09-14
9144427002 2020-04-09 0457 PPP 141 Hospital Drive PO BOX 347, SALEM, KY, 42078-8043
Loan Status Date 2021-04-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 279536
Loan Approval Amount (current) 279536
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27590
Servicing Lender Name Farmers Bank & Trust Company
Servicing Lender Address 201 S Main St, MARION, KY, 42064-1542
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address SALEM, LIVINGSTON, KY, 42078-8043
Project Congressional District KY-01
Number of Employees 40
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 27590
Originating Lender Name Farmers Bank & Trust Company
Originating Lender Address MARION, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 282170.53
Forgiveness Paid Date 2021-03-25

Related by officers

MICHAEL HENEISEN

RURAL HEALTH INVESTMENTS LLC MARION HEALTH INVESTMENTS LLC SMITHLAND HEALTH INVESTMENTS LLC

William E Barnes, Jr

V.E.F., L.L.C.

Ghassan Yazigi

LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. GHASSAN YAZIGI, M.D., P.S.C. MARION HEALTH INVESTMENTS LLC SMITHLAND HEALTH INVESTMENTS LLC Yazigi Land Company L.L.C.

THEODORE S. HUTCHINS

BENNETT-CARROLL, LLC MCM PLASTICS, LC T & S PROPERTIES, L.L.C. D&R LAND DEVELOPMENT, L.L.C. GEOTECH ENVIRONMENTAL TECHNOLOGIES, L.L.C. PALCO II, L.L.C. PATTI'S ENTERPRISES, L.L.C. KEVIL CAR WASH, L.L.C. TILFORD CONTRACTORS, INC. BUFORD HEATING & AIR CONDITIONING, INC.

Related by address

141 HOSPITAL DRIVE, SALEM, KY 42078

GHASSAN YAZIGI, M.D., P.S.C. RURAL HEALTH INVESTMENTS LLC

Sources: Kentucky Secretary of State

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