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  5. THE FOUNDATION FOR A HEALTHY KENTUCKY, INC.

THE FOUNDATION FOR A HEALTHY KENTUCKY, INC.

Company Details

Name: THE FOUNDATION FOR A HEALTHY KENTUCKY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 08 May 2001 (24 years ago)
Organization Date: 08 May 2001 (24 years ago)
Last Annual Report: 18 Mar 2025 (a month ago)
Organization Number: 0514067
Industry: Nonclassifiable Establishments
Number of Employees: Small (0-19)
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 1640 LYNDON FARM COURT, SUITE 100, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUNDATION FOR A HEALTHY KENTUCKY 2023 311784753 2024-06-26 FOUNDATION FOR A HEALTHY KENTUCKY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing ALLISON ADAMS
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2022 311784753 2023-09-11 FOUNDATION FOR A HEALTHY KENTUCKY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing ALLISON ADAMS
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2021 311784753 2022-06-06 FOUNDATION FOR A HEALTHY KENTUCKY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2022-06-06
Name of individual signing MARY JO SHIRCLIFFE
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2020 311784753 2021-06-10 FOUNDATION FOR A HEALTHY KENTUCKY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing MARY JO SHIRCLIFFE
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2019 311784753 2020-06-25 FOUNDATION FOR A HEALTHY KENTUCKY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing MARY JO SHIRCLIFFE
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2018 311784753 2019-07-05 FOUNDATION FOR A HEALTHY KENTUCKY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2019-07-05
Name of individual signing MARY JO SHIRCLIFFE
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2017 311784753 2018-07-16 FOUNDATION FOR A HEALTHY KENTUCKY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing MARY JO SHIRCLIFFE
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2016 311784753 2017-07-08 FOUNDATION FOR A HEALTHY KENTUCKY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2017-07-08
Name of individual signing MARY JO SHIRCLIFFE
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2015 311784753 2016-07-07 FOUNDATION FOR A HEALTHY KENTUCKY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
FOUNDATION FOR A HEALTHY KENTUCKY 2014 311784753 2015-07-16 FOUNDATION FOR A HEALTHY KENTUCKY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/02/20140702135420P040020400167001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/16/20130716160154P040039787287001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/02/20120702143728P030004700630001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 311784753
Plan administrator’s name FOUNDATION FOR A HEALTHY KENTUCKY
Plan administrator’s address 9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222
Administrator’s telephone number 5023262583

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/05/20110705125308P030027386231001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 311784753
Plan administrator’s name FOUNDATION FOR A HEALTHY KENTUCKY
Plan administrator’s address 9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222
Administrator’s telephone number 5023262583

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/12/20111012100741P030684619520001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-04-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 9300 SHELBYVILLE ROAD, SUITE 1305, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 311784753
Plan administrator’s name FOUNDATION FOR A HEALTHY KENTUCKY
Plan administrator’s address 9300 SHELBYVILLE ROAD, SUITE 1305, LOUISVILLE, KY, 40222
Administrator’s telephone number 5023262583

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing SUSAN ZEPEDA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720094216P030087518200001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-04-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 9300 SHELBYVILLE RD STE 1305, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 311784753
Plan administrator’s name FOUNDATION FOR A HEALTHY KENTUCKY
Plan administrator’s address 9300 SHELBYVILLE RD STE 1305, LOUISVILLE, KY, 40222
Administrator’s telephone number 5023262583

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715151856P040376899025001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 813000
Sponsor’s telephone number 5023262583
Plan sponsor’s address 9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 311784753
Plan administrator’s name FOUNDATION FOR A HEALTHY KENTUCKY
Plan administrator’s address 9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222
Administrator’s telephone number 5023262583

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing SUSAN G. ZEPEDA, PH.D.
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
Wayne Tuckson Secretary

Director

Name Role
WILLIAM ENGLE III Director
SUE SPEED Director
ROBERT R. GOODIN Director
SHELIA A O'DONNELL SCHUSTER Director
JUANITA BETZ PETERSON Director
PETER P. BOSOMWORTH Director
Tracey Antle Director
Garren Colvin Director
Leo Calderon Director
Wynn Radford Director

Incorporator

Name Role
JANE J. CHILES Incorporator
RICHARD J. SECKEL Incorporator
SHELIA A. O'DONNELL SCHUSTER Incorporator
LAUREL TRUE Incorporator

President

Name Role
Jane Chiles President

Registered Agent

Name Role
ALLISON ADAMS Registered Agent

Vice President

Name Role
Tommy Turner Vice President

Treasurer

Name Role
Mike Slaton Treasurer

Filings

Name File Date
Annual Report 2025-03-18
Annual Report 2024-03-05
Registered Agent name/address change 2023-08-28
Annual Report 2023-08-28
Annual Report 2022-03-30
Annual Report 2021-03-31
Annual Report 2020-04-17
Annual Report 2019-04-29
Amended and Restated Articles 2018-08-31
Annual Report 2018-04-11

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
31-1784753 Corporation Unconditional Exemption 1640 LYNDON FARM CT STE 100, LOUISVILLE, KY, 40223-4243 2001-07
In Care of Name % THEODORE T MYRE
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 509(a)(3) Type I
Tax Period 2023-12
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 Dec
Asset Amount 59517581
Income Amount 16738366
Form 990 Revenue Amount 3979390
National Taxonomy of Exempt Entities -
Sort Name -

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 Type I, Type II, or functionally integrated Type III supporting organization. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name FOUNDATION FOR A HEALTHY KENTUCKY INC
EIN 31-1784753
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name FOUNDATION FOR A HEALTHY KENTUCKY INC
EIN 31-1784753
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name FOUNDATION FOR A HEALTHY KENTUCKY INC
EIN 31-1784753
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name FOUNDATION FOR A HEALTHY KENTUCKY INC
EIN 31-1784753
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name FOUNDATION FOR A HEALTHY KENTUCKY INC
EIN 31-1784753
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name FOUNDATION FOR A HEALTHY KENTUCKY INC
EIN 31-1784753
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name FOUNDATION FOR A HEALTHY KENTUCKY INC
EIN 31-1784753
Tax Period 201612
Filing Type P
Return Type 990
File View File

Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2400003380 MOA/PSC Exception 2024-07-01 2026-06-30 770000
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (918) CONSULTING SERVICES
Authorization Memorandum of Agreement - Non Profit 501 (c) 3
Document View Document
Executive 2300002734 MOA/PSC Exception 2023-07-01 2024-06-30 299970
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (918) CONSULTING SERVICES
Authorization Memorandum of Agreement - Non Profit 501 (c) 3
Document View Document

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-11-06 2025 Health & Family Services Cabinet Department For Public Health Miscellaneous Services Expenses Rel T/Shows,Fairs&Exp 175

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Related by address

1640 LYNDON FARM COURT, SUITE 100, LOUISVILLE, KY 40223

KENTUCKY HEALTH ENGAGEMENT FOUNDATION, INC.

Sources: Kentucky Secretary of State

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