Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Greenup
    4. ›
  4. 41144
    5. ›
  5. BELLEFONTE MEDICAL CENTER, INC.

BELLEFONTE MEDICAL CENTER, INC.

Company Details

Name: BELLEFONTE MEDICAL CENTER, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 10 May 2002 (23 years ago)
Organization Date: 10 May 2002 (23 years ago)
Last Annual Report: 25 May 2024 (8 months ago)
Organization Number: 0536710
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41144
Primary County: Greenup
Principal Office: 401 US 23, PO BOX 828, GREENUP, KY 41144
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2018 680505173 2019-07-30 BELLEFONTE MEDICAL CENTER INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing JESUS QUERUBIN JR
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2017 680505173 2018-07-30 BELLEFONTE MEDICAL CENTER INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing JESUS QUERUBIN
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2016 680505173 2017-05-12 BELLEFONTE MEDICAL CENTER INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing JESUS QUERUBIN JR
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2015 680505173 2016-08-01 BELLEFONTE MEDICAL CENTER INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing JESUS QUERUBIN JR
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2014 680505173 2015-06-29 BELLEFONTE MEDICAL CENTER INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing JESUS QUERUBIN
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2013 680505173 2014-07-28 BELLEFONTE MEDICAL CENTER INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing JESUS QUERUBIN
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2012 680505173 2013-06-02 BELLEFONTE MEDICAL CENTER INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Signature of
Role Plan administrator
Date 2013-06-02
Name of individual signing BELLEFONTE MEDICAL CENTER INC
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2011 680505173 2012-06-29 BELLEFONTE MEDICAL CENTER INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718

Plan administrator’s name and address
Administrator’s EIN 680505173
Plan administrator’s name BELLEFONTE MEDICAL CENTER INC
Plan administrator’s address 606 SIGNALPOINTE CT, COLD SPRING, KY, 410768718
Administrator’s telephone number 6064731501

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing BELLEFONTE MEDICAL CENTER INC
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 401 K PROFIT SHARING PLAN TRUST 2010 680505173 2011-07-27 BELLEFONTE MEDICAL CENTER INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT., COLD SPRING, KY, 41076

Plan administrator’s name and address
Administrator’s EIN 680505173
Plan administrator’s name BELLEFONTE MEDICAL CENTER INC
Plan administrator’s address 606 SIGNALPOINTE CT., COLD SPRING, KY, 41076
Administrator’s telephone number 6064731501

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing BELLEFONTE MEDICAL CENTER INC
Valid signature Filed with authorized/valid electronic signature
BELLEFONTE MEDICAL CENTER INC 2009 680505173 2010-07-31 BELLEFONTE MEDICAL CENTER INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6064731501
Plan sponsor’s address 606 SIGNALPOINTE CT., COLD SPRING, KY, 41076

Plan administrator’s name and address
Administrator’s EIN 680505173
Plan administrator’s name BELLEFONTE MEDICAL CENTER INC
Plan administrator’s address 606 SIGNALPOINTE CT., COLD SPRING, KY, 41076
Administrator’s telephone number 6064731501

Signature of
Role Plan administrator
Date 2010-07-31
Name of individual signing BELLEFONTE MEDICAL CENTER INC
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
JESUS QUERUBIN Registered Agent

President

Name Role
Jesus Querubin JR President

Secretary

Name Role
Warner Q Borres Secretary

Treasurer

Name Role
Paijit W Borres Treasurer

Vice President

Name Role
Edgar P Querubin Vice President

Filings

Name File Date
Annual Report 2024-05-25
Annual Report 2023-03-07
Annual Report 2022-02-04
Annual Report Amendment 2021-10-11
Annual Report Amendment 2021-08-11
Annual Report 2021-03-25
Annual Report 2020-04-06
Annual Report 2019-05-08
Annual Report 2018-04-14
Annual Report 2017-06-22

Related by officers

JESUS QUERUBIN

RED8 RX LLC

Related by address

No related companies by address

Date of last update: 29 Dec 2024

Sources: Kentucky Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 kyprofile.com, Part of Big Data Integrated