| Name: | KENTUCKY INTENSIVE FAMILY SERVICES INC. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Non-profit |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Good |
| File Date: | 19 Jun 2002 (23 years ago) |
| Organization Date: | 19 Jun 2002 (23 years ago) |
| Last Annual Report: | 25 Apr 2022 (3 years ago) |
| Organization Number: | 0539227 |
| ZIP code: | 41042 |
| Primary County: | Boone |
| Principal Office: | 73 CAVALIER BLVD #105, FLORENCE, KY 41042 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENTUCKY INTENSIVE FAMILY SERVICES CBS BENEFIT PLAN | 2022 | 161625129 | 2023-12-27 | KENTUCKY INTENSIVE FAMILY SERVICES | 2 | |||||||||||||||||||||||||||||||
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| 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 | 2021-09-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 8596470787 |
| Plan sponsor’s address | 1029 S FORT THOMAS AVE, FORT THOMAS, KY, 41075 |
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 |
| Name | Role |
|---|---|
| KRISTEN SCHMIDLIN | Director |
| STEVE DALLAS | Director |
| DR PAUL BLANCHARD | Director |
| Name | Role |
|---|---|
| STEVE DALLAS | Incorporator |
| DR PAUL BLANCHARD | Incorporator |
| KRISTEN SCHMIDLIN | Incorporator |
| Name | File Date |
|---|---|
| Agent Resignation | 2023-03-14 |
| Dissolution | 2023-01-28 |
| Registered Agent name/address change | 2022-04-25 |
| Principal Office Address Change | 2022-04-25 |
| Annual Report | 2022-04-25 |
| Annual Report | 2021-07-09 |
| Annual Report | 2020-07-01 |
| Annual Report | 2019-06-21 |
| Annual Report | 2018-06-21 |
| Registered Agent name/address change | 2017-02-14 |
Date of last update: 29 Dec 2024
Sources: Kentucky Secretary of State
