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  5. CLEVELAND HOLDINGS, INC.

CLEVELAND HOLDINGS, INC.

Company Details

Name: CLEVELAND HOLDINGS, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 21 Aug 2002 (23 years ago)
Organization Date: 21 Aug 2002 (23 years ago)
Last Annual Report: 13 Jun 2018 (7 years ago)
Organization Number: 0543030
ZIP code: 40383
City: Versailles
Primary County: Woodford County
Principal Office: 570 MILNER ROAD, VERSAILLES, KY 40383
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE CLEVELAND HOME 2023 610461733 2024-10-15 THE CLEVELAND HOME 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 403839571

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing AARON WAINSCOTT
Valid signature Filed with authorized/valid electronic signature
THE CLEVELAND HOME CBS BENEFIT PLAN 2023 610461733 2024-12-30 THE CLEVELAND HOME 10
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2024-01-01
Business code 813000
Sponsor’s telephone number 2705276169
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 40383

Plan administrator’s name and address
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
403(B) THRIFT PLAN FOR EMPLOYEES OF THE CLEVELAND HOME 2022 610461733 2023-07-13 THE CLEVELAND HOME 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 403839571

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing AARON WAINSCOTT
Valid signature Filed with authorized/valid electronic signature
THE CLEVELAND HOME CBS BENEFIT PLAN 2022 610461733 2023-12-27 THE CLEVELAND HOME 9
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 813000
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 40383

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
THE CLEVELAND HOME CBS BENEFIT PLAN 2021 610461733 2022-12-29 THE CLEVELAND HOME 8
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 813000
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 40383

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
403(B) THRIFT PLAN OF THE CLEVELAND HOME 2021 610461733 2022-10-17 THE CLEVELAND HOME 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 403839571

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing BEN HEIL
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF THE CLEVELAND HOME 2020 610461733 2021-07-23 THE CLEVELAND HOME 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 403839571

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing CATHERINE TERRY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF THE CLEVELAND HOME 2019 610461733 2020-09-25 THE CLEVELAND HOME 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 403839571

Signature of
Role Plan administrator
Date 2020-09-25
Name of individual signing CATHERINE TERRY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF THE CLEVELAND HOME 2018 610461733 2019-10-03 THE CLEVELAND HOME 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 403839571

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CATHERINE TERRY
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF THE CLEVELAND HOME 2017 610461733 2018-07-16 THE CLEVELAND HOME 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 403839571

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-16
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/25/20170725120017P040068573985001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-25
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/25/20160725121651P030049098663001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/30/20150730091840P040046335117001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015104959P040020238271001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address PO BOX 447, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/26/20130726102427P040322358211001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address PO BOX 447, VERSAILLES, KY, 40383

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/04/20121004144632P030012706256001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address PO BOX 447, VERSAILLES, KY, 40383

Plan administrator’s name and address
Administrator’s EIN 610461733
Plan administrator’s name THE CLEVELAND HOME
Plan administrator’s address PO BOX 447, VERSAILLES, KY, 40383
Administrator’s telephone number 8598733271

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-04
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017113511P040695603696001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address PO BOX 447, VERSAILLES, KY, 40383

Plan administrator’s name and address
Administrator’s EIN 610461733
Plan administrator’s name THE CLEVELAND HOME, INC.
Plan administrator’s address PO BOX 447, VERSAILLES, KY, 40383
Administrator’s telephone number 8598733271

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing CATHY TERRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/05/20101005091919P070010550657001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 624100
Sponsor’s telephone number 8598733271
Plan sponsor’s address 570 MILNER RD, VERSAILLES, KY, 40383

Plan administrator’s name and address
Administrator’s EIN 610461733
Plan administrator’s name THE CLEVELAND HOME
Plan administrator’s address 570 MILNER RD, VERSAILLES, KY, 40383
Administrator’s telephone number 8598733271

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing ROBERT HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-05
Name of individual signing ROBERT HALL
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
TIM MAGILL Registered Agent

Director

Name Role
Roger Brown Director
Ann Hayes Director
Adam Recktenwald Director
CLAUDECA CLARK Director
GEOF REID Director
EDDIE SELLERS Director

President

Name Role
Greg Magruder President

Secretary

Name Role
Shannon Stuart-Smith Secretary

Incorporator

Name Role
MARY B. OLDIGES Incorporator

Former Company Names

Name Action
THE CLEVELAND HOME, INC. Old Name
CLEVELAND HOLDINGS, INC. Merger
THE JOHN CLEVELAND FOUNDATION, INC. Merger
LIFE ADVENTURE CAMP, INC. Merger
THE CLEVELAND HOME Old Name
THE CLEVELAND ORPHAN INSTITUTION Old Name

Filings

Name File Date
Annual Report 2018-06-13
Annual Report 2017-06-08
Registered Agent name/address change 2016-06-15
Annual Report 2016-06-15
Annual Report 2015-05-12
Annual Report 2014-06-06
Registered Agent name/address change 2013-03-14
Annual Report 2013-03-14
Registered Agent name/address change 2012-01-23
Annual Report 2012-01-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9303427109 2020-04-15 0457 PPP 570 MILNER ROAD, VERSAILLES, KY, 40383
Loan Status Date 2021-04-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 141600
Loan Approval Amount (current) 141600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27783
Servicing Lender Name Community Trust Bank, Inc.
Servicing Lender Address 346 N Mayo Trl, PIKEVILLE, KY, 41501-1847
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address VERSAILLES, WOODFORD, KY, 40383-0001
Project Congressional District KY-06
Number of Employees 16
NAICS code 531190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27783
Originating Lender Name Community Trust Bank, Inc.
Originating Lender Address PIKEVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 142787.11
Forgiveness Paid Date 2021-02-25
7381708309 2021-01-28 0457 PPS 570 Milner Rd, Versailles, KY, 40383-9571
Loan Status Date 2021-11-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 134900
Loan Approval Amount (current) 134900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27783
Servicing Lender Name Community Trust Bank, Inc.
Servicing Lender Address 346 N Mayo Trl, PIKEVILLE, KY, 41501-1847
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Versailles, WOODFORD, KY, 40383-9571
Project Congressional District KY-06
Number of Employees 12
NAICS code 531190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27783
Originating Lender Name Community Trust Bank, Inc.
Originating Lender Address PIKEVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 135868.32
Forgiveness Paid Date 2021-10-26

Related by officers

TIM MAGILL

THE JOHN CLEVELAND FOUNDATION, INC.

Roger Brown

THE JOHN CLEVELAND FOUNDATION, INC. Precision of Iowa Inc.

CLAUDECA CLARK

THE JOHN CLEVELAND FOUNDATION, INC.

GEOF REID

THE JOHN CLEVELAND FOUNDATION, INC.

EDDIE SELLERS

WOODFORD COUNTY AGRICULTURE ADVANCEMENT COUNCIL, INC. THE JOHN CLEVELAND FOUNDATION, INC.

MARY B. OLDIGES

THE JOHN CLEVELAND FOUNDATION, INC.

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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