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JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.

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Company Details

Name: JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 12 Jan 2005 (20 years ago)
Organization Date: 12 Jan 2005 (20 years ago)
Last Annual Report: 26 Jun 2024 (a year ago)
Organization Number: 0603369
ZIP code: 42743
City: Greensburg
Primary County: Green County
Principal Office: 290 INDUSTRIAL PARK ROAD, GREENSBURG, KY 42743
Place of Formation: KENTUCKY

Incorporator

Name Role
STEVE LEWIS Incorporator
GREG ALTMAN Incorporator
VALERIE PERKINS Incorporator
RUTHIE SHUFFETT Incorporator
RICHARD SHUFFETT Incorporator

Director

Name Role
STEVE LEWIS Director
RUTHIE SHUFFETT Director
VALERIE PERKINS Director
GREG ALTMAN Director
RICHARD SHUFFETT Director
JOE SHUFFETT Director

Signature

Name Role
RUTHIE SHUFFETT Signature

President

Name Role
RUTHIE SHUFFETT President

Secretary

Name Role
VALERIE PERKINS Secretary

Treasurer

Name Role
VALERIE PERKINS Treasurer

Registered Agent

Name Role
RUTHIE SHUFFETT Registered Agent

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
6DQH1
UEI Expiration Date:
2017-01-14

Business Information

Activation Date:
2016-01-15
Initial Registration Date:
2011-05-18

National Provider Identifier

NPI Number:
1386953966

Authorized Person:

Name:
MR. REX A TUNGATE
Role:
CEO, ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
2702992041

Form 5500 Series

Employer Identification Number (EIN):
204474637
Plan Year:
2011
Number Of Participants:
163
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
140
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
163
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
142
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
98
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
GREEN COUNTY PRIMARY CARE Active 2028-07-17
JANE TODD PRIMARY CARE Active 2028-07-17
JANE TODD CRAWFORD HOSPITAL Active 2026-07-15

Filings

Name File Date
Annual Report 2024-06-26
Name Renewal 2023-07-17
Name Renewal 2023-07-14
Registered Agent name/address change 2023-07-06
Annual Report 2023-06-01

USAspending Awards / Financial Assistance

Date:
2020-05-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2285900.00
Total Face Value Of Loan:
2285900.00
Date:
2015-09-29
Awarding Agency Name:
Appalachian Regional Commission
Transaction Description:
HEALTHCARE ACCESS
Obligated Amount:
38420.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2012-09-10
Awarding Agency Name:
Appalachian Regional Commission
Transaction Description:
HEALTHCARE ACCESS
Obligated Amount:
240100.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-0595335
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)
Ruling Date:
1987-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-05-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2285900
Current Approval Amount:
2285900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
2309965.45

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Sources: Kentucky Secretary of State