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CERTACARE, INC.

Company Details

Name: CERTACARE, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
File Date: 29 Dec 2005 (19 years ago)
Organization Date: 29 Dec 2005 (19 years ago)
Last Annual Report: 23 Apr 2019 (6 years ago)
Organization Number: 0628726
ZIP code: 42728
Primary County: Adair
Principal Office: 937 CAMPBELLSVILLE ROAD, SUITE 907, COLUMBIA, KY 42728
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CERTACARE 401(K) RETIREMENT SAVINGS PLAN 2009 204102854 2011-09-26 CERTACARE No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6063873000
Plan sponsor’s mailing address 259 BURKESVILLE ROAD, ALBANY, KY, 42602
Plan sponsor’s address 259 BURKESVILLE ROAD, ALBANY, KY, 42602

Plan administrator’s name and address

Administrator’s EIN 204102854
Plan administrator’s name CERTACARE
Plan administrator’s address 259 BURKESVILLE ROAD, ALBANY, KY, 42602
Administrator’s telephone number 6063873000
CERTACARE 401(K) RETIREMENT SAVINGS PLAN 2009 204102854 2010-07-28 CERTACARE 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6063873000
Plan sponsor’s address 259 BURKESVILLE ROAD, ALBANY, KY, 42602

Plan administrator’s name and address

Administrator’s EIN 204102854
Plan administrator’s name CERTACARE
Plan administrator’s address 259 BURKESVILLE ROAD, ALBANY, KY, 42602
Administrator’s telephone number 6063873000

Signature of

Role Plan administrator
Date 2010-07-28
Name of individual signing KEVIN MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing KEVIN MILLER
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KEVIN D. MILLER Registered Agent

CEO

Name Role
Kevin Miller CEO

CFO

Name Role
Tracy Cross CFO

Director

Name Role
Barry Frost Director

Incorporator

Name Role
TRACY G. CROSS Incorporator

Filings

Name File Date
Dissolution 2019-12-20
Annual Report 2019-04-23
Annual Report 2018-06-12
Annual Report 2017-06-26
Annual Report 2016-07-01
Annual Report 2015-06-16
Annual Report 2014-02-13
Annual Report 2013-06-06
Annual Report 2012-06-15
Principal Office Address Change 2011-05-18

Date of last update: 11 Nov 2024

Sources: Kentucky Secretary of State