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NELSON COUNTY COMMUNITY CLINIC, INC.

Company Details

Name: NELSON COUNTY COMMUNITY CLINIC, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 28 Feb 2006 (19 years ago)
Organization Date: 28 Feb 2006 (19 years ago)
Last Annual Report: 11 Jun 2024 (9 months ago)
Organization Number: 0633287
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40004
City: Bardstown
Primary County: Nelson County
Principal Office: 300 W. JOHN FITCH AVE., STE 200, BARDSTOWN, KY 40004
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HCRZFEFVCYY5 2025-04-23 300 W JOHN FITCH AVE STE 200, BARDSTOWN, KY, 40004, 1149, USA 300 WEST JOHN FITCH AVENUE, SUITE 200, BARDSTOWN, KY, 40004, USA

Business Information

URL nelsoncommclinic.org
Division Name NELSON COUNTY COMMUNITY CLINIC, INC.
Congressional District 02
State/Country of Incorporation KY, USA
Activation Date 2024-04-25
Initial Registration Date 2023-04-26
Entity Start Date 2006-02-28
Fiscal Year End Close Date Jun 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JANET BOONE
Role EXECUTIVE DIRECTOR
Address 300 W JOHN FITCH AVE, BARDSTOWN, KY, KY, 40004, USA
Government Business
Title PRIMARY POC
Name JANET BOONE
Role EXECUTIVE DIRECTOR
Address 300 W JOHN FITCH AVE, BARDSTOWN, KY, KY, 40004, USA
Past Performance Information not Available

Director

Name Role
Meridith Ann Livers Director
DEAN WATTS Director
LARRY HICKS Director
JILL CLARK Director
MARLENE SHAMS Director
MARK ABRAM Director
JUDY BEAVEN Director
RICK LOADER Director
BONNIE CECIL Director
ANN OBERGFELL Director

Incorporator

Name Role
DEAN WATTS Incorporator
LINDA SIMS Incorporator
SUZANNE GUDE Incorporator

Registered Agent

Name Role
LYNN MCCUBBINS, TREASURER Registered Agent

Treasurer

Name Role
MCCUBBINS LYNN Treasurer
JON CHESSER, CPA Treasurer

President

Name Role
Linda West President

Secretary

Name Role
ERIN LEWIS Secretary

Officer

Name Role
Janet Boone Officer

Vice President

Name Role
Robert Cecil Vice President

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Charitable Gaming EXE0002579 Exempt Organization Active - - - - BARDSTOWN, NELSON, KY

Filings

Name File Date
Annual Report 2024-06-11
Annual Report 2023-03-16
Registered Agent name/address change 2023-03-16
Annual Report 2022-04-05
Annual Report 2021-03-30
Registered Agent name/address change 2020-05-21
Annual Report 2020-04-07
Annual Report 2019-05-17
Annual Report 2018-06-20
Annual Report 2017-05-01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
20-4876401 Corporation Unconditional Exemption 300 W JOHN FITCH AVENUE, BARDSTOWN, KY, 40004-1150 2007-03
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 170528
Income Amount 288544
Form 990 Revenue Amount 288544
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name NELSON COUNTY COMMUNITY CLINIC INC
EIN 20-4876401
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name NELSON COUNTY COMMUNITY CLINIC INC
EIN 20-4876401
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name NELSON COUNTY COMMUNITY CLINIC INC
EIN 20-4876401
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name NELSON COUNTY COMMUNITY CLINIC INC
EIN 20-4876401
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name NELSON COUNTY COMMUNITY CLINIC INC
EIN 20-4876401
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name NELSON COUNTY COMMUNITY CLINIC INC
EIN 20-4876401
Tax Period 201612
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7250178403 2021-02-11 0457 PPS 300 W John Fitch Ave Ste 200, Bardstown, KY, 40004-1149
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 18025
Loan Approval Amount (current) 18025
Undisbursed Amount 0
Franchise Name -
Lender Location ID 26783
Servicing Lender Name Town & Country Bank and Trust Company
Servicing Lender Address 201 N Third St, BARDSTOWN, KY, 40004-1527
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bardstown, NELSON, KY, 40004-1149
Project Congressional District KY-02
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 26783
Originating Lender Name Town & Country Bank and Trust Company
Originating Lender Address BARDSTOWN, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 18082.78
Forgiveness Paid Date 2021-06-15
7567397107 2020-04-14 0457 PPP 300 W JOHN FITCH AVE, BARDSTOWN, KY, 40004-1149
Loan Status Date 2020-12-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 15900
Loan Approval Amount (current) 15900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 26783
Servicing Lender Name Town & Country Bank and Trust Company
Servicing Lender Address 201 N Third St, BARDSTOWN, KY, 40004-1527
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BARDSTOWN, NELSON, KY, 40004-1149
Project Congressional District KY-02
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 26783
Originating Lender Name Town & Country Bank and Trust Company
Originating Lender Address BARDSTOWN, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 15988.43
Forgiveness Paid Date 2020-11-12

Sources: Kentucky Secretary of State