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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 (a year 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

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

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.

Unique Entity ID:
HCRZFEFVCYY5
UEI Expiration Date:
2026-04-09

Business Information

Activation Date:
2025-04-11
Initial Registration Date:
2023-04-26

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
Registered Agent name/address change 2023-03-16
Annual Report 2023-03-16
Annual Report 2022-04-05
Annual Report 2021-03-30

USAspending Awards / Financial Assistance

Date:
2021-02-11
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:
18025.00
Total Face Value Of Loan:
18025.00
Date:
2020-04-14
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:
15900.00
Total Face Value Of Loan:
15900.00

Tax Exempt

Employer Identification Number (EIN) :
20-4876401
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:
2007-03
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2021-02-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
18025
Current Approval Amount:
18025
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
18082.78
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
15900
Current Approval Amount:
15900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
15988.43

Sources: Kentucky Secretary of State