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BLUEGRASS HEALTH PSYCHOLOGY, INC.

BLUEGRASS HEALTH PSYCHOLOGY, INC.

Headquarter

Company Details

Name:	BLUEGRASS HEALTH PSYCHOLOGY, INC.
Legal type:	Kentucky Corporation
Status:	Active
Standing:	Good
Profit or Non-Profit:	Profit
File Date:	14 Sep 2006 (19 years ago)
Organization Date:	14 Sep 2006 (19 years ago)
Last Annual Report:	17 May 2024 (a year ago)
Organization Number:	0647037
Industry:	Health Services
Number of Employees:	Small (0-19)
ZIP code:	40505
City:	Lexington
Primary County:	Fayette County
Principal Office:	2220 YOUNG DR, LEXINGTON, KY 40505
Place of Formation:	KENTUCKY
Authorized Shares:	1000

Links between entities

Type	Company Name	Company Number	State
Headquarter of	BLUEGRASS HEALTH PSYCHOLOGY, INC., MISSISSIPPI	1085316	MISSISSIPPI

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2023

205575864

2024-10-02

BLUEGRASS HEALTH PSYCHOLOGY, INC.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2022

205575864

2023-09-20

BLUEGRASS HEALTH PSYCHOLOGY, INC.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2021

205575864

2022-10-12

BLUEGRASS HEALTH PSYCHOLOGY, INC.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2020

205575864

2021-08-02

BLUEGRASS HEALTH PSYCHOLOGY, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2019

205575864

2020-10-08

BLUEGRASS HEALTH PSYCHOLOGY, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2018

205575864

2019-10-08

BLUEGRASS HEALTH PSYCHOLOGY, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2017

205575864

2018-10-15

BLUEGRASS HEALTH PSYCHOLOGY, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2016

205575864

2017-07-31

BLUEGRASS HEALTH PSYCHOLOGY, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2015

205575864

2016-10-12

BLUEGRASS HEALTH PSYCHOLOGY, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

BLUEGRASS HEALTH PSYCHOLOGY, INC. 401(K) PLAN

2014

205575864

2015-10-12

BLUEGRASS HEALTH PSYCHOLOGY, INC.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

File	https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015091411P040050140023001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

File	https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014142102P040037491379001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621112
Sponsor’s telephone number	8592771008
Plan sponsor’s address	2560 RICHMOND RD., STE. 102, LEXINGTON, KY, 40509

Signature of

Role	Plan administrator
Date	2013-10-14
Name of individual signing	KATHY KEATON
Valid signature	Filed with authorized/valid electronic signature

President

Name	Role
JONATHAN D. COLE	President

Vice President

Name	Role
AMANDA W. MERCHANT	Vice President

Incorporator

Name	Role
JONATHAN DAVID COLE	Incorporator

Registered Agent

Name	Role
JONATHAN DAVID COLE	Registered Agent

Filings

Name	File Date
Annual Report	2024-05-17
Annual Report	2023-03-16
Annual Report	2022-05-16
Annual Report	2021-05-21
Registered Agent name/address change	2020-03-19
Registered Agent name/address change	2020-03-19
Principal Office Address Change	2020-03-19
Annual Report	2020-03-19
Annual Report	2019-05-29
Annual Report	2018-06-01
Annual Report	2017-05-11
Annual Report	2016-06-30
Annual Report	2015-06-01
Annual Report	2014-06-17
Annual Report	2013-06-05
Registered Agent name/address change	2012-04-26
Principal Office Address Change	2012-04-26
Annual Report	2012-04-26
Annual Report	2011-06-24
Annual Report	2010-06-01

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5728577301

2020-04-30

0457

PPP

2220 YOUNG DR, LEXINGTON, KY, 40505-4219

Loan Status Date	2021-07-15
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	146187
Loan Approval Amount (current)	146187
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	23790
Servicing Lender Name	German American Bank
Servicing Lender Address	711 Main St, JASPER, IN, 47546-3042
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	LEXINGTON, FAYETTE, KY, 40505-4219
Project Congressional District	KY-06
Number of Employees	12
NAICS code	621330
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	23790
Originating Lender Name	German American Bank
Originating Lender Address	JASPER, IN
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	147821.09
Forgiveness Paid Date	2021-06-17

Sources: Kentucky Secretary of State