| Name: | CREEKWOOD PLACE NURSING & REHAB CENTER, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Non-profit |
| File Date: | 08 Nov 2006 (18 years ago) |
| Organization Date: | 08 Nov 2006 (18 years ago) |
| Last Annual Report: | 23 Jun 2021 (4 years ago) |
| Organization Number: | 0650532 |
| Principal Office: | 485 N. KELLER ROAD, SUITE 250, MAITLAND, FL 32751 |
| Place of Formation: | KENTUCKY |
| Name | Role |
|---|---|
| Keith Boyce | President |
| Name | Role |
|---|---|
| MARK BLOCK | Assistant Secretary |
| Lynn Addiscott | Assistant Secretary |
| David Rodman | Assistant Secretary |
| Michael Saunders | Assistant Secretary |
| Jeff Graff | Assistant Secretary |
| Paul Rathbun | Assistant Secretary |
| Nigel Hinds | Assistant Secretary |
| Thomas Evans | Assistant Secretary |
| Name | Role |
|---|---|
| Keith Boyce | Director |
| Timothy Beaulieu | Director |
| Michael Thompson | Director |
| Anita Young | Director |
| Thomas Evans | Director |
| Nigel Hinds | Director |
| Lisa Musgrave | Director |
| Sandra K Johnson | Director |
| G. THOMAS EVANS | Director |
| MICHELLE FETTERS | Director |
| Name | Role |
|---|---|
| Sandra K Johnson | Chairman |
| Name | Role |
|---|---|
| T. L. TRIMBLE | Incorporator |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Registered Agent |
| Name | File Date |
|---|---|
| Dissolution | 2022-01-26 |
| Annual Report | 2021-06-23 |
| Principal Office Address Change | 2020-06-23 |
| Annual Report | 2020-06-23 |
| Annual Report | 2019-06-25 |
| Registered Agent name/address change | 2018-05-01 |
| Annual Report | 2018-03-15 |
| Annual Report | 2017-03-06 |
| Annual Report | 2016-03-03 |
| Annual Report | 2015-01-28 |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1847823 | Intrastate Non-Hazmat | 2009-01-23 | 10000 | 2008 | 1 | 10 | Priv. Pass. (Business) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Safety Measurement System - Passenger Transportation
| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance Percentile | Less than 5 driver inspections |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance Percentile | Less than 5 vehicle inspections |
| Controlled Substances and Alcohol BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance Percentile | 0% |
| Unsafe Driving BASIC Roadside Performance Percentile | 0% |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Driver Fitness BASIC Roadside Performance Over Threshold Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Vehicle Maintenance BASIC Roadside Performance Over Threshold Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance Over Threshold Indicator | No |
| Driver Fitness BASIC Indicator | No |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Unsafe Driving BASIC Roadside Performance Over Threshold Indicator | No |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Vehicle Maintenance BASIC Indicator | No |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Controlled Substances and Alcohol BASIC Indicator | No |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Unsafe Driving Overall BASIC Indicator | No |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Sources: Kentucky Secretary of State
