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  5. SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.

SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.

Company Details

Name: SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 08 Feb 2008 (17 years ago)
Organization Date: 08 Feb 2008 (17 years ago)
Last Annual Report: 03 May 2024 (9 months ago)
Organization Number: 0685190
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40212
Primary County: Jefferson
Principal Office: 234 AMY AVENUE, LOUISVILLE, KY 40212
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
M7JBX3QK5WJ7 2025-02-22 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA

Business Information
Division Name SHAWNEE CHRISTIAN HEALTHCARE CENTER
Congressional District 03
State/Country of Incorporation KY, USA
Activation Date 2024-02-26
Initial Registration Date 2010-09-08
Entity Start Date 2008-02-08
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA
Title ALTERNATE POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA
Government Business
Title PRIMARY POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, 2522, USA
Title ALTERNATE POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA
Past Performance
Title PRIMARY POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA
Title ALTERNATE POC
Name KIRSTIE MATZEK
Address 234 AMY AVE, LOUISVILLE, KY, 40212, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAWNEE CHRISTIAN HEALTHCARE CENTER INC CBS BENEFIT PLAN 2022 264345390 2023-12-27 SHAWNEE CHRISTIAN HEALTHCARE CENTER INC 26
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-06-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 40212

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2021 264345390 2022-10-06 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing DANA SCHULTZ
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2020 264345390 2021-08-03 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2021-08-03
Name of individual signing DANIEL HUHNERKOCH
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2019 264345390 2020-10-12 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621491
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing DANIEL HUHNERKOCH
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2018 264345390 2019-08-16 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2019-08-16
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2017 264345390 2018-07-06 SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-07-20
Business code 621111
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. 2016 264345390 2017-05-31 SHAWNEE CHRISTIAN HEALTHCARE CENTER , INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-07-01
Business code 621111
Sponsor’s telephone number 5027780001
Plan sponsor’s address 234 AMY AVE, LOUISVILLE, KY, 402122522

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-31
Name of individual signing SUSAN MAGUIRE
Valid signature Filed with authorized/valid electronic signature

Vice President

Name Role
Frances Loueva Moss Vice President

President

Name Role
Leigh Mayes President

Secretary

Name Role
Verlina King Secretary

Director

Name Role
Sharon Elsesser Director
Mark Singleton Director
Deloris White Director
Sharon Bond Director
Marcia Liggin Director
Hope Walker Director
Deborah Beavin Director
Shaun Collins Director
Franklin Jones Director
DAVID A DAGEFORDE Director

Incorporator

Name Role
D RANDALL GIBSON Incorporator

Registered Agent

Name Role
SHAWNEE CHRISTIAN HEALTHCARE CENTER, INC. Registered Agent

Former Company Names

Name Action
NEIGHBORHOOD CHRISTIAN HEALTHCARE MINISTRIES, INC Old Name

Filings

Name File Date
Annual Report 2024-05-03
Annual Report 2023-05-17
Annual Report 2022-04-04
Annual Report 2021-02-09
Annual Report Amendment 2021-02-09
Annual Report Amendment 2020-11-16
Annual Report 2020-06-15
Annual Report 2019-06-20
Annual Report 2018-06-27
Annual Report 2017-04-25

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Related by address

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Date of last update: 11 Jan 2025

Sources: Kentucky Secretary of State

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