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CHAMPION SUPPORTS & COMMUNITY SERVICES, INC.

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Company Details

Name: CHAMPION SUPPORTS & COMMUNITY SERVICES, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 12 Mar 2009 (16 years ago)
Organization Date: 12 Mar 2009 (16 years ago)
Last Annual Report: 11 Sep 2015 (10 years ago)
Organization Number: 0725358
ZIP code: 41642
City: Ivel
Primary County: Floyd County
Principal Office: 63 TOMS CREEK ROAD, IVEL, KY 41642
Place of Formation: KENTUCKY
Authorized Shares: 1000

Incorporator

Name Role
TONYA NEWSOME GOBLE Incorporator
KENNETH R. GOBLE Incorporator

Registered Agent

Name Role
TONYA NEWSOME GOBLE Registered Agent

President

Name Role
TONYA GOBLE President

Vice President

Name Role
KENNETH GOBLE Vice President

National Provider Identifier

NPI Number:
1467784017

Authorized Person:

Name:
MRS. TONYA NEWSOME GOBLE
Role:
PRESIDENT AND EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary:
Yes

Contacts:

Fax:
6064328159

Filings

Name File Date
Administrative Dissolution 2016-10-01
Annual Report 2015-09-11
Registered Agent name/address change 2014-06-16
Principal Office Address Change 2014-06-16
Annual Report 2014-06-16

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Sources: Kentucky Secretary of State