| Name: | EVERGREEN COMMUNITY SUPPORTS, LLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 16 Dec 2009 (15 years ago) |
| Organization Date: | 16 Dec 2009 (15 years ago) |
| Last Annual Report: | 27 Feb 2025 (2 months ago) |
| Managed By: | Members |
| Organization Number: | 0749876 |
| Industry: | Social Services |
| Number of Employees: | Medium (20-99) |
| ZIP code: | 40391 |
| City: | Winchester, Ford |
| Primary County: | Clark County |
| Principal Office: | 11 SOUTH HIGHLAND, WINCHESTER, KY 40391 |
| Place of Formation: | KENTUCKY |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EVERGREEN COMMUNITY SUPPORTS, LLC RETIREMENT TRUST | 2017 | 271478697 | 2018-01-29 | EVERGREEN COMMUNITY SUPPORTS, LLC | 70 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-01-29 |
| Name of individual signing | JEFF JUSTICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 8597455808 |
| Plan sponsor’s address | 207 BREEZE HILL DR, WINCHESTER, KY, 40391 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-17 |
| Name of individual signing | JEFF JUSTICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 8597455808 |
| Plan sponsor’s address | 207 BREEZE HILL DR, WINCHESTER, KY, 40391 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-14 |
| Name of individual signing | JOHN WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 8597455808 |
| Plan sponsor’s address | 207 BREEZE HILL DR, WINCHESTER, KY, 40391 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-14 |
| Name of individual signing | JEFFEREY JUSTICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 8597455808 |
| Plan sponsor’s address | 207 BREEZE HILL, WINCHESTER, KY, 40391 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-31 |
| Name of individual signing | JOHN M WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-07-31 |
| Name of individual signing | JOHN M WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| MATT WILLIAMS | Registered Agent |
| Name | Role |
|---|---|
| Jefferey Lee Justice | Member |
| John Matthew Williams | Member |
| Name | Role |
|---|---|
| JEFFEREY L. JUSTICE | Organizer |
| Name | File Date |
|---|---|
| Annual Report | 2025-02-27 |
| Annual Report | 2024-05-08 |
| Annual Report | 2023-03-16 |
| Annual Report | 2022-03-08 |
| Annual Report | 2021-04-13 |
| Annual Report | 2020-05-28 |
| Annual Report | 2019-05-29 |
| Annual Report | 2018-08-16 |
| Registered Agent name/address change | 2017-08-23 |
| Annual Report | 2017-04-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6119627008 | 2020-04-06 | 0457 | PPP | 11 S HIGHLAND ST, WINCHESTER, KY, 40391-2027 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3173672 | Intrastate Non-Hazmat | 2018-08-15 | - | - | 2 | 2 | Auth. For Hire | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 |
| Branch | Date of Service | Fiscal Year | Cabinet | Department | Classification | Item Name | Amount |
|---|---|---|---|---|---|---|---|
| Executive | 2024-07-08 | 2025 | Education and Labor Cabinet | Department For Workforce Investment | Fin Assist/Non-State Emp | Rehab-Client Serv Cst-1099 Rpt | 1000 |
Sources: Kentucky Secretary of State
