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Smoketown Family Wellness Center Corp

Company Details

Name: Smoketown Family Wellness Center Corp
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 10 Feb 2015 (10 years ago)
Organization Date: 10 Feb 2015 (10 years ago)
Last Annual Report: 18 Feb 2025 (2 months ago)
Organization Number: 0912142
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40203
City: Louisville
Primary County: Jefferson County
Principal Office: 760 S. HANCOCK ST., SUITE B100, LOUISVILLE, KY 40203
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMOKETOWN FAMILY WELLNESS CENTER CBS BENEFIT PLAN 2023 474155748 2024-12-30 SMOKETOWN FAMILY WELLNESS CENTER 3
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Three-digit plan number (PN) 501
Effective date of plan 2024-01-01
Business code 621900
Sponsor’s telephone number 5022437458
Plan sponsor’s address 760 S HANCOCK ST APT B100, LOUISVILLE, KY, 40203

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name JOSEPH HSU
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2024-12-30
Name of individual signing JOSEPH HSU
Valid signature Filed with authorized/valid electronic signature

Vice President

Name Role
Johanna Wheatley Vice President

Secretary

Name Role
Brittney Lichvar Secretary

Director

Name Role
Jeff Bringardner Director
Karen Handmaker Director
Ann Curtis Director
Tish Brookins Director
Marilyn Marshall Director
Sharonda O'Bannon Morton Director
Jill Jelsma Director
Johanna Wheatley Director
Charlotte Gay Stites Director
Ellen Sloan Director

Incorporator

Name Role
Charlotte Gay Stites Incorporator

Registered Agent

Name Role
CHARLOTTE GAY STITES Registered Agent

President

Name Role
Tish Brookins President

Treasurer

Name Role
Ishwanzya Rivers Treasurer

Assumed Names

Name Status Expiration Date
SMOKETOWN FAMILY WELLNESS CENTER Inactive 2023-03-07

Filings

Name File Date
Annual Report 2025-02-18
Annual Report 2024-04-14
Annual Report 2023-03-29
Annual Report 2022-06-09
Annual Report 2021-07-15
Annual Report 2020-06-26
Annual Report 2019-06-21
Registered Agent name/address change 2018-05-04
Annual Report Amendment 2018-05-04
Annual Report 2018-05-03

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
47-4155748 Corporation Unconditional Exemption 760 S HANCOCK ST APT B100, LOUISVILLE, KY, 40203-2449 2016-05
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 1,000,000 to 4,999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1493902
Income Amount 510948
Form 990 Revenue Amount 510948
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter

Final Letter(s) FinalLetter_47-4155748_SMOKETOWNFAMILYWELLNESSCENTERCORP_03162016.tif

Form 990-N (e-Postcard)

Organization Name SMOKETOWN FAMILY WELLNESS CENTER
EIN 47-4155748
Tax Year 2015
Beginning of tax period 2015-01-01
End of tax period 2015-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 2400 LONGEST AVENUE, LOUISVILLE, KY, 40204, US
Principal Officer's Name CHARLOTTE GAY STITES
Principal Officer's Address 2400 LONGEST AVENUE, LOUISVILLE, KY, 40204, US
Website URL SMOKETOWNWELLNESS.ORG

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name SMOKETOWN FAMILY WELLNESS CENTER CORP
EIN 47-4155748
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name SMOKETOWN FAMILY WELLNESS CENTER CORP
EIN 47-4155748
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SMOKETOWN FAMILY WELLNESS CENTER CO
EIN 47-4155748
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name SMOKETOWN FAMILY WELLNESS CENTER CO
EIN 47-4155748
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SMOKETOWN FAMILY WELLNESS CENTER CO
EIN 47-4155748
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SMOKETOWN FAMILY WELLNESS CENTER CORP
EIN 47-4155748
Tax Period 201612
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1125997105 2020-04-09 0457 PPP 760 S HANCOCK ST APT B100, LOUISVILLE, KY, 40203-2401
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57100
Loan Approval Amount (current) 57100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40203-2401
Project Congressional District KY-03
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57506.04
Forgiveness Paid Date 2020-12-31
1544498501 2021-02-19 0457 PPS 760 S Hancock St Apt B100, Louisville, KY, 40203-2449
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 46600
Loan Approval Amount (current) 46600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Louisville, JEFFERSON, KY, 40203-2449
Project Congressional District KY-03
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 46844.65
Forgiveness Paid Date 2021-09-01

Sources: Kentucky Secretary of State