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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 (4 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

Vice President

Name Role
Johanna Wheatley Vice President

Secretary

Name Role
Brittney Lichvar Secretary

Director

Name Role
Jeff Bringardner Director
Karen Handmaker Director
Tish Brookins Director
Ann Curtis 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

National Provider Identifier

NPI Number:
1184145815
Certification Date:
2023-10-10

Authorized Person:

Name:
DR. CHARLOTTE GAY STITES
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
5022193673

Form 5500 Series

Employer Identification Number (EIN):
474155748
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2021-02-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
46600.00
Total Face Value Of Loan:
46600.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57100.00
Total Face Value Of Loan:
57100.00

Tax Exempt

Employer Identification Number (EIN) :
47-4155748
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)
Ruling Date:
2016-05
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Paycheck Protection Program

Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
57100
Current Approval Amount:
57100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
57506.04
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
46600
Current Approval Amount:
46600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
46844.65

Sources: Kentucky Secretary of State