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LIFESKILLS HEALTH SERVICES, INC.

Company Details

Name: LIFESKILLS HEALTH SERVICES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 18 Feb 2016 (9 years ago)
Organization Date: 18 Feb 2016 (9 years ago)
Last Annual Report: 18 Feb 2025 (2 months ago)
Organization Number: 0939213
Industry: Social Services
Number of Employees: Large (100+)
ZIP code: 42101
City: Bowling Green, Hadley, Plum Springs, Richardsville
Primary County: Warren County
Principal Office: 330 E. 10TH AVENUE, BOWLING GREEN, KY 42101
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFEHEALTH SERVICES, INC. FRINGE BENEFIT PLAN 2023 811641498 2024-05-09 LIFESKILLS HEALTH SERVICES, INC. 302
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Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 330 EAST 10TH AVE, PO BOX 9500, BOWLING GREEN, KY, 421029500
Plan sponsor’s address 330 EAST 10TH AVE, PO BOX 9500, BOWLING GREEN, KY, 421029500

Number of participants as of the end of the plan year

Active participants 233
Other retired or separated participants entitled to future benefits 15

Signature of

Role Plan administrator
Date 2024-05-03
Name of individual signing JOHN SIVLEY
Valid signature Filed with authorized/valid electronic signature
LIFEHEALTH SERVICES, INC. FRINGE BENEFIT PLAN 2022 811641498 2023-06-13 LIFESKILLS HEALTH SERVICES, INC. 301
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 2709015000
Plan sponsor’s mailing address 330 EAST 10TH AVE, PO BOX 9500, BOWLING GREEN, KY, 421029500
Plan sponsor’s address 330 EAST 10TH AVE, PO BOX 9500, BOWLING GREEN, KY, 421029500

Number of participants as of the end of the plan year

Active participants 293

Signature of

Role Plan administrator
Date 2023-06-13
Name of individual signing JOHN SIVLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-13
Name of individual signing JOHN SIVLEY
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DAVID F. BRODERICK Registered Agent

Director

Name Role
DAVID F BRODERICK Director
JOE DAN BEAVERS Director
CLARENCE GAMBLE Director
Rick DuBose Director
John Eaton Director
Randall Curry Director
Tony Salyer Director

Incorporator

Name Role
DAVID F BRODERICK Incorporator

President

Name Role
John O. Sivley President

Former Company Names

Name Action
LIFESKILLS HEALTH SERVICES, INC. Type Conversion

Assumed Names

Name Status Expiration Date
LIFEHEALTH SERVICE Inactive 2023-12-28

Filings

Name File Date
Annual Report 2025-02-18
Annual Report 2024-07-30
Principal Office Address Change 2023-03-20
Annual Report 2023-03-20
Annual Report 2022-03-31
Annual Report 2021-02-11
Annual Report 2020-03-04
Annual Report 2019-04-03
Certificate of Assumed Name 2018-12-28
Principal Office Address Change 2018-11-15

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
81-1641498 Corporation Unconditional Exemption PO BOX 9500, BOWLING GREEN, KY, 42102-9500 2018-11
In Care of Name % GAYLA MAXFIELD
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 2024-06
Asset 5,000,000 to 9,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 5190219
Income Amount 15935321
Form 990 Revenue Amount 15935321
National Taxonomy of Exempt Entities Health Care: Health Support Services
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_81-1641498_LIFESKILLSHEALTHSERVICESINC_05152018_01.tif

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

Organization Name LIFESKILLS HEALTH SERVICES INC
EIN 81-1641498
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name LIFESKILLS HEALTH SERVICES INC
EIN 81-1641498
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name LIFESKILLS HEALTH SERVICES INC
EIN 81-1641498
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name LIFESKILLS HEALTH SERVICES INC
EIN 81-1641498
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name LIFESKILLS HEALTH SERVICES INC
EIN 81-1641498
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name LIFESKILLS HEALTH SERVICES INC
EIN 81-1641498
Tax Period 201706
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4131827209 2020-04-27 0457 PPP 330 EAST 10TH STREET, BOWLING GREEN, KY, 42102-9500
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4014000
Loan Approval Amount (current) 4014000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124751
Servicing Lender Name American Bank & Trust Company, Inc.
Servicing Lender Address 1302 Scottsville, BOWLING GREEN, KY, 42102
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address BOWLING GREEN, WARREN, KY, 42102-9500
Project Congressional District KY-02
Number of Employees 500
NAICS code 561311
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 124751
Originating Lender Name American Bank & Trust Company, Inc.
Originating Lender Address BOWLING GREEN, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 4060941.5
Forgiveness Paid Date 2021-07-02

Sources: Kentucky Secretary of State