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COBB FUNERAL SERVICE, INC.

Company Details

Name: COBB FUNERAL SERVICE, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 25 Oct 2016 (8 years ago)
Organization Date: 25 Oct 2016 (8 years ago)
Last Annual Report: 05 Jan 2022 (3 years ago)
Organization Number: 0966399
ZIP code: 40031
City: La Grange, Lagrange
Primary County: Oldham County
Principal Office: 2004 FOX TRAIL DR, LAGRANGE, KY 40031
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COBB FUNERAL SERVICE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 814327254 2023-10-10 COBB FUNERAL SERVICE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812210
Sponsor’s telephone number 5022359996
Plan sponsor’s address 2809 S. US HWY 25E, BARBOURVILLE, KY, 40906

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing JOHN B COBB
Valid signature Filed with authorized/valid electronic signature
COBB FUNERAL SERVICE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 814327254 2023-10-10 COBB FUNERAL SERVICE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812210
Sponsor’s telephone number 5022359996
Plan sponsor’s address 2809 S. US HWY 25E, BARBOURVILLE, KY, 40906

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing JOHN B COBB
Valid signature Filed with authorized/valid electronic signature
COBB FUNERAL SERVICE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 814327254 2021-09-29 COBB FUNERAL SERVICE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812210
Sponsor’s telephone number 6065465168
Plan sponsor’s address 2809 S. US HWY 25E, BARBOURVILLE, KY, 40906

Signature of

Role Plan administrator
Date 2021-09-29
Name of individual signing JOHN BUFORD COBB III
Valid signature Filed with authorized/valid electronic signature
COBB FUNERAL SERVICE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 814327254 2020-06-19 COBB FUNERAL SERVICE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812210
Sponsor’s telephone number 5022359996
Plan sponsor’s address 2809 S. US HWY 25E, BARBOURVILLE, KY, 40906

Signature of

Role Plan administrator
Date 2020-06-19
Name of individual signing JOHN B COBB III
Valid signature Filed with authorized/valid electronic signature
COBB FUNERAL SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2018 814327254 2019-04-25 COBB FUNERAL SERVICE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812210
Sponsor’s telephone number 5022359996
Plan sponsor’s address 2809 S. US HWY 25E, BARBOURVILLE, KY, 40906

Signature of

Role Plan administrator
Date 2019-04-25
Name of individual signing J. BUFORD COBB
Valid signature Filed with authorized/valid electronic signature
COBB FUNERAL SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2017 814327254 2018-06-29 COBB FUNERAL SERVICE INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812210
Sponsor’s telephone number 5022359996
Plan sponsor’s address 2809 S. US HWY 25E, BARBOURVILLE, KY, 40906

Signature of

Role Plan administrator
Date 2018-06-29
Name of individual signing J BUFORD COBB
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
John Buford Cobb Director
Janice R. Cobb Director

Vice President

Name Role
Janice R. Cobb Vice President

President

Name Role
John Buford Cobb President

Secretary

Name Role
Janice R. Cobb Secretary

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 941359 Property & Casualty Consultant - Not Applicable Withdrawn - - - - -
Department of Insurance DOI ID 941359 Agent - Life Inactive 2017-01-11 - 2023-03-01 - -

Assumed Names

Name Status Expiration Date
COBB-HAMPTON FUNERAL HOME Inactive 2021-12-13

Filings

Name File Date
Agent Resignation 2023-06-21
Principal Office Address Change 2022-01-05
Annual Report 2022-01-05
Annual Report 2021-05-21
Annual Report 2020-06-17
Annual Report 2019-03-29
Annual Report 2018-03-14
Principal Office Address Change 2017-04-04
Annual Report 2017-04-04
Certificate of Assumed Name 2016-12-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4373008307 2021-01-23 0457 PPS 2809 S US Highway 25E, Barbourville, KY, 40906-7601
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16800
Loan Approval Amount (current) 16800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188901
Servicing Lender Name The Bancorp Bank National Association
Servicing Lender Address 345 N Reid Place, Sioux Falls, SD, 57103
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Barbourville, KNOX, KY, 40906-7601
Project Congressional District KY-05
Number of Employees 5
NAICS code 812210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 188901
Originating Lender Name The Bancorp Bank National Association
Originating Lender Address Sioux Falls, SD
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 16904.07
Forgiveness Paid Date 2021-10-22
6356777109 2020-04-14 0457 PPP 2809 S US Highway 25E, Barbourville, KY, 40906-7601
Loan Status Date 2020-11-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16800
Loan Approval Amount (current) 16800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188901
Servicing Lender Name The Bancorp Bank National Association
Servicing Lender Address 345 N Reid Place, Sioux Falls, SD, 57103
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Barbourville, KNOX, KY, 40906-7601
Project Congressional District KY-05
Number of Employees 6
NAICS code 812210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 188901
Originating Lender Name The Bancorp Bank National Association
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 16877
Forgiveness Paid Date 2020-10-13

Sources: Kentucky Secretary of State