| Name: | Shady Lawn OpCo, LLC |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 27 Apr 2018 (7 years ago) |
| Organization Date: | 27 Apr 2018 (7 years ago) |
| Last Annual Report: | 13 Mar 2025 (a month ago) |
| Managed By: | Managers |
| Organization Number: | 1019330 |
| Industry: | Health Services |
| Number of Employees: | Medium (20-99) |
| ZIP code: | 42211 |
| City: | Cadiz, Canton, Golden Pond |
| Primary County: | Trigg County |
| Principal Office: | 2582 CERULEAN ROAD, CADIZ, KY 42211 |
| Place of Formation: | KENTUCKY |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| W4WAEGVDL9T7 | 2025-02-05 | 2582 CERULEAN RD, CADIZ, KY, 42211, 9605, USA | 2582 CERULEAN RD, CADIZ, KY, 42211, 9605, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | SHADY LAWN NURSING AND REHABILITATION CENTER |
| URL | www.shadylawnnursingandrehab.com |
| Congressional District | 01 |
| State/Country of Incorporation | KY, USA |
| Activation Date | 2024-02-08 |
| Initial Registration Date | 2019-03-22 |
| Entity Start Date | 2018-09-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AMY ROBERTSON |
| Role | BUSINESS OFFICE MGR |
| Address | 2582 CERULEAN RD, CADIZ, KY, 42211, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DANA RADFORD |
| Role | ADMINSTRATOR |
| Address | 2582 CERULEAN ROAD, CADIZ, KY, 42211, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | DARLA JOINER |
| Role | ASST BOM |
| Address | 2582 CERULEAN ROAD, CADIZ, KY, 42211, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHADY LAWN OPCO , LLC 401(K) PLAN | 2023 | 831248979 | 2024-09-16 | SHADY LAWN OPCO , LLC | 27 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-16 |
| Name of individual signing | MOSHE KELMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2705223236 |
| Plan sponsor’s address | 2582 CERULEAN RD., SHADY LAWN, KY, 42211 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-21 |
| Name of individual signing | MOSHE KELMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2705223236 |
| Plan sponsor’s address | 2582 CERULEAN RD., SHADY LAWN, KY, 42211 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-22 |
| Name of individual signing | MOSHE KELMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2705223236 |
| Plan sponsor’s address | 2582 CERULEAN RD., SHADY LAWN, KY, 42211 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-07 |
| Name of individual signing | MOSHE KELMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2705223236 |
| Plan sponsor’s address | 2582 CERULEAN RD., SHADY LAWN, KY, 42211 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-01 |
| Name of individual signing | MOSHE KELMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| MOSHE KELMAN | Member |
| Name | Role |
|---|---|
| MOSHE KELMAN | Manager |
| Name | Role |
|---|---|
| PLATINUM FILINGS LLC | Registered Agent |
| Name | Status | Expiration Date |
|---|---|---|
| SHADY LAWN NURSING AND REHABILITATION CENTER | Inactive | 2023-09-04 |
| Name | File Date |
|---|---|
| Annual Report | 2025-03-13 |
| Registered Agent name/address change | 2024-11-14 |
| Annual Report | 2024-06-03 |
| Certificate of Assumed Name | 2023-10-10 |
| Annual Report | 2023-03-22 |
| Annual Report | 2022-03-30 |
| Annual Report | 2021-02-11 |
| Annual Report | 2020-02-19 |
| Registered Agent name/address change | 2020-01-13 |
| Annual Report | 2019-05-02 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2369029 | SHADY LAWN OPCO, LLC | SHADY LAWN NURSING AND REHABILITATION CENTER | W4WAEGVDL9T7 | 2582 CERULEAN RD, CADIZ, KY, 42211-9605 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | $0 |
| Description | Construction Bonding Level (aggregate) |
| Level | $0 |
| Description | Service Bonding Level (per contract) |
| Level | $0 |
| Description | Service Bonding Level (aggregate) |
| Level | $0 |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 623110 |
| NAICS Code's Description | Nursing Care Facilities (Skilled Nursing Facilities) |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
| Branch | Date of Service | Fiscal Year | Cabinet | Department | Classification | Item Name | Amount |
|---|---|---|---|---|---|---|---|
| Executive | 2024-08-19 | 2025 | Health & Family Services Cabinet | Office Of Inspector General | Misc Commodities & Other Exp | Other | 1500 |
Sources: Kentucky Secretary of State
