| Name: | Community Health Clinic Incorporated |
| Legal type: | Kentucky Corporation |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Non-profit |
| File Date: | 13 Feb 2019 (6 years ago) |
| Organization Date: | 13 Feb 2019 (6 years ago) |
| Last Annual Report: | 20 Mar 2023 (2 years ago) |
| Organization Number: | 1048298 |
| ZIP code: | 42701 |
| City: | Elizabethtown, E Town |
| Primary County: | Hardin County |
| Principal Office: | 1113 Woodland Dr, Elizabethtown, KY 42701 |
| Place of Formation: | KENTUCKY |
| Name | Role |
|---|---|
| JESSICA DAILEY | Registered Agent |
| Rebecca Farris Allen | Registered Agent |
| Name | Role |
|---|---|
| Dr. David Zoeller | President |
| Dr. Syed Quadri | President |
| Name | Role |
|---|---|
| Michael Harmon | Treasurer |
| Name | Role |
|---|---|
| Steve White | Director |
| Dr. Saadia Qureshi | Director |
| Timothy Sutherland | Director |
| Bryce Shumate | Director |
| Diane Logsdon | Director |
| Jessica Dailey | Director |
| Rebecca Farris Allen | Director |
| William Handley | Director |
| Dave Peterson | Director |
| Name | Role |
|---|---|
| Charles David Peterson | Chairman |
| Department | License Number | License Type / Line of Authority | Status | Issue Date | Effective Date | Inactive Date | Expiry Date | Address |
|---|---|---|---|---|---|---|---|---|
| Department of Charitable Gaming | ORG0002720 | Organization | Inactive | - | - | - | 2024-04-17 | Elizabethtown, HARDIN, KY |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2024-10-12 |
| Annual Report | 2023-03-20 |
| Registered Agent name/address change | 2023-03-05 |
| Annual Report | 2022-05-17 |
| Registered Agent name/address change | 2021-02-15 |
| Annual Report | 2021-02-15 |
| Annual Report | 2020-03-26 |
| Annual Report | 2019-06-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4614748406 | 2021-02-06 | 0457 | PPS | 1113 Woodland Dr, Elizabethtown, KY, 42701-2749 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6266078005 | 2020-06-30 | 0457 | PPP | 1113 WOODLAND DR, ELIZABETHTOWN, KY, 42701-2749 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Sources: Kentucky Secretary of State
