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EVERGREEN CEMETERY COMPANY

Company Details

Name: EVERGREEN CEMETERY COMPANY
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 19 Apr 1914 (111 years ago)
Organization Date: 19 Apr 1914 (111 years ago)
Organization Number: 0016321
Industry: Personal Services
Number of Employees: Small (0-19)
Primary County: Campbell
Place of Formation: KENTUCKY
Last Annual Report: 29 Feb 2024 (9 months ago)
Principal Office: 25 S. ALEXANDRIA PIKE, SOUTHGATE, KY 41071
Principal Office ZIP code: 41071

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2023 610186990 2024-04-16 EVERGREEN CEMETERY COMPANY 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2024-04-16
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2022 610186990 2023-07-05 EVERGREEN CEMETERY COMPANY 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2023-07-05
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2021 610186990 2022-02-28 EVERGREEN CEMETERY COMPANY 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2022-02-28
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2020 610186990 2021-07-13 EVERGREEN CEMETERY COMPANY 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2021-07-13
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2019 610186990 2020-04-08 EVERGREEN CEMETERY COMPANY 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2020-04-08
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2018 610186990 2019-03-26 EVERGREEN CEMETERY COMPANY 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2019-03-26
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2017 610186990 2018-07-17 EVERGREEN CEMETERY COMPANY 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2016 610186990 2017-04-26 EVERGREEN CEMETERY COMPANY 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2017-04-26
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2015 610186990 2016-02-11 EVERGREEN CEMETERY COMPANY 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2016-02-11
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN CEMETERY COMPANY 401(K) PLAN 2014 610186990 2015-07-31 EVERGREEN CEMETERY COMPANY 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2015-07-31
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/07/20140707090450P030027922263001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2014-07-07
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/02/20130502081908P030254939985001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2013-05-02
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/12/20120612141557P030001389015001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTH ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2012-06-12
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/14/20111014092837P040011300197001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-05-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTHGATE ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTHGATE ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/01/31/20110131153211P030000778951001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-05-01
Business code 812220
Sponsor’s telephone number 8594410703
Plan sponsor’s address 25 SOUTHGATE ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227

Plan administrator’s name and address

Administrator’s EIN 610186990
Plan administrator’s name EVERGREEN CEMETERY COMPANY
Plan administrator’s address 25 SOUTHGATE ALEXANDRIA HIGHWAY, SOUTHGATE, KY, 410720227
Administrator’s telephone number 8594410703

Signature of

Role Plan administrator
Date 2011-01-31
Name of individual signing GARY STEPHENS
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DAVID A. SMITH Registered Agent

President

Name Role
Gary L Stephens President

Secretary

Name Role
Andrea Janovic Secretary

Treasurer

Name Role
Joe Manning Treasurer

Director

Name Role
Gary L. Stephens Director
FRED HAAS Director
JAY SIMPSON Director
DAVID A. SMITH Director
Andrea Janovic Director
Joe Manning Director
CHARLES BRANDT Director
JOSEPH HASS Director
CHARLES A. PATZOLD Director
WILBUR H. OTTING Director

Incorporator

Name Role
CHARLES BRANDT Incorporator
JOSEPH HASS Incorporator
CHARLES A. PATZOLD Incorporator
WILBUR H. OTTING Incorporator
FRANK B. STEGEMAN Incorporator

Filings

Name File Date
Annual Report 2024-02-29
Annual Report Amendment 2023-08-17
Annual Report 2023-03-18
Annual Report 2022-03-07
Annual Report 2021-03-29
Annual Report 2020-03-23
Annual Report 2019-05-15
Annual Report 2018-06-06
Annual Report 2017-04-13
Annual Report 2016-03-04

Date of last update: 04 Nov 2024

Sources: Kentucky Secretary of State