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GRAYSON HOUSING, INC.

Company Details

Name: GRAYSON HOUSING, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Organization Date: 22 Jan 1962 (63 years ago)
Organization Number: 0020551
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Grayson
Place of Formation: KENTUCKY
Last Annual Report: 15 May 2024 (6 months ago)
Principal Office: 29 OLD HARTFORD RD, CANEYVILLE , KY 42726
Principal Office ZIP code: 42726

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2018 610656880 2019-07-15 GRAYSON HOUSING, INC. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 WILLIAM THOMASON BYU # 1, LEITCHFIELD, KY, 427541419

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing DEBRA BOONE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2017 610656880 2018-09-17 GRAYSON HOUSING, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498

Signature of

Role Plan administrator
Date 2018-09-17
Name of individual signing DEBRA BOONE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2016 610656880 2017-03-03 GRAYSON HOUSING, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498

Signature of

Role Plan administrator
Date 2017-03-03
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2015 610656880 2016-09-21 GRAYSON HOUSING, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-21
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2014 610656880 2015-05-14 GRAYSON HOUSING, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Signature of

Role Plan administrator
Date 2015-05-11
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-11
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2013 610656880 2014-02-26 GRAYSON HOUSING, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Signature of

Role Plan administrator
Date 2014-02-24
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-24
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2012 610656880 2013-03-13 GRAYSON HOUSING, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Signature of

Role Plan administrator
Date 2013-03-13
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-13
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2011 610656880 2012-07-03 GRAYSON HOUSING, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Plan administrator’s name and address

Administrator’s EIN 610656880
Plan administrator’s name GRAYSON HOUSING, INC.
Plan administrator’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
Administrator’s telephone number 2702594028

Signature of

Role Plan administrator
Date 2012-07-03
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2010 610656880 2011-04-05 GRAYSON HOUSING, INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Plan administrator’s name and address

Administrator’s EIN 610656880
Plan administrator’s name GRAYSON HOUSING, INC.
Plan administrator’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
Administrator’s telephone number 2702594028

Signature of

Role Plan administrator
Date 2011-03-31
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN 2009 610656880 2010-07-28 GRAYSON HOUSING, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 623000
Sponsor’s telephone number 2702594028
Plan sponsor’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498

Plan administrator’s name and address

Administrator’s EIN 610656880
Plan administrator’s name GRAYSON HOUSING, INC.
Plan administrator’s address 505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
Administrator’s telephone number 2702594028

Signature of

Role Plan administrator
Date 2010-07-28
Name of individual signing JOSEPH VANCE
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
LAURA GOFF Registered Agent

President

Name Role
LAURA GOFF President

Secretary

Name Role
NANCY JO ESCUE Secretary

Vice President

Name Role
DEBBIE BRACKETT Vice President

Director

Name Role
Ricky Paul Director
Nina Meredith Director
Robert Hatfield Director
C. A. YOUNG Director
BOYD SISK Director
SHELTON LIKINS Director
GLEN H. GOFF Director
DAVID DAVISON Director
Barry Anderson Director

Incorporator

Name Role
C. A. YOUNG Incorporator
BOYD SISK Incorporator
SHELTON LIKINS Incorporator
GLEN H. GOFF Incorporator
DAVID DAVISON Incorporator

Filings

Name File Date
Annual Report 2024-05-15
Principal Office Address Change 2024-05-15
Registered Agent name/address change 2024-05-15
Registered Agent name/address change 2024-05-15
Annual Report 2024-05-15
Principal Office Address Change 2024-05-15
Annual Report 2023-05-09
Annual Report 2022-03-08
Annual Report 2021-02-10
Annual Report 2020-02-17

Date of last update: 04 Nov 2024

Sources: Kentucky Secretary of State