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LAKE VILLAGE WATER ASSOCIATION, INC.

Company Details

Name: LAKE VILLAGE WATER ASSOCIATION, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 02 May 1968 (57 years ago)
Organization Date: 02 May 1968 (57 years ago)
Organization Number: 0030003
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
Primary County: Mercer
Place of Formation: KENTUCKY
Last Annual Report: 16 May 2024 (6 months ago)
Principal Office: JAMES H. BOYD, P. O. BOX 303, 801 PLEASANT HILL DRIVE, BURGIN, KY 40310
Principal Office ZIP code: 40310

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LRXLSGLVPXE1 2024-05-04 803 PLEASANT HILL DR, HARRODSBURG, KY, 40330, 9720, USA P.O. BOX 303, BURGIN, KY, 40310, USA

Business Information

URL www.lakevillagewater.org
Division Name LAKE VILLAGE WATER ASSOCIATION, INC.
Congressional District 06
State/Country of Incorporation KY, USA
Activation Date 2023-05-18
Initial Registration Date 2015-01-23
Entity Start Date 1968-01-05
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 561990
Product and Service Codes Z2NE

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MIKE D SANFORD
Role EXECUTIVE DIRECTOR
Address 803 PLEASANT HILL DRIVE, HARRODSBURG, KY, 40330, USA
Government Business
Title PRIMARY POC
Name MIKE D SANFORD
Role EXECUTIVE DIRECTOR
Address 803 PLEASANT HILL DRIVE, HARRODSBURG, KY, 40330, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE VILLAGE WATER ASSOCIATION CBS BENEFIT PLAN 2022 610716901 2023-12-27 LAKE VILLAGE WATER ASSOCIATION 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 221300
Sponsor’s telephone number 8597485642
Plan sponsor’s address P. O. BOX 303, BURGIN, KY, 40310

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
LAKE VILLAGE WATER ASSOCIATION CBS BENEFIT PLAN 2021 610716901 2022-12-29 LAKE VILLAGE WATER ASSOCIATION 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 221300
Sponsor’s telephone number 8597485642
Plan sponsor’s address P. O. BOX 303, BURGIN, KY, 40310

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
LAKE VILLAGE WATER ASSOCIATION CBS BENEFIT PLAN 2020 610716901 2021-12-14 LAKE VILLAGE WATER ASSOCIATION 5
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 221300
Sponsor’s telephone number 8597485642
Plan sponsor’s address P. O. BOX 303, BURGIN, KY, 40310

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
LAKE VILLAGE WATER ASSOCIATION CBS BENEFIT PLAN 2019 610716901 2020-12-23 LAKE VILLAGE WATER ASSOCIATION 6
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 221300
Sponsor’s telephone number 8597485642
Plan sponsor’s address 801 PLEASANT HILL DRIVE, BURGIN, KY, 40310

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name KELLY WOLF
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature

President

Name Role
JAMES H BOYD President

Secretary

Name Role
ANDREA GROSS Secretary

Registered Agent

Name Role
JAMES H BOYD Registered Agent

Director

Name Role
ROSS KELLEY Director
James Boyd Director
Andrea Gross Director
Kenny Carey Director
Thomas Hager Director
Jeff Hughes Director
J. CLEMENS CALDWELL Director
J. WELLINGTON COOPER Director
H. N. GRAHAM Director
JAMES CAMPBELL Director

Vice President

Name Role
KENNY CAREY Vice President

Incorporator

Name Role
J. CLEMENS CALDWELL Incorporator
ROSS KELLY Incorporator
J. WELLINGTON COOPER Incorporator
H. N. GRAHAM Incorporator
JAMES CAMPBELL Incorporator

Filings

Name File Date
Annual Report 2024-05-16
Annual Report 2023-03-15
Annual Report 2022-03-07
Principal Office Address Change 2022-03-07
Principal Office Address Change 2021-02-10
Annual Report 2021-02-10
Registered Agent name/address change 2020-02-14
Annual Report 2020-02-14
Annual Report 2019-04-19
Annual Report 2018-04-16

Date of last update: 05 Nov 2024

Sources: Kentucky Secretary of State