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THE COMMUNITY HOSPITAL, INC.

Company Details

Name: THE COMMUNITY HOSPITAL, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Organization Date: 24 Jan 1938 (87 years ago)
Organization Number: 0036818
Primary County: Muhlenberg
Place of Formation: KENTUCKY
Last Annual Report: 04 Jun 2024 (5 months ago)
Principal Office: P. O. BOX 387, GREENVILLE, KY 42345
Principal Office ZIP code: 42345

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MUHLENBERG COMMUNITY HOSPITAL 401(K) PLAN 2012 610445841 2013-10-15 MUHLENBERG COMMUNITY HOSPITAL 456
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-01-01
Business code 622000
Sponsor’s telephone number 2703388310
Plan sponsor’s mailing address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Plan sponsor’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 610445841
Plan administrator’s name MUHLENBERG COMMUNITY HOSPITAL
Plan administrator’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Administrator’s telephone number 2703388310

Number of participants as of the end of the plan year
Active participants 389
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 53
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 397
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JOE SWAB
Valid signature Filed with authorized/valid electronic signature
MUHLENBERG COMMUNITY HOSPITAL 401(K) PLAN 2011 610445841 2012-10-15 MUHLENBERG COMMUNITY HOSPITAL 482
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-01-01
Business code 622000
Sponsor’s telephone number 2703388310
Plan sponsor’s mailing address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Plan sponsor’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 610445841
Plan administrator’s name MUHLENBERG COMMUNITY HOSPITAL
Plan administrator’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Administrator’s telephone number 2703388310

Number of participants as of the end of the plan year
Active participants 384
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 65
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 401
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing JOHN COUNTZLER
Valid signature Filed with authorized/valid electronic signature
MUHLENBERG COMMUNITY HOSPITAL 401(K) PLAN 2010 610445841 2011-10-17 MUHLENBERG COMMUNITY HOSPITAL 451
Three-digit plan number (PN) 002
Effective date of plan 1983-01-01
Business code 622000
Sponsor’s telephone number 2703388310
Plan sponsor’s mailing address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Plan sponsor’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 610445841
Plan administrator’s name MUHLENBERG COMMUNITY HOSPITAL
Plan administrator’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Administrator’s telephone number 2703388310

Number of participants as of the end of the plan year
Active participants 412
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 65
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 415
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing JOHN COUNTZLER
Valid signature Filed with authorized/valid electronic signature
MUHLENBERG COMMUNITY HOSPITAL 401(K) PLAN 2010 610445841 2011-10-17 MUHLENBERG COMMUNITY HOSPITAL 451
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-01-01
Business code 622000
Sponsor’s telephone number 2703388310
Plan sponsor’s mailing address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Plan sponsor’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 610445841
Plan administrator’s name MUHLENBERG COMMUNITY HOSPITAL
Plan administrator’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Administrator’s telephone number 2703388310

Number of participants as of the end of the plan year
Active participants 412
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 65
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 415
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing JOHN COUNTZLER
Valid signature Filed with authorized/valid electronic signature
MUHLENBERG COMMUNITY HOSPITAL 401(K) PLAN 2009 610445841 2010-10-15 MUHLENBERG COMMUNITY HOSPITAL 477
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-01-01
Business code 622000
Sponsor’s telephone number 2703388310
Plan sponsor’s mailing address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Plan sponsor’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345

Plan administrator’s name and address
Administrator’s EIN 610445841
Plan administrator’s name MUHLENBERG COMMUNITY HOSPITAL
Plan administrator’s address 440 HOPKINSVILLE ROAD, GREENVILLE, KY, 42345
Administrator’s telephone number 2703388310

Number of participants as of the end of the plan year
Active participants 394
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 55
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 379
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 5

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing JOHN CLEMENTS
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
FREDDIE M MAYES Secretary

Treasurer

Name Role
FREDDIE M MAYES Treasurer

Director

Name Role
MARY WEBB BROWN Director
DAVID H JERNIGAN Director
WALTER LEE FAUNTLEROY Director
FREDDIE M MAYES Director
TERESA LANE GARDNER Director
MARK A POGUE Director
ARCHIE D POLLOCK Director
MARSHALL E PRUNTY Director
TODD E STILES Director
MRS. LORINE M. WICKLIFFE Director

Incorporator

Name Role
J. R. MARTIN Incorporator
L. B. KNIGHT Incorporator
VERNON JENKINS Incorporator
P. R. WICKLIFFE Incorporator
A. W. DUNCAN Incorporator

Registered Agent

Name Role
TERESA LANE WEBB GARDNER Registered Agent

Vice Chairman

Name Role
ARCHIE DUNCAN POLLOCK Vice Chairman

Chairman

Name Role
TERESA LANE GARDNER Chairman

Former Company Names

Name Action
MUHLENBERG COMMUNITY HOSPITAL Old Name

Assumed Names

Name Status Expiration Date
MUHLENBERG PAIN MANAGEMENT CENTER Inactive 2018-02-21
CENTRAL CITY CLINIC Inactive 2017-06-26
MUHLENBERG SURGICAL ASSOCIATES Inactive 2016-02-17

Filings

Name File Date
Annual Report 2024-06-04
Annual Report 2023-03-20
Annual Report 2022-03-10
Annual Report 2021-04-13
Annual Report 2020-03-16
Annual Report 2019-06-25
Annual Report 2018-06-07
Annual Report 2017-06-13
Annual Report 2016-05-23
Registered Agent name/address change 2016-05-23

Related by officers

FREDDIE M MAYES

THE MUHLENBERG COMMUNITY HOSPITAL FOUNDATION, INC.

MARY WEBB BROWN

MARY WEBB BROWN, DMD P.S.C.

DAVID H JERNIGAN

HUNTING CREEK VILLAGES II OWNERS ASSOCIATION, INC.

WALTER LEE FAUNTLEROY

FAUNTLEROY SUPPLY, INC. FAUNTLEROY FAMILY, LLC WEST KENTUCKY LAND MANAGEMENT, "LLC"

TODD E STILES

PATHOLOGY ASSOCIATES OF PADUCAH, P.S.C.

L. B. KNIGHT

THE DAN-DEE MOTEL, INC. KENTUCKY AUTOMOBILE DEALERS ASSOCIATION L. B. KNIGHT COMPANY

VERNON JENKINS

FRANKLIN SIMPSON COUNTY CREDIT BUREAU, INCORPORATED PENNYRILE MOTOR CO., INC.

P. R. WICKLIFFE

KENTUCKY COAL AGENCY FIRST STATE BANK OF GREENVILLE, KENTUCKY, INC.

TERESA LANE WEBB GARDNER

THE MUHLENBERG COMMUNITY HOSPITAL FOUNDATION, INC.

ARCHIE DUNCAN POLLOCK

THE MUHLENBERG COMMUNITY HOSPITAL FOUNDATION, INC.

A. W. DUNCAN

GREENVILLE COUNTRY CLUB, INC.

Related by address

P. O. BOX 387, GREENVILLE, KY 42345

M.C.H. CREDIT UNION, INC.

Date of last update: 18 Nov 2024

Sources: Kentucky Secretary of State

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