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THE KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.

Company Details

Name: THE KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 03 Dec 1954 (70 years ago)
Organization Date: 03 Dec 1954 (70 years ago)
Organization Number: 0039067
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
Primary County: Jefferson
Place of Formation: KENTUCKY
Last Annual Report: 28 Jun 2024 (5 months ago)
Principal Office: 9403 MILL BROOK RD., LOUISVILLE, KY 40223
Principal Office ZIP code: 40223

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2023 610728963 2024-07-11 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 623000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2022 610728963 2023-06-06 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 623000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2021 610728963 2022-04-13 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2020 610728963 2021-06-24 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2019 610728963 2020-09-21 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2018 610728963 2019-09-27 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5023940015
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 401(K) PLAN 2012 610728963 2013-09-20 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s mailing address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES
Plan administrator’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Number of participants as of the end of the plan year
Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-20
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-20
Name of individual signing KAREN BASS
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOC OF HEALTH CARE FACILITIES, INC. 401K PLAN 2011 610728963 2012-07-19 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Plan administrator’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing RUBY JO CUMMINS LUBARSKY
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOC OF HEALTH CARE FACILITIES, INC. 401K PLAN 2010 610728963 2011-05-20 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s address 9403 MILL BROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Plan administrator’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Signature of
Role Plan administrator
Date 2011-05-20
Name of individual signing RUBY JO CUMMINS LUBARSKY
Valid signature Filed with authorized/valid electronic signature
KENTUCKY ASSOC OF HEALTH CARE FACILITIES, INC. 401K PLAN 2009 610728963 2010-07-12 KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 813000
Sponsor’s telephone number 5024255000
Plan sponsor’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610728963
Plan administrator’s name KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, INC.
Plan administrator’s address 9403 MILLBROOK ROAD, LOUISVILLE, KY, 40223
Administrator’s telephone number 5024255000

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing RUBY JO CUMMINS LUBARSKY
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
David McKenzie Secretary

Treasurer

Name Role
Philip Travis Treasurer

Director

Name Role
Mark Bowman Director
Michelle Jarboe Director
Jason Gumm Director
ELIZABETH P. BAXTER Director
L. A. BUTTERFIELD Director
JAMES E. MILLER Director
MRS. AVA HEROD Director
IRA O. WALLACE Director

Incorporator

Name Role
IRA O. WALLACE Incorporator
ELIZABETH P. BAXTER Incorporator
L. A. BUTTERFIELD Incorporator
JAMES E. MILLER Incorporator
MRS. AVA HEROD Incorporator
JANICE E. MILLER Incorporator
AVO HEROD Incorporator

President

Name Role
Adam Mather President

Registered Agent

Name Role
ADAM MATHER Registered Agent

Former Company Names

Name Action
KENTUCKY ASSOCIATION OF NURSING HOMES, INC. Old Name

Filings

Name File Date
Registered Agent name/address change 2024-06-28
Annual Report 2024-06-28
Annual Report 2023-06-30
Annual Report 2022-06-30
Annual Report 2021-06-24
Annual Report 2020-06-27
Annual Report 2019-06-20
Annual Report 2018-06-07
Annual Report 2017-06-29
Annual Report 2016-06-30

Related by officers

David McKenzie

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Mark Bowman

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Michelle Jarboe

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L. A. BUTTERFIELD

PLEASANT GROVE BENEVOLENT SOCIETY, INC.

JAMES E. MILLER

MEDICAL ARTS OF RICHMOND FLORIDA COMMUNITY BUILDERS, INC. LAMPTON TOWERS, INC. MILLER PIPE ORGAN CO. BAMILL, INC. DUI DEFENDANT ALCOHOL PROGRAM, INC. NU-LIFE TONER, INC. JAMES E. MILLER LLC M & L RENTALS LLC BML PROPERTIES, LLC

IRA O. WALLACE

REST HARBOR RURAL ASSOCIATION

JANICE E. MILLER

COMPUCRAFT

Adam Mather

STATEWIDE INSURANCE SERVICES, INC. DUPONT MANUAL HIGH SCHOOL BASEBALL BOOSTERS, INC.

ADAM MATHER

STATEWIDE INSURANCE SERVICES, INC. KENTUCKY HEALTH CARE FOUNDATION, INC. KENTUCKY COALITION FOR PERSON CENTERED CARE, LLC

Related by address

9403 MILL BROOK RD., LOUISVILLE, KY 40223

STATEWIDE INSURANCE SERVICES, INC.

Date of last update: 12 Nov 2024

Sources: Kentucky Secretary of State

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