| Name: | T.J. SAMSON COMMUNITY HOSPITAL |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Non-profit |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| File Date: | 08 Dec 1926 (98 years ago) |
| Organization Date: | 08 Dec 1926 (98 years ago) |
| Organization Number: | 0046115 |
| Industry: | Health Services |
| Number of Employees: | Large (100+) |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 06 Mar 2024 (8 months ago) |
| Principal Office: | 1301 NORTH RACE ST., GLASGOW, KY 421413483 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| T J SAMSON COMMUNITY HOSPITAL 403B PLAN | 2021 | 610461767 | 2023-08-01 | T J SAMSON COMMUNITY HOSPITAL | 34 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2023-08-01 |
| Name of individual signing | MEI DENG |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-08-01 |
| Name of individual signing | MEI DENG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1987-05-22 |
| Business code | 622000 |
| Plan sponsor’s address | 1301 NORTH RACE STREET, GLASGOW, KY, 42141 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-16 |
| Name of individual signing | MEI DENG |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-06-16 |
| Name of individual signing | MEI DENG |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| Brent Billingsley | Officer |
| Richard Alexander | Officer |
| Ervin Sorrell | Officer |
| Neil C Thornbury | Officer |
| Scott Young | Officer |
| Name | Role |
|---|---|
| Bo Matthews | Director |
| Henry Royse | Director |
| Ervin Sorrell | Director |
| Dan Foutch | Director |
| Amy Cassady | Director |
| Cornelius Faulkner | Director |
| Joey Botts | Director |
| J. C. DOWNING | Director |
| EUGENE AHELL | Director |
| GLEN E. ROPP | Director |
| Name | Role |
|---|---|
| W. L. PORTER | Incorporator |
| F. N. BRADFORD | Incorporator |
| T. J. SAMSON | Incorporator |
| P. W. HOLMAN | Incorporator |
| V. H. BAIRD | Incorporator |
| Name | Role |
|---|---|
| NEIL C. THORNBURY , PRESIDENT AND CEO | Registered Agent |
| Name | Action |
|---|---|
| THE COMMUNITY HOSPITAL | Old Name |
| Name | Status | Expiration Date |
|---|---|---|
| T. J. AMBULATORY CARE | Active | 2029-09-12 |
| T. J. HEALTH PAVILION | Active | 2029-09-12 |
| T.J. SAMSON PAVILION REHABILITATION AGENCY | Inactive | 2023-06-10 |
| T.J. SAMSON AMBULATORY CARE CENTER | Inactive | 2018-06-10 |
| Name | File Date |
|---|---|
| Certificate of Assumed Name | 2024-09-12 |
| Certificate of Assumed Name | 2024-09-12 |
| Annual Report | 2024-03-06 |
| Annual Report | 2023-03-14 |
| Annual Report | 2022-07-15 |
| Annual Report | 2021-04-14 |
| Annual Report | 2020-02-11 |
| Registered Agent name/address change | 2019-04-18 |
| Annual Report | 2019-04-18 |
| Annual Report | 2018-04-11 |
Date of last update: 17 Nov 2024
Sources: Kentucky Secretary of State
