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KENTUCKY PRIMARY CARE ASSOCIATION, INC.

Company Details

Name: KENTUCKY PRIMARY CARE ASSOCIATION, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 07 Dec 1976 (48 years ago)
Organization Date: 07 Dec 1976 (48 years ago)
Organization Number: 0076940
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Franklin
Place of Formation: KENTUCKY
Last Annual Report: 15 Apr 2024 (7 months ago)
Principal Office: 651 COMANCHE TRAIL, FRANKFORT, KY 40601
Principal Office ZIP code: 40601

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
P7CSWZDTNP27 2025-01-25 651 COMANCHE TRL, FRANKFORT, KY, 40601, 1753, USA 651 COMANCHE TRL, FRANKFORT, KY, 40601, 1753, USA

Business Information
URL http://www.kpca.net
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-01-30
Initial Registration Date 2006-11-07
Entity Start Date 1976-12-06
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MOLLY LEWIS
Role CEO
Address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601, USA
Title ALTERNATE POC
Name RACHAEL FITZGERALD
Role CDO
Address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601, USA
Government Business
Title PRIMARY POC
Name MOLLY LEWIS
Role CHIEF EXECUTIVE OFFICER
Address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2023 310900381 2024-10-04 KENTUCKY PRIMARY CARE ASSOCIATION 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2022 310900381 2023-07-25 KENTUCKY PRIMARY CARE ASSOCIATION 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address 651 COMANCHE TRAIL, FRANKFORT, KY, 40601
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2021 310900381 2022-09-12 KENTUCKY PRIMARY CARE ASSOCIATION 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address 651 COMANCHE TRAIL, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2020 310900381 2021-10-06 KENTUCKY PRIMARY CARE ASSOCIATION 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2019 310900381 2020-10-07 KENTUCKY PRIMARY CARE ASSOCIATION 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2018 310900381 2019-09-30 KENTUCKY PRIMARY CARE ASSOCIATION 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2017 310900381 2018-07-03 KENTUCKY PRIMARY CARE ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2016 310900381 2017-06-12 KENTUCKY PRIMARY CARE ASSOCIATION 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2015 310900381 2016-07-14 KENTUCKY PRIMARY CARE ASSOCIATION 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
KENTUCKY PRIMARY CARE ASSOCIATION 401(K) PLAN 2014 310900381 2015-06-30 KENTUCKY PRIMARY CARE ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/08/20141008141452P030012749407001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s address PO BOX 751, FRANKFORT, KY, 406020751

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing REBECCA ARNETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/28/20130628101205P030273174003001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Number of participants as of the end of the plan year
Active participants 6
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 5
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 2013-06-28
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/25/20120725101152P040035253968001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address
Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year
Active participants 5
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 5
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 2012-07-25
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/07/20110607071140P040073727249001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address
Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 5
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 2011-06-06
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address
Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address
Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year
Active participants 5
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 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/29/20100729100352P040405798129001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-03
Business code 621498
Sponsor’s telephone number 5022274379
Plan sponsor’s mailing address PO BOX 751, FRANKFORT, KY, 406020751
Plan sponsor’s address 226 W MAIN, FRANKFORT, KY, 40601

Plan administrator’s name and address
Administrator’s EIN 310900381
Plan administrator’s name KENTUCKY PRIMARY CARE ASSOCIATION
Plan administrator’s address PO BOX 751, FRANKFORT, KY, 406020751
Administrator’s telephone number 5022274379

Number of participants as of the end of the plan year
Active participants 5
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 5
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 2010-07-29
Name of individual signing JOSEPH E. SMITH
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MOLLY LEWIS Registered Agent

Incorporator

Name Role
LOIS A. BAKER Incorporator
BENNY RAY BAILEY, PH. D. Incorporator
GREGORY CULLEY, M.D. Incorporator

Director

Name Role
Jack Miniard Director
Anita Powell Director
BENNY RAY BAILEY Director
GREGORY CULLEY Director
LOIS A. BAKER Director
DAVID WILLIS Director
HAP SCHWEDER Director
Stephanie Moore Director
Barry Martin Director
Sally Jordan Director

Vice President

Name Role
Barry Martin Vice President

Treasurer

Name Role
John Lillybridge Treasurer

President

Name Role
Stephanie Moore President

Filings

Name File Date
Annual Report 2024-04-15
Annual Report 2023-03-14
Registered Agent name/address change 2022-06-22
Annual Report 2022-03-04
Annual Report 2021-03-08
Annual Report 2020-03-23
Principal Office Address Change 2020-03-23
Principal Office Address Change 2019-05-02
Annual Report 2019-05-02
Registered Agent name/address change 2019-04-30

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MOLLY LEWIS

STERLING MEDICAL CONSULTANTS, LLC Kentucky Primary Care Alliance Region 2 , LLC KPCA-STERLING HOLDING COMPANY, INC. The Kentucky Rural Health Collaborative, Inc.

LOIS A. BAKER

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Jack Miniard

ONE HARLAN COUNTY, INC. The Kentucky Rural Health Collaborative, Inc. KENTUCKY PRIMARY CARE CLINICALLY INTEGRATED NETWORK, LLC

Anita Powell

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BENNY RAY BAILEY

DUE, INC. EAST KENTUCKY HEALTH SERVICES CENTER, INC. THE KENTUCKY ASSOCIATION OF PRIMARY CARE CENTERS, INC. KENTUCKY COAL AND MINERAL COALITION, INC. THE WINNING COMBINATION, INC. PERIPHERAL VASCULAR LABS OF KENTUCKY, INC. SOUTHERN MEDICAL PARTNERS, L.L.C.

GREGORY CULLEY

THE KENTUCKY ASSOCIATION OF PRIMARY CARE CENTERS, INC. LOUISVILLE AREA PRIMARY CARE CONSORTIUM, INC. A CARESEARCH KIDSAFE WORKSHOP, INC.

DAVID WILLIS

"FIRST BAPTIST CHURCH OF EARLINGTON KENTUCKY, INC." THE KENTUCKY ASSOCIATION OF PRIMARY CARE CENTERS, INC. GALYON ENTERPRISES INCORPORATED NORTHEASTERN LOG HOMES, INC. QUALITY ELECTRONIC, INC. C & E JOHNSON PROPERTIES, LLC LEAH HAMPTON FARM, LLC FIRE TEC. LLC. THE FENCE DOCTOR, LLC WILLIS HEARTLAND PROPERTIES, LLC

HAP SCHWEDER

THE KENTUCKY ASSOCIATION OF PRIMARY CARE CENTERS, INC.

BENNY RAY BAILEY, PH. D.

THE KENTUCKY ASSOCIATION OF PRIMARY CARE CENTERS, INC.

GREGORY CULLEY, M.D.

THE KENTUCKY ASSOCIATION OF PRIMARY CARE CENTERS, INC. TRANSCULTURAL HEALTH, INC.

Barry Martin

CLOVER FORK OUTPATIENT MEDICAL PROJECT, INC. KENTUCKY COMMUNITY AND TECHNICAL COLLEGE SYSTEM FOUNDATION, INC. ROTARY FREE CLINIC, INC. PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC EARTHLY PROPERTIES, LLC BID Properties LLC Pharmacy Care Centers, LLC Perry County Economic Development Board, Inc. Kentucky Primary Care Alliance Region 3 , LLC Earthly Investments LLC

John Lillybridge

BOWLING GREEN-WARREN COUNTY PRIMARY CARE CENTER, INC. KENTUCKY HEALTH CENTER NETWORK INCORPORATED

Stephanie Moore

HEALTH HELP, INCORPORATED THOMAS HOMES, INC. KPCA-STERLING HOLDING COMPANY, INC. Walters & Moore LLC MK Cleaning LLC Sold by Smoore, LLC KENTUCKY PRIMARY CARE CLINICALLY INTEGRATED NETWORK, LLC

Sally Jordan

KENTUCKY PRIMARY CARE CLINICALLY INTEGRATED NETWORK, LLC

Mike Stanley

FDAK SERVICES CORPORATION KENTUCKY HEALTH CENTER NETWORK INCORPORATED

Michael Caudill

HINDMAN FIRST BAPTIST CHURCH, INC. J & M TRUCKING, INCORPORATED RICHWOOD ACCEPTANCE CORPORATION, INC. WINCHESTER RETIREMENT PLACE, INC. TIME AUTO SALES, INC. PRESTWICK ESTATES COMMUNITY ASSOCIATION, INC. Triple MD Transport, LLC The Old BG L.L.C.

Derrick Hamilton

KENTUCKY HEALTH CENTER NETWORK INCORPORATED HAMILTON SURGICAL INSTRUMENTS LLC KENTUCKY PRIMARY CARE CLINICALLY INTEGRATED NETWORK, LLC

Robert Parmelee

MONTICELLO MEDICAL ASSOCIATES, INC. Kentucky Primary Care Alliance Region 3 , LLC

Dennis Fouch

KENTUCKY PRIMARY CARE CLINICALLY INTEGRATED NETWORK, LLC

Elsie Crawford

Kentucky Primary Care Alliance Region 3 , LLC

Patrick Merritt

KENTUCKY HEALTH CENTER NETWORK INCORPORATED A+ FAMILY HEALTHCARE, LLC

Related by address

651 COMANCHE TRAIL, FRANKFORT, KY 40601

STERLING MEDICAL CONSULTANTS, LLC Kentucky Primary Care Alliance Region 2 , LLC KPCA-STERLING HOLDING COMPANY, INC.

Date of last update: 05 Nov 2024

Sources: Kentucky Secretary of State

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