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JENNIE STUART MEDICAL CENTER, INC.

Company Details

Name: JENNIE STUART MEDICAL CENTER, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 19 Feb 1913 (112 years ago)
Organization Date: 19 Feb 1913 (112 years ago)
Organization Number: 0162050
Industry: Health Services
Number of Employees: Large (100+)
Primary County: Christian
Place of Formation: KENTUCKY
Last Annual Report: 04 Mar 2024 (8 months ago)
Principal Office: 320 WEST 18TH STREET, P O BOX 2400, HOPKINSVILLE, KY 42241-2400
Principal Office ZIP code: 42241

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JENNIE STUART MEDICAL CENTER HEALTH AND WELFARE PLAN 2022 610482973 2024-02-22 JENNIE STUART MEDICAL CENTER 753
File View Page
Three-digit plan number (PN) 521
Effective date of plan 2014-09-01
Business code 622000
Sponsor’s telephone number 2708870100
Plan sponsor’s mailing address 320 WEST 18TH STREET, HOPKINSVILLE, KY, 42240
Plan sponsor’s address 320 WEST 18TH STREET, HOPKINSVILLE, KY, 42240

Number of participants as of the end of the plan year

Active participants 687
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 144

Signature of

Role Plan administrator
Date 2024-02-22
Name of individual signing MARK LARAMEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-22
Name of individual signing MARK LARAMEE
Valid signature Filed with authorized/valid electronic signature
JSMC UNUM LONG TERM DISABILITY 2010 610482973 2011-04-19 JENNIE STUART MEDICAL CENTER 123
File View Page
Three-digit plan number (PN) 509
Effective date of plan 1996-01-01
Business code 622000
Sponsor’s telephone number 2708770100
Plan sponsor’s DBA name SAME AS ABOVE
Plan sponsor’s mailing address 320 WEST 18TH STREET, HOPKINSVILLE, KY, 42240
Plan sponsor’s address 320 WEST 18TH STREET, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address

Administrator’s EIN 610482973
Plan administrator’s name JENNIE STUART MEDICAL CENTER
Plan administrator’s address 320 WEST 18TH STREET, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708770100

Number of participants as of the end of the plan year

Active participants 144

Signature of

Role Plan administrator
Date 2011-04-18
Name of individual signing SAMUEL BROWN
Valid signature Filed with authorized/valid electronic signature
JSMC UNUM LONG TERM DISABILITY 2009 610482973 2010-10-15 JENNIE STUART MEDICAL CENTER 132
File View Page
Three-digit plan number (PN) 509
Effective date of plan 1996-01-01
Business code 622000
Sponsor’s telephone number 2708870100
Plan sponsor’s mailing address 320 WEST 18TH STREE, HOPKINSVILLE, KY, 42240
Plan sponsor’s address 320 WEST 18TH STREE, HOPKINSVILLE, KY, 42240

Plan administrator’s name and address

Administrator’s EIN 610482973
Plan administrator’s name JENNIE STUART MEDICAL CENTER
Plan administrator’s address 320 WEST 18TH STREE, HOPKINSVILLE, KY, 42240
Administrator’s telephone number 2708870100

Number of participants as of the end of the plan year

Active participants 115

Signature of

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

President

Name Role
Eric Lee President

Vice President

Name Role
Mark Laramee Vice President

Director

Name Role
Steve Tribble Director
Carter Hendricks Director
Charles Turner Director
Alissa Young Director
Leslie Carroll Director
Marty Bozarth Director
Hollis White Director
Betsy Shelton Director
Matthew Robinson Director
DeeAnna White Sova Director

Incorporator

Name Role
J. E. MCPHERSON Incorporator
T. W. BLAKEY Incorporator
IRA L. SMITH Incorporator
AUSTIN BELL Incorporator
W. A. LONG Incorporator

Registered Agent

Name Role
ERIC LEE Registered Agent

Former Company Names

Name Action
JENNIE STUART MEMORIAL HOSPITAL Old Name

Assumed Names

Name Status Expiration Date
JENNIE STUART SPECIALTY PHARMACY Active 2027-09-21
JENNIE STUART HEALTH Active 2027-08-17
WESTERN KENTUCKY HEALTHCARE SYSTEM Inactive 2014-11-05
EXPRESS LAB Inactive 2013-07-15

Filings

Name File Date
Annual Report 2024-03-04
Annual Report 2023-03-14
Certificate of Assumed Name 2022-09-21
Name Renewal 2022-06-30
Annual Report 2022-05-20
Annual Report 2021-02-09
Annual Report 2020-02-11
Annual Report 2019-04-19
Annual Report 2018-04-12
Certificate of Assumed Name 2017-08-17

Date of last update: 13 Nov 2024

Sources: Kentucky Secretary of State