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GOOD SAMARITAN FOUNDATION, INC.

Company Details

Name: GOOD SAMARITAN FOUNDATION, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
File Date: 05 Jul 1983 (41 years ago)
Organization Date: 05 Jul 1983 (41 years ago)
Organization Number: 0179495
Primary County: Oldham
Place of Formation: KENTUCKY
Last Annual Report: 03 Jun 2020 (4 years ago)
Principal Office: 7400 FLOYDSBURG ROAD, CRESTWOOD, KY 40014
Principal Office ZIP code: 40014

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOOD SAMARITAN FOUNDATION 403(B) PLAN 2009 311087598 2011-01-08 GOOD SAMARITAN FOUNDATION, INC. No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 311800
Sponsor’s telephone number 5024253884
Plan sponsor’s mailing address 7400 FLOYDSBURG RD, CRESTWOOD, KY, 40014
Plan sponsor’s address 7400 FLOYDSBURG RD, CRESTWOOD, KY, 40014

Plan administrator’s name and address

Administrator’s EIN 311087598
Plan administrator’s name GOOD SAMARITAN FOUNDATION, INC.
Plan administrator’s address 7400 FLOYDSBURG RD, CRESTWOOD, KY, 40014
Administrator’s telephone number 5024253884

Signature of

Role Plan administrator
Date 2011-01-07
Name of individual signing MICHAEL WATTS
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
THOMAS C. BRABANT Incorporator

Chairman

Name Role
Owen Dolin Chairman

Registered Agent

Name Role
DAVID GARVIN Registered Agent

Director

Name Role
FRANKLIN E. LOY Director
Kathy Bryant Director
Alex Downing Director
Rich Royster Director
GLEN S. BAGBY Director
M. RANDOLPH GILLIAM Director

Secretary

Name Role
Karla Fullwood Secretary

Treasurer

Name Role
David Garvin Treasurer

Vice President

Name Role
Randall Capps Vice President

Former Company Names

Name Action
GOOD SAMARITAN HOSPITAL OF LEXINGTON, KENTUCKY Merger
GOOD SAMARITAN CORPORATION Merger

Assumed Names

Name Status Expiration Date
GOOD SAMARITAN FOUNDATION Inactive 2014-08-06
GOOD SAMARITAN HOSPITAL OF LEXINGTON, KENTUCKY Inactive 2013-07-01

Filings

Name File Date
Dissolution 2020-12-14
Annual Report 2020-06-03
Annual Report 2019-06-04
Registered Agent name/address change 2018-06-19
Annual Report 2018-06-19
Annual Report 2017-06-08
Annual Report Amendment 2016-10-17
Annual Report 2016-06-10
Annual Report 2015-06-18
Annual Report 2014-06-18

Date of last update: 13 Nov 2024

Sources: Kentucky Secretary of State