| Name: | COVENANT HOSPICE OF INDIANA, LLC |
| Jurisdiction: | Kentucky |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Inactive |
| Standing: | Bad |
| File Date: | 08 Dec 2003 (21 years ago) |
| Organization Date: | 08 Dec 2003 (21 years ago) |
| Organization Number: | 0573607 |
| Primary County: | Fayette |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 30 Jun 2005 (19 years ago) |
| Managed By: | Members |
| Principal Office: | 2464 FORTUNE DRIVE, SUITE 130, LEXINGTON, KY 40509 |
| Principal Office ZIP code: | 40509 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HOSPICE LLC 401(K) PROFIT SHARING PLAN | 2010 | 200463298 | 2010-10-30 | COVENANT HOSPICE OF INDIANA LLC | 13 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 200463298 |
| Plan administrator’s name | COVENANT HOSPICE OF INDIANA LLC |
| Plan administrator’s address | P.O. BOX 12557, LEXINGTON, KY, 40583 |
| Administrator’s telephone number | 8593611333 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-30 |
| Name of individual signing | GREGORY PATTERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 8592731225 |
| Plan sponsor’s address | P.O. BOX 12557, LEXINGTON, KY, 40583 |
Plan administrator’s name and address
| Administrator’s EIN | 200463298 |
| Plan administrator’s name | COVENANT HOSPICE OF INDIANA LLC |
| Plan administrator’s address | P.O. BOX 12557, LEXINGTON, KY, 40583 |
| Administrator’s telephone number | 8592731225 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-30 |
| Name of individual signing | GREGORY PATTERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| JAMES W. GARDNER | Registered Agent |
| Name | Role |
|---|---|
| Covenant Management Services | Member |
| Name | Role |
|---|---|
| JAMES W. GARDNER | Organizer |
| Name | File Date |
|---|---|
| Administrative Dissolution | 2006-11-02 |
| Annual Report | 2005-06-30 |
| Articles of Organization | 2003-12-08 |
Date of last update: 10 Nov 2024
Sources: Kentucky Secretary of State
