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CUMBERLAND FAMILY MEDICAL CENTER, INC.

Company Details

Name: CUMBERLAND FAMILY MEDICAL CENTER, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 27 Jun 2005 (19 years ago)
Organization Date: 27 Jun 2005 (19 years ago)
Organization Number: 0616256
Industry: Health Services
Number of Employees: Large (100+)
Primary County: Cumberland
Place of Formation: KENTUCKY
Last Annual Report: 01 Apr 2024 (8 months ago)
Principal Office: 360 KEEN ST. - STE 500 BURKESVILLE, KY 42717-7915
Principal Office ZIP code: 42717

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
WXGMEK9H7K35 2025-02-11 360 KEEN ST STE 500, BURKESVILLE, KY, 42717, 7944, USA PO BOX 1080, BURKESVILLE, KY, 42717, 7915, USA

Business Information
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-02-14
Initial Registration Date 2006-10-24
Entity Start Date 2005-06-28
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ERIC LOY
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 7915, USA
Title ALTERNATE POC
Name TRACEY ANTLE
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 1080, USA
Government Business
Title PRIMARY POC
Name ERIC LOY
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 7915, USA
Title ALTERNATE POC
Name TRACEY ANTLE
Address CUMBERLAND FAMILY MEDICAL CENTER, INC., P.O. BOX 1080, BURKESVILLE, KY, 42717, 1080, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2013 203131989 2014-10-08 CUMBERLAND FAMILY MEDICAL CENTER 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing DR. ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401( K) PLAN 2012 203131989 2013-09-26 CUMBERLAND FAMILY MEDICAL CENTER 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Signature of
Role Plan administrator
Date 2013-09-26
Name of individual signing DR. ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2011 203131989 2012-08-30 CUMBERLAND FAMILY MEDICAL CENTER 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address
Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address P.O. BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2010 203131989 2012-08-30 CUMBERLAND FAMILY MEDICAL CENTER 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address
Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address P.O. BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2010 203131989 2011-08-30 CUMBERLAND FAMILY MEDICAL CENTER 40
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address P.O. BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address
Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address P.O. BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of
Role Plan administrator
Date 2011-08-30
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature
CUMBERLAND FAMILY MEDICAL CENTER SAFE HARBOR 401(K) PLAN 2009 203131989 2010-07-28 CUMBERLAND FAMILY MEDICAL CENTER 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2708642889
Plan sponsor’s address PO BOX 1080, BURKESVILLE, KY, 42717

Plan administrator’s name and address
Administrator’s EIN 203131989
Plan administrator’s name CUMBERLAND FAMILY MEDICAL CENTER
Plan administrator’s address PO BOX 1080, BURKESVILLE, KY, 42717
Administrator’s telephone number 2708642889

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing ERIC LOY
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
GARYON SCOTT Director
PAULA LITTLE Director
ELIZABETH EVERLEY Director
JIM FLOWERS Director
TERRY GRIDER Director
LISA TARTER Director
LACY TERRY Director
ERIC LOY Director
FRAN HAY Director
DEANA LOY Director

Registered Agent

Name Role
ERIC LOY, CEO Registered Agent

Vice President

Name Role
KEITH RIDDLE Vice President

Secretary

Name Role
JOSH HARDEN Secretary

Treasurer

Name Role
BECKY RADFORD Treasurer

Incorporator

Name Role
MATHEW LEVERIDGE Incorporator

President

Name Role
BRIDGET BOOHER President

Assumed Names

Name Status Expiration Date
GREENSBURG HEALTHCARE Inactive 2023-04-09
GLASGOW PEDIATRICS HEALTHCARE Inactive 2023-04-09

Filings

Name File Date
Annual Report 2024-04-01
Annual Report 2023-02-23
Principal Office Address Change 2023-02-23
Annual Report 2022-02-23
Annual Report 2021-02-11
Annual Report 2020-02-25
Annual Report 2019-03-14
Annual Report 2018-02-26
Name Renewal 2018-02-02
Name Renewal 2018-02-02

Related by officers

KEITH RIDDLE

CUMBERLAND COUNTY-BURKESVILLE NURSING HOME CORPORATION THE BURKESVILLE-CUMBERLAND COUNTY DEVELOPMENT CORPORATION

PAULA LITTLE

FORWARD IN THE FIFTH, INC. CRAWFORD MIDDLE SCHOOL PTSA, INC.

JIM FLOWERS

COLUMBIA CEMETERY, INC.

LISA TARTER

RETIRED RENOVATORS LLC

ERIC LOY

SPORTS FOR HEALTH INC. SERENITY LIVING, INC.

Related by address

No related companies by address

Date of last update: 17 Nov 2024

Sources: Kentucky Secretary of State

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