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GRACE COMMUNITY HEALTH CENTER, INC.

Company Details

Name: GRACE COMMUNITY HEALTH CENTER, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 18 Jan 2008 (17 years ago)
Organization Date: 18 Jan 2008 (17 years ago)
Organization Number: 0683440
Industry: Health Services
Number of Employees: Large (100+)
Primary County: Whitley
Place of Formation: KENTUCKY
Last Annual Report: 25 Mar 2024 (8 months ago)
Principal Office: GRACE COMMUNITY HEALTH CENTER, INC., 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY 40701
Principal Office ZIP code: 40701

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TCMJCK4MYHT3 2025-01-30 1019 CUMBERLAND FALLS HWY, STE B201, CORBIN, KY, 40701, 2793, USA 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY, 40701, 2793, USA

Business Information
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2024-02-02
Initial Registration Date 2008-02-27
Entity Start Date 2008-01-15
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHAD STEVENS
Role CFO
Address 1019 CUMBERLAND FALLS HWY, CORBIN, KY, 40701, 2793, USA
Title ALTERNATE POC
Name CHAD STEVENS
Role CFO
Address 1019 CUMBERLAND FALLS HWY, CORBIN, KY, 40701, USA
Government Business
Title PRIMARY POC
Name JEFFREY CAMPBELL
Role MR
Address 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY, 40701, 2793, USA
Title ALTERNATE POC
Name SAMANTHA DAVIS
Address 1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY, 40701, 4536, USA
Past Performance
Title PRIMARY POC
Name PHYLLIS PLATT
Address 1019 CUMBERLAND FALLS HWY, CORBIN, KY, 40701, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIREMENT SAVINGS PLAN 2016 261779437 2017-10-11 GRACE COMMUNITY HEALTH CENTER, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 6065269005
Plan sponsor’s address 1019 CUMBERLAND FALLS HIGHWAY, SUITE B201, CORBIN, KY, 40701
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2015 261779437 2016-10-14 GRACE COMMUNITY HEALTH CENTER, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2014 261779437 2015-10-13 GRACE COMMUNITY HEALTH CENTER, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2013 261779437 2014-07-20 GRACE COMMUNITY HEALTH CENTER, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2014-07-20
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2012 261779437 2013-09-29 GRACE COMMUNITY HEALTH CENTER, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2013-09-29
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2011 261779437 2012-09-19 GRACE COMMUNITY HEALTH CENTER, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing MICHAEL STANLEY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2010 261779437 2011-09-23 GRACE COMMUNITY HEALTH CENTER, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2011-09-23
Name of individual signing DAVID WORTHY
Valid signature Filed with authorized/valid electronic signature
GRACE COMMUNITY HEALTH CENTER, INC. 401(K) RETIRMENT SAVINGS PLAN 2009 261779437 2010-10-05 GRACE COMMUNITY HEALTH CENTER, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 8595269005
Plan sponsor’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734

Plan administrator’s name and address
Administrator’s EIN 261779437
Plan administrator’s name GRACE COMMUNITY HEALTH CENTER, INC.
Plan administrator’s address 39 CUMBERLAND GAP PLAZA, GRAY, KY, 40734
Administrator’s telephone number 8595269005

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing LESLIE A. O'BRYAN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MICHAEL W. STANLEY Registered Agent

Officer

Name Role
Michael Wayne Stanley Officer
Chad Robert Stevens Officer
Jeffrey M Campbell Officer
Kelly Evans Officer

Director

Name Role
Melvin Scarberry Director
Jeff Hamlin Director
Hiram Cornett Director
Damon Huff Director
Angie Singley Director
Karen Hubbs Director
James Ed Garrison Director
Loretta Little Director
Roger West Director
Amy Russell Director

Incorporator

Name Role
BRUCE JUNG Incorporator

Assumed Names

Name Status Expiration Date
GRACE HEALTH Inactive 2021-12-09

Filings

Name File Date
Annual Report 2024-03-25
Annual Report 2023-03-24
Annual Report 2022-05-02
Certificate of Assumed Name 2022-01-26
Annual Report 2021-02-10
Annual Report 2020-04-17
Annual Report 2019-04-08
Annual Report 2018-05-29
Annual Report 2017-04-25
Certificate of Assumed Name 2016-12-09

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Related by address

No related companies by address

Date of last update: 15 Nov 2024

Sources: Kentucky Secretary of State

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