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PENNYROYAL HEALTHCARE SERVICES, INC.

Company Details

Name: PENNYROYAL HEALTHCARE SERVICES, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Non-profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 10 Nov 2010 (14 years ago)
Organization Date: 10 Nov 2010 (14 years ago)
Organization Number: 0775273
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Caldwell
Place of Formation: KENTUCKY
Last Annual Report: 22 May 2024 (6 months ago)
Principal Office: 402 NORTH JEFFERSON STREET, P.O. BOX 151, PRINCETON, KY 42445
Principal Office ZIP code: 42445

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XPL4K5F58UK5 2025-04-15 402 N JEFFERSON ST, PRINCETON, KY, 42445, 1553, USA PO BOX 151, PRINCETON, KY, 42445, USA

Business Information
Doing Business As PENNYROYAL HEALTH CARE SERVICES
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-04-17
Initial Registration Date 2010-11-08
Entity Start Date 2010-10-01
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 621210, 621330, 621420, 621498

Points of Contacts
Electronic Business
Title PRIMARY POC
Name STARLA CUMMINGS
Role CFO
Address 402 NORTH JEFFERSON STREET, PRINCETON, KY, 42445, USA
Title ALTERNATE POC
Name KECIA FULCHER
Address 310 HAWTHORNE STREET, PO BOX 151, PRINCETON, KY, 42445, USA
Government Business
Title PRIMARY POC
Name STARLA CUMMINGS
Role CFO
Address 402 NORTH JEFFERSON STREET, PRINCETON, KY, 42445, USA
Title ALTERNATE POC
Name STARLA CUMMINGS
Role ACCOUNTING MANAGER
Address 310 HAWTHORNE STREET, PO BOX 151, PRINCETON, KY, 42445, USA
Past Performance
Title PRIMARY POC
Name STARLA CUMMINGS
Role CFO
Address 402 NORTH JEFFERSON STREET, PRINCETON, KY, 42445, USA
Title ALTERNATE POC
Name STARLA CUMMINGS
Role CFO
Address 402 NORTH JEFFERSON STREET, PRINCETON, KY, 42445, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF PENNYROYAL HEALTH CARE SERVICES, INC. 2023 273618164 2024-01-22 PENNYROYAL HEALTH CARE SERVICES, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2706326741
Plan sponsor’s address 310 HAWTHORNE STREET, PRINCETON, KY, 424451522

Signature of
Role Plan administrator
Date 2024-01-22
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-22
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF PENNYROYAL HEALTH CARE SERVICES, INC. 2022 273618164 2023-03-01 PENNYROYAL HEALTH CARE SERVICES, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2706326741
Plan sponsor’s address 310 HAWTHORNE STREET, PRINCETON, KY, 424451522

Signature of
Role Plan administrator
Date 2023-03-01
Name of individual signing LINDA F. SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-01
Name of individual signing LINDA F. SMITH
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF PENNYROYAL HEALTH CARE SERVICES, INC. 2021 273618164 2022-05-04 PENNYROYAL HEALTH CARE SERVICES, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2706326741
Plan sponsor’s address 310 HAWTHORNE ST., PRINCETON, KY, 424451522

Signature of
Role Plan administrator
Date 2022-05-04
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-04
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF PENNYROYAL HEALTH CARE SERVICES, INC. 2020 273618164 2021-02-22 PENNYROYAL HEALTH CARE SERVICES, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2706326741
Plan sponsor’s address 310 HAWTHORNE ST., PRINCETON, KY, 424451522

Signature of
Role Plan administrator
Date 2021-02-22
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-22
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF PENNYROYAL HEALTH CARE SERVICES, INC. 2019 273618164 2020-02-04 PENNYROYAL HEALTH CARE SERVICES, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2706326741
Plan sponsor’s address 310 HAWTHORNE ST., PRINCETON, KY, 424451522

Signature of
Role Plan administrator
Date 2020-02-04
Name of individual signing LINDA F. SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-04
Name of individual signing LINDA F. SMITH
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF PENNYROYAL HEALTH CARE SERVICES, INC. 2018 273618164 2019-02-04 PENNYROYAL HEALTH CARE SERVICES, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2706326741
Plan sponsor’s address 310 HAWTHORNE ST., PRINCETON, KY, 424451522

Signature of
Role Plan administrator
Date 2019-02-04
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-04
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF PENNYROYAL HEALTH CARE SERVICES, INC. 2017 273618164 2018-05-21 PENNYROYAL HEALTH CARE SERVICES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2706326741
Plan sponsor’s address 310 HAWTHORNE ST., PRINCETON, KY, 424451522

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing LINDA SMITH
Valid signature Filed with authorized/valid electronic signature

Director

Name Role
Jill Giordano Director
Amy Birdsong Director
Bobby Acree Director
Amy Berry Director
Millie Arnaez Director
DAVID PTASZEK Director
GALE CHERRY Director
PATSY OLIVER Director
Pat Godwin Director
Ramonda Quick Director

Incorporator

Name Role
DAVID PTASZEK Incorporator

Secretary

Name Role
Rhonda Oldham Secretary

Treasurer

Name Role
Rhonda Oldham Treasurer

President

Name Role
Jennifer East President

Vice President

Name Role
Chris Baird Vice President

Registered Agent

Name Role
KECIA FULCHER Registered Agent

Former Company Names

Name Action
PENNYROYAL HEALTH CARE SERVICES, INC. Old Name
PENNYROYAL HEALTHCARE SERVICES, INC. Old Name

Assumed Names

Name Status Expiration Date
COMMUNITY MEDICAL CLINIC, OAK GROVE Active 2028-10-05
PENNYROYAL HEALTH CARE SERVICES Inactive 2022-06-25
COMMUNITY MEDICAL CLINIC, HOPKINSVILLE Inactive 2021-03-02
COMMUNITY MEDICAL CLINIC, PAK GROVE Inactive 2021-03-02
COMMUNITY MEDICAL CLINIC, PRINCETON Inactive 2021-03-02

Filings

Name File Date
Annual Report 2024-08-12
Annual Report 2024-05-22
Certificate of Assumed Name 2023-10-05
Certificate of Assumed Name 2023-10-05
Certificate of Assumed Name 2023-10-05
Certificate of Assumed Name 2023-10-05
Annual Report 2023-10-03
Annual Report 2023-05-30
Amendment 2023-04-05
Registered Agent name/address change 2022-03-11

Related by officers

Jill Giordano

CALDWELL COUNTY SENIOR CITIZENS, INC. CHILDREN OF DIVORCE, INC.

DAVID PTASZEK

KCFS, INC. MINORITY ECONOMIC DEVELOPMENT INITIATIVE OF WESTERN KENTUCKY, INC. PENNYROYAL SERVICES, INC. THE TRILOGY FOUNDATION, INC.

GALE CHERRY

BRIGHT LIFE FARMS, INC. PRINCETON-CALDWELL COUNTY EXPO ARENA INC.

Jennifer East

OGDEN MEMORIAL UNITED METHODIST CHURCH, INC.

Chris Baird

FIRST CHRISTIAN CHURCH OF MT. STERLING, KENTUCKY, INC. INDEPENDENT ENTERPRISES, INC. COMMERCIAL SERVICES OF NC, INC.

KECIA FULCHER

MUHLENBERG COUNTY LONG TERM DISASTER RECOVERY COMMITTEE, INC.

Related by address

No related companies by address

Date of last update: 18 Nov 2024

Sources: Kentucky Secretary of State

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