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Shady Lawn OpCo, LLC

Company Details

Name: Shady Lawn OpCo, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 27 Apr 2018 (7 years ago)
Organization Date: 27 Apr 2018 (7 years ago)
Organization Number: 1019330
Industry: Health Services
Number of Employees: Medium (20-99)
Primary County: Trigg
Place of Formation: KENTUCKY
Last Annual Report: 03 Jun 2024 (6 months ago)
Managed By: Managers
Principal Office: 2582 CERULEAN ROAD, CADIZ, KY 42211
Principal Office ZIP code: 42211

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
W4WAEGVDL9T7 2025-02-05 2582 CERULEAN RD, CADIZ, KY, 42211, 9605, USA 2582 CERULEAN RD, CADIZ, KY, 42211, 9605, USA

Business Information
Doing Business As SHADY LAWN NURSING AND REHABILITATION CENTER
URL www.shadylawnnursingandrehab.com
Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-02-08
Initial Registration Date 2019-03-22
Entity Start Date 2018-09-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 623110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMY ROBERTSON
Role BUSINESS OFFICE MGR
Address 2582 CERULEAN RD, CADIZ, KY, 42211, USA
Government Business
Title PRIMARY POC
Name DANA RADFORD
Role ADMINSTRATOR
Address 2582 CERULEAN ROAD, CADIZ, KY, 42211, USA
Past Performance
Title PRIMARY POC
Name DARLA JOINER
Role ASST BOM
Address 2582 CERULEAN ROAD, CADIZ, KY, 42211, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHADY LAWN OPCO , LLC 401(K) PLAN 2023 831248979 2024-09-16 SHADY LAWN OPCO , LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 2705223236
Plan sponsor’s address 2582 CERULEAN RD., SHADY LAWN, KY, 42211

Signature of
Role Plan administrator
Date 2024-09-16
Name of individual signing MOSHE KELMAN
Valid signature Filed with authorized/valid electronic signature
SHADY LAWN OPCO , LLC 401(K) PLAN 2022 831248979 2023-09-21 SHADY LAWN OPCO , LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 2705223236
Plan sponsor’s address 2582 CERULEAN RD., SHADY LAWN, KY, 42211

Signature of
Role Plan administrator
Date 2023-09-21
Name of individual signing MOSHE KELMAN
Valid signature Filed with authorized/valid electronic signature
SHADY LAWN OPCO , LLC 401(K) PLAN 2021 831248979 2022-09-22 SHADY LAWN OPCO , LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 2705223236
Plan sponsor’s address 2582 CERULEAN RD., SHADY LAWN, KY, 42211

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing MOSHE KELMAN
Valid signature Filed with authorized/valid electronic signature
SHADY LAWN OPCO , LLC 401(K) PLAN 2020 831248979 2021-10-07 SHADY LAWN OPCO , LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 2705223236
Plan sponsor’s address 2582 CERULEAN RD., SHADY LAWN, KY, 42211

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing MOSHE KELMAN
Valid signature Filed with authorized/valid electronic signature
SHADY LAWN OPCO , LLC 401(K) PLAN 2019 831248979 2020-10-01 SHADY LAWN OPCO , LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 2705223236
Plan sponsor’s address 2582 CERULEAN RD., SHADY LAWN, KY, 42211

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing MOSHE KELMAN
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
WT & C CORPORATE SERVICES, INC. Registered Agent

Manager

Name Role
MOSHE KELMAN Manager

Member

Name Role
MOSHE KELMAN Member

Assumed Names

Name Status Expiration Date
SHADY LAWN NURSING AND REHABILITATION CENTER Inactive 2023-09-04

Filings

Name File Date
Annual Report 2024-06-03
Certificate of Assumed Name 2023-10-10
Annual Report 2023-03-22
Annual Report 2022-03-30
Annual Report 2021-02-11
Annual Report 2020-02-19
Registered Agent name/address change 2020-01-13
Annual Report 2019-05-02
Certificate of Assumed Name 2018-09-04
Principal Office Address Change 2018-09-04

Related by officers

WT & C CORPORATE SERVICES, INC.

BROWN BROS. AUTOMOTIVE, INC. DECOART, INC. ISA, LLC TANGLEWOOD APARTMENTS II, LLC THE DAILY GRIND COFFEE HOUSE, INC. UNIVERSITY OF LOUISVILLE DEPARTMENT OF OB-GYN ALUMNI SOCIETY, INC. APOLLO APARTMENTS I, LLC BLUEGRASS ACQUISITION CORP. EVEREST SUMMIT, LLC UNITED WELL SERVICES, L.L.C.

MOSHE KELMAN

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Related by address

No related companies by address

Date of last update: 08 Nov 2024

Sources: Kentucky Secretary of State

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