Search icon

EMPACT MIDWEST, LLC

Company Details

Name: EMPACT MIDWEST, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 16 Jun 2020 (4 years ago)
Organization Date: 16 Jun 2020 (4 years ago)
Organization Number: 1100494
Industry: Health Services
Number of Employees: Small (0-19)
Primary County: Jefferson
Place of Formation: KENTUCKY
Last Annual Report: 29 Jun 2021 (3 years ago)
Managed By: Members
Principal Office: 1052 RIVA RIDGE DRIVE, DANVILLE, KY 40222
Principal Office ZIP code: 40222

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
XG15K9WZJJL8 2024-12-27 1052 RIVA RIDGE DR, DANVILLE, KY, 40422, 9016, USA PO BOX 771511, CHICAGO, IL, 60677, USA

Business Information

Congressional District 01
State/Country of Incorporation KY, USA
Activation Date 2024-01-01
Initial Registration Date 2023-12-28
Entity Start Date 2020-10-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name GARY ABEL
Role ACCOUNTS RECEIVABLE
Address PO BOX 771511, CHICAGO, IL, 60677, USA
Government Business
Title PRIMARY POC
Name GARY HAVENS
Role ACCOUNTS RECEIVABLE MANAGER
Address PO BOX 771511, CHICAGO, IL, 60677, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPACT MIDWEST CBS BENEFIT PLAN 2021 851454774 2022-12-29 EMPACT MIDWEST 17
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-11-01
Business code 621491
Sponsor’s telephone number 5024453600
Plan sponsor’s address P. O. BOX 876, DANVILLE, KY, 404230876

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
EMPACT MIDWEST CBS BENEFIT PLAN 2020 851454774 2021-12-14 EMPACT MIDWEST 17
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-11-01
Business code 621491
Sponsor’s telephone number 5024453600
Plan sponsor’s address 1052 RIVA RIDGE DRIVE, DANVILLE, KY, 40422

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
S & H LEXINGTON, LLC Registered Agent

Member

Name Role
Eric Guerrant Member

Organizer

Name Role
ALISON M ZEITLIN Organizer

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-06-29
Articles of Organization (LLC) 2020-06-16

Date of last update: 29 Oct 2024

Sources: Kentucky Secretary of State