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Countrywood Manor Assisted Living, Inc

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Company Details

Name: Countrywood Manor Assisted Living, Inc
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 13 Jul 2012 (13 years ago)
Business ID: 1005076
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 218 South Thomas St, Suite 115Tupelo, MS 38801

Agent

Name Role Address
McDade, Robert E, Jr Agent 218 South Thomas St. Ste 115, Tupelo , MS 38801

Incorporator

Name Role Address
Robert E McDade Jr Incorporator 218 South Thomas St. Ste 115, Tupelo, MS 38801

Director

Name Role Address
Robert E McDade Jr Director PO BOX 4150, Tupelo, MS 38803

Secretary

Name Role Address
Robert E McDade Jr Secretary PO BOX 4150, Tupelo, MS 38803

Treasurer

Name Role Address
Robert E McDade Jr Treasurer PO BOX 4150, Tupelo, MS 38803

National Provider Identifier

NPI Number:
1104429398
Certification Date:
2020-11-19

Authorized Person:

Name:
MR. KENNETH A LONG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
6628403311
Fax:
6622827738

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-15 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2024-03-10 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2023-04-15 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2022-04-11 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2021-03-30 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2020-03-16 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2019-02-08 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2018-03-13 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2017-03-24 Annual Report For Countrywood Manor Assisted Living, Inc
Annual Report Filed 2016-02-15 Annual Report For Countrywood Manor Assisted Living, Inc

USAspending Awards / Financial Assistance

Date:
2021-02-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
183692.50
Total Face Value Of Loan:
183692.50
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
181200.00
Total Face Value Of Loan:
181200.00

Paycheck Protection Program

Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
183692.5
Current Approval Amount:
183692.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
185457.99
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
181200
Current Approval Amount:
181200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
183520.37

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website