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  5. Attentive Care Nursing Inc

Attentive Care Nursing Inc

Company Details

Name: Attentive Care Nursing Inc
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 23 Sep 2013 (12 years ago)
Business ID: 1028397
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 5719 HWY 25, Suite 1Flowood, MS 39232

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K EMPLOYEE RETIREMENT PLAN 2021 463682787 2022-07-12 ATTENTIVE CARE NURSING, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2020 463682787 2021-07-15 ATTENTIVE CARE NURSING, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2019 463682787 2020-07-06 ATTENTIVE CARE NURSING, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2018 463682787 2019-07-25 ATTENTIVE CARE NURSING, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2019-07-25
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2017 463682787 2018-07-30 ATTENTIVE CARE NURSING, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2016 463682787 2019-06-18 ATTENTIVE CARE NURSING, INC. 33
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2016 463682787 2019-06-20 ATTENTIVE CARE NURSING, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2016 463682787 2017-07-06 ATTENTIVE CARE NURSING, INC. 33
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7692575625
Plan sponsor’s address 8719 HWY 25, STE 104, FLOWOOD, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
Tiffany Johnson Incorporator 5719 Highway 25, Flowood, MS 39232

President

Name Role Address
TIFFANY SHERIFF President 5719 HWY 25 - SUITE 1, FLOWOOD, MS 39232

Agent

Name Role Address
Jordan, Sadie Carol Agent 820 East Northside Drive;P O Box 391, Clinton, MS 39056

Filings

Type Status Filed Date Description
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: Tax: Attentive Care Nursing Inc
Reinstatement Filed 2024-03-25 Reinstatement For Attentive Care Nursing Inc
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: AR: Attentive Care Nursing Inc
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Attentive Care Nursing Inc
Annual Report Filed 2020-09-24 Annual Report For Attentive Care Nursing Inc
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-05-16 Annual Report For Attentive Care Nursing Inc
Annual Report Filed 2018-10-02 Annual Report For Attentive Care Nursing Inc
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Reinstatement Filed 2017-08-25 Reinstatement For Attentive Care Nursing Inc

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6991588008 2020-06-30 0470 PPP 5719 HIGHWAY 25 STE 1, FLOWOOD, MS, 39232-7763
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 234200
Loan Approval Amount (current) 234200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39099
Servicing Lender Name BankPlus
Servicing Lender Address 202 E Jackson St, BELZONI, MS, 39038-3524
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FLOWOOD, RANKIN, MS, 39232-7763
Project Congressional District MS-03
Number of Employees 27
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 39746
Originating Lender Name BankPlus
Originating Lender Address Greenwood, MS
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 237485.31
Forgiveness Paid Date 2021-11-26
4923018708 2021-04-01 0470 PPS 5719 Highway 25 Ste 104 5719 Highway 25 Suite 104, Flowood, MS, 39232-7763
Loan Status Date 2022-05-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 188297.5
Loan Approval Amount (current) 188297.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39099
Servicing Lender Name BankPlus
Servicing Lender Address 202 E Jackson St, BELZONI, MS, 39038-3524
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Flowood, RANKIN, MS, 39232-7763
Project Congressional District MS-03
Number of Employees 70
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 39099
Originating Lender Name BankPlus
Originating Lender Address BELZONI, MS
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 190253.7
Forgiveness Paid Date 2022-04-12

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Tiffany Johnson

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TIFFANY SHERIFF

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Jordan, Sadie Carol

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Related by address

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Date of last update: 28 Mar 2025

Sources: Mississippi Secretary of State

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