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MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC.

Headquarter

Company Details

Name: MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 06 Jul 1971 (54 years ago)
Business ID: 103911
State of Incorporation: MISSISSIPPI
Principal Office Address: 735 RIVERSIDE DRIVEJACKSON, MS

Links between entities

Type Company Name Company Number State
Headquarter of MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC., KENTUCKY 0762812 KENTUCKY
Headquarter of MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC., KENTUCKY 0809162 KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2017 237271055 2018-05-10 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385-B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2016 237271055 2017-06-12 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385-B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2015 237271055 2016-04-22 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 65
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385-B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2016-04-22
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2014 237271055 2015-08-06 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385 B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2015-08-06
Name of individual signing DOANN MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2013 237271055 2014-05-12 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385-B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2014-05-12
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2012 237271055 2013-05-14 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385 B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2013-05-14
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-14
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2011 237271055 2012-07-17 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 70
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385 B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 237271055
Plan administrator’s name MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC
Plan administrator’s address 385 B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157
Administrator’s telephone number 6019571575

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2010 237271055 2011-07-11 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385 B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 237271055
Plan administrator’s name MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC
Plan administrator’s address 385 B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157
Administrator’s telephone number 6019571575

Signature of
Role Plan administrator
Date 2011-07-11
Name of individual signing DONNA MARSHALL
Valid signature Filed with authorized/valid electronic signature
MS FOUNDATION FOR MEDICAL CARE 401(K) PLAN 2009 237271055 2010-09-02 MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6019571575
Plan sponsor’s address 385B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 237271055
Plan administrator’s name MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC
Plan administrator’s address 385B HIGHLAND COLONY PARKWAY, SUITE 504, RIDGELAND, MS, 39157
Administrator’s telephone number 6019571575

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing BECKY ROBERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
McIlwain, James Agent 385 B Highland Colony Parkway, Ridgeland, MS 39157

Incorporator

Name Role Address
EVERETT CRAWFORD Incorporator 623 BEULAH AVENUE, TYLERTOWN, MS
J T DAVIS Incorporator 815 CHILDS ST, CORINTH, MS
JAMES O GILMORE Incorporator 2169 SOUTH LAMAR ST, OXFORD, MS

Filings

Type Status Filed Date Description
Amendment Form Filed 2010-05-24 Amendment
See File Filed 1998-01-30 See File
See File Filed 1974-05-29 See File
Undetermined Event Filed 1971-08-25 Undetermined Event
Name Reservation Form Filed 1971-07-06 Name Reservation

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DEFINITIVE CONTRACT AWARD HHSM5002011MS10C 2011-08-01 2014-07-31 2014-07-31
Unique Award Key CONT_AWD_HHSM5002011MS10C_7530_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 7729177.81
Current Award Amount 7729177.81
Potential Award Amount 7729177.81

Description
Title QIO 10TH SCOPE AWARD
NAICS Code 541618: OTHER MANAGEMENT CONSULTING SERVICES
Product and Service Codes Q101: DEPENDENT MEDICARE SERVICES

Recipient Details
Recipient MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC.
UEI KHU5MLMNJ3J5
Recipient Address 385 B HIGHLAND COLONY PKWY STE 504, RIDGELAND, MADISON, MISSISSIPPI, 391576061, UNITED STATES
DEFINITIVE CONTRACT AWARD HHSM5002008MS9THC 2008-08-01 2011-07-31 2011-07-31
Unique Award Key CONT_AWD_HHSM5002008MS9THC_7530_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 9164494.03
Current Award Amount 9164494.03
Potential Award Amount 9164494.03

Description
Title TAS::75 8005::TAS DEPENDENT MEDICARE SERVICES-MISSISSIPPI QIO-9TH SOW
NAICS Code 541618: OTHER MANAGEMENT CONSULTING SERVICES
Product and Service Codes Q101: DEPENDENT MEDICARE SERVICES

Recipient Details
Recipient MISSISSIPPI FOUNDATION FOR MEDICAL CARE, INC.
UEI KHU5MLMNJ3J5
Recipient Address 385 B HIGHLAND COLONY PKWY STE 504, RIDGELAND, MADISON, MISSISSIPPI, 391576061, UNITED STATES

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
23-7271055 Corporation Unconditional Exemption 5652 HIGHWAY 80 E, PEARL, MS, 39208-8928 1998-07
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2021-06
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 1948413
Income Amount 1344645
Form 990 Revenue Amount 1344645
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 202106
Filing Type E
Return Type 990T
File View File
Organization Name MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 201906
Filing Type P
Return Type 990T
File View File
Organization Name MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name MISSISSIPPI FOUNATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 201606
Filing Type P
Return Type 990
File View File
Organization Name MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC
EIN 23-7271055
Tax Period 201606
Filing Type P
Return Type 990
File View File

Related by officers

McIlwain, James

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J T DAVIS

T. E. PEMBLE FARMS, INC. THE FIRST PRESBYTERIAN CHURCH U.S.A. OF MORTON MISSISSIPPI INDUSTRIAL MACHINE AND TOOL COMPANY, INC. JAMES C. GILMORE, M.D., P.A. MICHAEL H. LOVELACE, M.D., P.A. PRISSI-SISSI CORPORATION

JAMES O GILMORE

MISSISSIPPI MEDICAL FRATERNAL AND EDUCATIONAL SOCIETY GILMORE BUILDING, INC. MEDICAL ASSURANCE COMPANY OF MISSISSIPPI

Related by address

735 RIVERSIDE DRIVEJACKSON, MS

CADUCEUS CLUB OF MISSISSIPPI, INC. MISSISSIPPI PHYSICIANS PRACTICE ASSOCIATION, INC. MISSISSIPPI CHAPTER OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS MISSISSIPPI RECOVERING PHYSICIANS PROGRAM, INC. MISSISSIPPI PHYSICIAN HEALTH PROGRAM

Date of last update: 10 Apr 2025

Sources: Mississippi Secretary of State

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