Search icon

Yalobusha Medical Foundation

Company Details

Name: Yalobusha Medical Foundation
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Administratively Dissolved
Effective Date: 19 Nov 2015 (9 years ago)
Business ID: 1080039
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Joseph Black Agent 306 Railroad Street, Water Valley, MS 38965

Incorporator

Name Role Address
Terry Varner Incorporator 630 South Main Street, Water Valley, MS 38965

Director

Name Role Address
Charles E Ray Director 118 Panola Street, Water Valley, MS 38965
Stephen P Edwards Director 1500 CR 105, Water Valley, MS 38965
Joseph Black Junior Director 294 CR 98, Water Valley, MS 38965
Lorri C Williamson Director 536 CR 95, Water Valley, MS 38965
Julie I Tyler Director 205 Dupuy Street, Water Valley, MS 38965
William E Gibson Jr Director 2243 CR 90, Water Valley, MS 38965

President

Name Role Address
Charles E Ray President 118 Panola Street, Water Valley, MS 38965

Vice President

Name Role Address
Stephen P Edwards Vice President 1500 CR 105, Water Valley, MS 38965

Secretary

Name Role Address
Joseph Black Junior Secretary 294 CR 98, Water Valley, MS 38965

Treasurer

Name Role Address
Joseph Black Junior Treasurer 294 CR 98, Water Valley, MS 38965

Chief Executive Officer

Name Role Address
Charles E Ray Chief Executive Officer 118 Panola Street, Water Valley, MS 38965

Filings

Type Status Filed Date Description
Admin Dissolution Admin Action 2023-10-05 Charities Dissolution
Amendment Form Filed 2020-11-20 Amendment For Yalobusha Medical Foundation
Agent Resignation Filed 2020-11-19 Agent Resignation For Terry Varner
Amendment Form Filed 2017-03-29 Amendment For Yalobusha Medical Foundation
Formation Form Filed 2015-11-19 Formation For Yalobusha Medical Foundation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
81-0706810 Corporation Unconditional Exemption 306 RAILROAD ST, WATER VALLEY, MS, 38965-3032 2016-06
In Care of Name % MICHAEL FONTE
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 0
Income 0
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 0
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities Health Care: Health, General and Financing
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)

Determination Letter

Final Letter(s) FinalLetter_81-0706810_YALOBUSHAMEDICALFOUNDATION_05312016.tif

Form 990-N (e-Postcard)

Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2023
Beginning of tax period 2023-01-01
End of tax period 2023-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Principal Officer's Name CHARLES E RAY
Principal Officer's Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2022
Beginning of tax period 2022-01-01
End of tax period 2022-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Principal Officer's Name CHARLES E RAY
Principal Officer's Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2021
Beginning of tax period 2021-01-01
End of tax period 2021-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Principal Officer's Name CHARLES E RAY
Principal Officer's Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2020
Beginning of tax period 2020-01-01
End of tax period 2020-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Principal Officer's Name CHARLES E RAY
Principal Officer's Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2019
Beginning of tax period 2019-01-01
End of tax period 2019-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Principal Officer's Name CHARLES E RAY
Principal Officer's Address 306 RAILROAD STREET, WATER VALLEY, MS, 38965, US
Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2018
Beginning of tax period 2018-01-01
End of tax period 2018-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 630 S Main st, Water Valley, MS, 38965, US
Principal Officer's Name Gene Standridge
Principal Officer's Address 24911 Hwy 330, Tilliatobia, MS, 38961, US
Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2017
Beginning of tax period 2017-01-01
End of tax period 2017-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 630 South Main Street, Water Valley, MS, 38965, US
Principal Officer's Name Gene Standridge
Principal Officer's Address 24911 Hwy 330, Tillatoba, MS, 38961, US
Organization Name YALOBUSHA MEDICAL FOUNDATION
EIN 81-0706810
Tax Year 2016
Beginning of tax period 2016-01-01
End of tax period 2016-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 630 South Main Street, Water Valley, MS, 38965, US
Principal Officer's Name Terry Varner
Principal Officer's Address 630 South Main Street, Water Valley, MS, 38965, US

Date of last update: 30 Mar 2025

Sources: Mississippi Secretary of State