| Name: | DELTA MEDICAL FOUNDATION |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Non Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 13 Feb 2018 (7 years ago) |
| Business ID: | 1139029 |
| ZIP code: | 38646 |
| County: | Quitman |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 1022 Martin Luther KingMarks, MS 38646 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELTA MEDICAL FOUNDATION 401(K) PLAN | 2023 | 824404269 | 2024-10-01 | DELTA MEDICAL FOUNDATION | 33 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-10-01 |
| Name of individual signing | SONYA WALTERS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-05-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6623263500 |
| Plan sponsor’s address | PO BOX 289, MARKS, MS, 38646 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-27 |
| Name of individual signing | SONYA WALTERS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Lonnie Moore | Agent | 1022 Martin Luther King, Marks, MS 38646 |
| Name | Role | Address |
|---|---|---|
| Jerrad T Howard | Incorporator | 255 East Fifth Street, Suite 1900, Cincinnati, OH 45202 |
| Name | Role | Address |
|---|---|---|
| Robert Paul Long Jr | President | 1022 Martin Luther King Dr, Marks, MS 38646 |
| Name | Role | Address |
|---|---|---|
| Malcom Self | Treasurer | 1022 Martin Luther King Dr, Marks, MS 38646 |
| Name | Role | Address |
|---|---|---|
| James Craig Gaddy | Secretary | 1022 Martin Luther King Dr, Marks, MS 38646 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Non-Profit Annual Report | Filed | 2025-01-03 | Annual Report For DELTA MEDICAL FOUNDATION |
| Non-Profit Status Report | Filed | 2024-01-23 | Status Report For DELTA MEDICAL FOUNDATION |
| Amendment Form | Filed | 2023-03-02 | Amendment For DELTA MEDICAL FOUNDATION |
| Non-Profit Status Report | Filed | 2023-02-08 | Status Report For DELTA MEDICAL FOUNDATION |
| Non-Profit Status Report | Filed | 2022-02-11 | Status Report For DELTA MEDICAL FOUNDATION |
| Non-Profit Status Report | Filed | 2021-02-24 | Status Report For DELTA MEDICAL FOUNDATION |
| Non-Profit Status Report | Filed | 2020-03-02 | Status Report For DELTA MEDICAL FOUNDATION |
| Non-Profit Status Report | Filed | 2019-04-04 | Status Report For DELTA MEDICAL FOUNDATION |
| Non-Profit Status Report | Filed | 2018-12-04 | Status Report For DELTA MEDICAL FOUNDATION |
| Amendment Form | Filed | 2018-11-19 | Amendment For DELTA MEDICAL FOUNDATION |
Date of last update: 15 Jan 2025
Sources: Mississippi Secretary of State
