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DELTA MEDICAL FOUNDATION

Company Details

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

form 5500

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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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 2024-10-01
Name of individual signing SONYA WALTERS
Valid signature Filed with authorized/valid electronic signature
DELTA MEDICAL FOUNDATION 401(K) PLAN 2022 824404269 2023-06-27 DELTA MEDICAL FOUNDATION 30
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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

Agent

Name Role Address
Lonnie Moore Agent 1022 Martin Luther King, Marks, MS 38646

Incorporator

Name Role Address
Jerrad T Howard Incorporator 255 East Fifth Street, Suite 1900, Cincinnati, OH 45202

President

Name Role Address
Robert Paul Long Jr President 1022 Martin Luther King Dr, Marks, MS 38646

Treasurer

Name Role Address
Malcom Self Treasurer 1022 Martin Luther King Dr, Marks, MS 38646

Secretary

Name Role Address
James Craig Gaddy Secretary 1022 Martin Luther King Dr, Marks, MS 38646

Filings

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

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
82-4404269 Corporation Unconditional Exemption 1022 MARTIN LUTHER KING DR, MARKS, MS, 38646-1832 2019-04
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 Private operating foundation (other)
Tax Period 2023-06
Asset 500,000 to 999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 - Not required to file (all other)
PF Filing Requirement 990-PF return
Accounting Period Jun
Asset Amount 526740
Income Amount 4463966
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
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 private operating foundation. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter

Final Letter(s) FinalLetter_82-4404269_DELTAMEDICALFOUNDATION_11202018_01.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name DELTA MEDICAL FOUNDATION
EIN 82-4404269
Tax Period 202306
Filing Type E
Return Type 990PF
File View File
Organization Name DELTA MEDICAL FOUNDATION
EIN 82-4404269
Tax Period 202206
Filing Type E
Return Type 990PF
File View File
Organization Name DELTA MEDICAL FOUNDATION
EIN 82-4404269
Tax Period 202106
Filing Type E
Return Type 990PF
File View File
Organization Name DELTA MEDICAL FOUNDATION
EIN 82-4404269
Tax Period 202006
Filing Type E
Return Type 990PF
File View File
Organization Name DELTA MEDICAL FOUNDATION
EIN 82-4404269
Tax Period 201906
Filing Type E
Return Type 990PR
File View File
Organization Name DELTA MEDICAL FOUNDATION
EIN 82-4404269
Tax Period 201806
Filing Type P
Return Type 990PF
File View File

Date of last update: 01 Apr 2025

Sources: Mississippi Secretary of State