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H.L. Moman Senior Care Haven

Company Details

Name: H.L. Moman Senior Care Haven
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 13 Nov 2023 (a year ago)
Business ID: 1418566
ZIP code: 39213
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 223 Tougaloo Village RoadJackson, MS 39213

Agent

Name Role Address
Kingsley O Akiti Agent 1700 University Blvd Suite 12, Jackson, MS 39204

Incorporator

Name Role Address
Andrea Moman MD Incorporator 122 Southern Ridge Road, Madison, MS 39110

Director

Name Role Address
Chayah Yisrael Director 10628 Woodcock Street, Jonesboro, GA 30238
Pieter Teeuwissen Director 5920 Dabney Drive, Jackson, MS 39206
Mattie Hudson Director P O Box 561, Philadelphia, MS 39350
Debora Haygood Director 174 Tradition Parkway, Flowood, MS 39232
Yolanda Daniel Director 1 East Schiller Street Unit 16-A, Chicago, IL 60610

Chairman

Name Role Address
Chayah Yisrael Chairman 10628 Woodcock Street, Jonesboro, GA 30238

Chief Executive Officer

Name Role Address
Andrea A Moman MD Chief Executive Officer 122 Southern Ridge Drive, Madison, MS 39110

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2024-09-30 Annual Report For H.L. Moman Senior Care Haven
Non-Profit Status Report Filed 2024-03-10 Status Report For H.L. Moman Senior Care Haven
Non-Profit Status Report Filed 2024-01-18 Status Report For H.L. Moman Senior Care Haven
Non-Profit Status Report Filed 2024-01-17 Status Report For H.L. Moman Senior Care Haven
Formation Form Filed 2023-11-13 Formation For H.L. Moman Senior Care Haven

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
93-4447858 Corporation Unconditional Exemption 122 SOUTHERN RIDGE DR, MADISON, MS, 39110-0000 2024-07
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period -
Asset 0
Income 0
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities Human Services: Adult Day Care
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_93-4447858_HLMOMANSENIORCAREHAVEN_07102024_00.pdf

Date of last update: 06 Mar 2025

Sources: Mississippi Secretary of State