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MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC.

Company Details

Name: MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 28 Oct 1966 (58 years ago)
Business ID: 209584
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 2906 SAINT APUL STMERIDIAN, MS 39301

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 2021 640440512 2022-10-24 MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 624100
Sponsor’s telephone number 6014829848
Plan sponsor’s address PO BOX 905, MERIDIAN, MS, 393020905

Signature of

Role Plan administrator
Date 2022-10-24
Name of individual signing SHAKETA THOMAS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 2020 640440512 2021-06-30 MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 624100
Sponsor’s telephone number 6014829848
Plan sponsor’s address PO BOX 905, MERIDIAN, MS, 393020905

Signature of

Role Plan administrator
Date 2021-06-30
Name of individual signing SHAKETA THOMAS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 2019 640440512 2020-06-12 MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 19
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Sponsor’s telephone number 6014829848
Plan sponsor’s address PO BOX 905, MERIDIAN, MS, 393020905

Signature of

Role Plan administrator
Date 2020-06-12
Name of individual signing SHAKETA THOMAS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 2019 640440512 2020-06-12 MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 624100
Sponsor’s telephone number 6014829848
Plan sponsor’s address PO BOX 905, MERIDIAN, MS, 393020905

Signature of

Role Plan administrator
Date 2020-06-12
Name of individual signing SHAKETA THOMAS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 2018 640440512 2019-07-30 MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 624200
Sponsor’s telephone number 6014829848
Plan sponsor’s address PO BOX 905, MERIDIAN, MS, 393020905

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing SHAKETA THOMAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Shaketa S Thomas Agent 2906 St. Paul Street, Meridian, MS 39301

Incorporator

Name Role Address
CONNIE R MOORE Incorporator 1820 12TH AVENUE, MERIDIAN, MS
FRANK A TAYLOR Incorporator 2619 32ND ST, MERIDIAN, MS
WILLIAM B COMPTON Incorporator 1205 FAIRVIEW CIRCLE, MERIDIAN, MS 39305

Director

Name Role Address
Perry Duckworth Director 416 Main Street, Taylorsville, MS 39153
Thomas Pinkston Director 415 S. First Ave Apt F-6, Forest, MS 39074
Jackie Bradford Director 174 Bradford Lane, Forest, MS 39074
Johnny Whitsett Director 303 Don Whitsett Lane, Pikeville, MS 30328
Tina Grady Director 135 McCrae Ave, DeKalb, MS 30928
Sampson Jackson Director 749 Matthew Jackson Rd, DeKalb, MS 39328
Jack Darty Director 2808 Highway 528, Heidelberg, MS 39439
Obbie Riley Director 12980, Neshoba, MS 39439
Elmyra Payton Director 62 CR 528142, Paulding, MS 39348
Leroy Kosciusko Rd Director 810 Kosciusko, Philadelphia, MS 39350

President

Name Role Address
Perry Duckworth President 416 Main Street, Taylorsville, MS 39153

Secretary

Name Role Address
Odee Akines Secretary 549 E. 2nd Street, Forest, MS 39074

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2023-12-11 Status Report For MULTI-COUNTY COMMUNITY SERVICE AGENCY, INC.
See File Filed 1994-03-28 See File
Amendment Form Filed 1983-06-14 Amendment
See File Filed 1979-05-04 See File
See File Filed 1978-04-03 See File
Undetermined Event Filed 1975-12-08 Undetermined Event
Name Reservation Form Filed 1966-10-28 Name Reservation

Date of last update: 31 Jan 2025

Sources: Mississippi Secretary of State