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  5. AMITE COUNTY MEDICAL SERVICES, INC.

AMITE COUNTY MEDICAL SERVICES, INC.

Company Details

Name: AMITE COUNTY MEDICAL SERVICES, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 22 Dec 1978 (46 years ago)
Business ID: 307702
ZIP code: 39645
County: Amite
State of Incorporation: MISSISSIPPI
Principal Office Address: 102 WEST FREEDOM DRIVE, P.O. BOX 511LIBERTY, MS 39645

Agent

Name Role Address
SALLY TOLER Agent 102 WEST FREEDOM DRIVE, P.O. BOX 511, LIBERTY, MS 39645

Incorporator

Name Role Address
ALBERT CAST Incorporator P O BOX 363, CROSTY, MS 30000
GERALD MILLER Incorporator P O BOX 250, LIBERTY, MS 50000
WINBOURNE SULLIVAN Incorporator P O BOX 217, LIBERTY, MS 80000

President

Name Role Address
TOM LEWIS President P.O. BOX 511, LIBERTY, MS 39645

Vice President

Name Role Address
SHAWN FELDER Vice President P.O. BOX 511, LIBERTY, MS 39645

Chief Executive Officer

Name Role Address
SALLY TOLER Chief Executive Officer P.O. BOX 511, LIBERTY, MS 39645

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2020-09-01 Status Report For AMITE COUNTY MEDICAL SERVICES, INC.
Formation Form Filed 2004-11-03 Formation
Name Reservation Form Filed 1978-12-22 Name Reservation

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C81CS13970 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient AMITE COUNTY MEDICAL SERVICES INC
Recipient Name Raw AMITE COUNTY MEDICAL SERVICES, INC
Recipient UEI H6XPH3DCCMN1
Recipient DUNS 119729788
Recipient Address 102 WEST FREEDOM DRIVE, LIBERTY, AMITE, MISSISSIPPI, 39645, UNITED STATES
Obligated Amount 350380.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11915 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient AMITE COUNTY MEDICAL SERVICES INC
Recipient Name Raw AMITE COUNTY MEDICAL SERVICES, INC
Recipient UEI H6XPH3DCCMN1
Recipient DUNS 119729788
Recipient Address 102 WEST FREEDOM DRIVE, LIBERTY, AMITE, MISSISSIPPI, 39645, UNITED STATES
Obligated Amount 140039.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF09186 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2008-06-01 2009-09-30 HEALTH CARE AND OTHER FACILITIES
Recipient AMITE COUNTY MEDICAL SERVICES INC
Recipient Name Raw AMITE COUNTY MEDICAL SERVICES, INC
Recipient UEI H6XPH3DCCMN1
Recipient DUNS 119729788
Recipient Address POST OFFICE BOX 511, LIBERTY, AMITE, MISSISSIPPI, 39645
Obligated Amount 127424.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00609 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-02-01 2010-01-31 HEALTH CENTER CLUSTER
Recipient AMITE COUNTY MEDICAL SERVICES INC
Recipient Name Raw AMITE COUNTY MEDICAL SERVICES, INC
Recipient UEI H6XPH3DCCMN1
Recipient DUNS 119729788
Recipient Address 102 WEST FREEDOM DRIVE, LIBERTY, AMITE, MISSISSIPPI, 39645
Obligated Amount 19451111.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
64-0632268 Corporation Unconditional Exemption PO BOX 511, LIBERTY, MS, 39645-0511 1980-10
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 Scientific Organization
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2024-01
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jan
Asset Amount 12560374
Income Amount 6878612
Form 990 Revenue Amount 6878612
National Taxonomy of Exempt Entities -
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)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name AMITE COUNTY MEDICAL SERVICES INC
EIN 64-0632268
Tax Period 202201
Filing Type E
Return Type 990
File View File
Organization Name AMITE COUNTY MEDICAL SERVICES INC
EIN 64-0632268
Tax Period 202101
Filing Type E
Return Type 990
File View File
Organization Name AMITE COUNTY MEDICAL SERVICES INC
EIN 64-0632268
Tax Period 202001
Filing Type E
Return Type 990
File View File
Organization Name AMITE COUNTY MEDICAL SERVICES INC
EIN 64-0632268
Tax Period 201901
Filing Type E
Return Type 990
File View File
Organization Name AMITE COUNTY MEDICAL SERVICES INC
EIN 64-0632268
Tax Period 201801
Filing Type E
Return Type 990
File View File
Organization Name AMITE COUNTY MEDICAL SERVICES INC
EIN 64-0632268
Tax Period 201701
Filing Type E
Return Type 990
File View File

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TOM LEWIS

C.H.R.I.S. COMMUNITIES HELPING TO RESTORE INDIVIDUAL SELF WORTH DOCTORS OPTICAL LABS, INC.

Related by address

No related companies by address

Date of last update: 17 Apr 2025

Sources: Mississippi Secretary of State

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