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Community Place

Company Details

Name: Community Place
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 27 Feb 1934 (91 years ago)
Business ID: 308560
ZIP code: 39047
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 116 Lake Vista PlaceBrandon, MS 39047
Historical names: COMMUNITY HOSPITAL OF JACKSON, MISS.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2023 640308404 2024-06-17 COMMUNITY PLACE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 116 LAKE VISTA PLACE, BRANDON, MS, 390476384

Signature of
Role Plan administrator
Date 2024-06-17
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2022 640308404 2023-07-11 COMMUNITY PLACE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 116 LAKE VISTA PLACE, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2021 640308404 2022-06-29 COMMUNITY PLACE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 116 LAKE VISTA PL, BRANDON, MS, 390476384

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-29
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2020 640308404 2021-07-14 COMMUNITY PLACE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 116 LAKE VISTA PLACE, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2021-07-14
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2019 640308404 2020-07-21 COMMUNITY PLACE 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2018 640308404 2019-07-11 COMMUNITY PLACE 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2017 640308404 2018-06-18 COMMUNITY PLACE 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2018-06-18
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-18
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2016 640308404 2017-06-21 COMMUNITY PLACE 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-21
Name of individual signing CHARLES HILL
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2015 640308404 2016-06-27 COMMUNITY PLACE 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing TONYA GILLESPIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-27
Name of individual signing TONYA GILLESPIE
Valid signature Filed with authorized/valid electronic signature
THE COMMUNITY PLACE TAX DEFERRED ANNUITY PLAN 2014 640308404 2015-06-04 COMMUNITY PLACE 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing TONYA GILLESPIE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2014-05-28
Name of individual signing TONYA GILLESPIE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/28/20130628151545P040098389317001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing TONYA GILLESPIE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/04/20120604124431P030002383318001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Plan administrator’s name and address
Administrator’s EIN 640308404
Plan administrator’s name COMMUNITY PLACE
Plan administrator’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115
Administrator’s telephone number 6013550617

Signature of
Role Plan administrator
Date 2012-06-04
Name of individual signing TONYA GILLESPIE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/04/20110504211257P030251293728001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Plan administrator’s name and address
Administrator’s EIN 640308404
Plan administrator’s name COMMUNITY PLACE
Plan administrator’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115
Administrator’s telephone number 6013550617

Signature of
Role Plan administrator
Date 2011-05-04
Name of individual signing ANNE-MICHELLE DANIEL
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s mailing address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Plan administrator’s name and address
Administrator’s EIN 640308404
Plan administrator’s name COMMUNITY PLACE
Plan administrator’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115
Administrator’s telephone number 6013550617

Signature of
Role Plan administrator
Date 2010-05-06
Name of individual signing ANNE-MICHELLE DANIEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/19/20100719160324P070019409330001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Plan administrator’s name and address
Administrator’s EIN 640308404
Plan administrator’s name COMMUNITY PLACE
Plan administrator’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115
Administrator’s telephone number 6013550617

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing ANNE-MICHELLE DANIEL
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Plan administrator’s name and address
Administrator’s EIN 640308404
Plan administrator’s name COMMUNITY PLACE
Plan administrator’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115
Administrator’s telephone number 6013550617

Signature of
Role Employer/plan sponsor
Date 2010-07-19
Name of individual signing ANNE-MICHELLE DANIEL
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 6013550617
Plan sponsor’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115

Plan administrator’s name and address
Administrator’s EIN 640308404
Plan administrator’s name COMMUNITY PLACE
Plan administrator’s address 1129 LANGLEY AVENUE, JACKSON, MS, 392043115
Administrator’s telephone number 6013550617

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing ANNE-MICHELLE DANIEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Charles P. Hill Agent 116 Lake Vista Place, Brandon, MS 39047

Incorporator

Name Role Address
CLARA STOKES Incorporator J, JACKSON, MS
FREEMAN BROUGHER Incorporator J, JACKSON, MS
WILLIAM A HARRIS Incorporator J, JACKSON, MS

Treasurer

Name Role Address
Bill Felder Treasurer 1052 Highland Colony Pkwy, Suite 100, Ridgeland, MS 39157

Secretary

Name Role Address
Janice McGee Secretary 547 Woodson Drive, Jackson, MS 39206

Chairman

Name Role Address
Charles L Morris Chairman 110 Greens View Drive, Madison, MS 39110

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2021-12-14 Status Report For Community Place
Amendment Form Filed 2018-05-24 Amendment For Community Place
Amendment Form Filed 2012-02-02 Amendment
Formation Form Filed 2011-08-10 Formation
Amendment Form Filed 2005-07-12 Amendment
See File Filed 1968-02-02 See File
Undetermined Event Filed 1934-03-20 Undetermined Event
Name Reservation Form Filed 1934-02-27 Name Reservation

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Related by address

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Date of last update: 01 Feb 2025

Sources: Mississippi Secretary of State

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