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SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC.

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Company Details

Name: SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 03 Dec 1980 (45 years ago)
Business ID: 402521
ZIP code: 39667
County: Walthall
State of Incorporation: MISSISSIPPI
Principal Office Address: 101 Hospital Drive, P.O. Box 172Tylertown, MS 39667

Agent

Name Role Address
Alice F Richmond Agent 97 Magee Drive, P.O. Box 172, Tylertown, MS 39667

Incorporator

Name Role Address
GEORGE WINBORNE Incorporator ROUTE 4, BROOKHAVEN, MS
HARRY J BOWIE Incorporator 719 SUMMIT ST, MCCOMB, MS
LUZERNE DILLON Incorporator 714 2ND ST, TYLERTOWN, MS

Director

Name Role Address
Alice F Richmond Director 97 Magee Drive, P.O. Box 172, Tylertown, MS 39667
Gloria Kirsh Director 709 St. Augustine St, Bogalusa, LA 70427
Elinda Fortenberry Director 108 Brandon Bay Road, Tylertown, MS 39667
Zackery Fortenberry Director 333 Highway 98 West, Tylertown, MS 39667
Christine Montgomery Director P.O. Box 679, Tylertown, MS 39667

President

Name Role Address
Alice F Richmond President 97 Magee Drive, P.O. Box 172, Tylertown, MS 39667

Secretary

Name Role Address
Gloria Kirsh Secretary 709 St. Augustine St, Bogalusa, LA 70427

Treasurer

Name Role Address
Elinda Fortenberry Treasurer 108 Brandon Bay Road, Tylertown, MS 39667

National Provider Identifier

NPI Number:
1144407420

Authorized Person:

Name:
MR. BENJAMIN PETTUS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6017319190

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2024-12-07 Annual Report For SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC.
Non-Profit Status Report Filed 2022-04-14 Status Report For SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC.
Non-Profit Status Report Filed 2021-04-07 Status Report For SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC.
Non-Profit Status Report Filed 2020-03-25 Status Report For SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC.
Non-Profit Status Report Filed 2017-03-30 Status Report For SOUTHWEST HEALTH AGENCY FOR RURAL PEOPLE, INC.
Undetermined Event Filed 1980-12-17 Undetermined Event
Name Reservation Form Filed 1980-12-03 Name Reservation

Tax Exempt

Employer Identification Number (EIN) :
64-0650662
In Care Of Name:
% ALICE RICHMOND
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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)
Ruling Date:
1982-09
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 18 Apr 2025

Sources: Mississippi Secretary of State