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MANTACHIE RURAL HEALTH CARE INC.

Company Details

Name: MANTACHIE RURAL HEALTH CARE INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 25 Jul 1979 (46 years ago)
Business ID: 403487
State of Incorporation: MISSISSIPPI
Principal Office Address: HIGHWAY 373MANTACHIE, MS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2023 640646692 2024-03-11 MANTACHIE RURAL HEALTH CARE, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2024-03-11
Name of individual signing TAMMY MINOR
Valid signature Filed with authorized/valid electronic signature
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2022 640646692 2023-06-05 MANTACHIE RURAL HEALTH CARE, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing MARJORIE MCKINNEY
Valid signature Filed with authorized/valid electronic signature
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2021 640646692 2022-08-18 MANTACHIE RURAL HEALTH CARE, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2022-08-18
Name of individual signing MARJORIE MCKINNEY
Valid signature Filed with authorized/valid electronic signature
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2020 640646692 2021-07-09 MANTACHIE RURAL HEALTH CARE, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing MARJORIE MCKINNEY
Valid signature Filed with authorized/valid electronic signature
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2019 640646692 2020-07-07 MANTACHIE RURAL HEALTH CARE, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing MARJORIE MCKINNEY
Valid signature Filed with authorized/valid electronic signature
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2018 640646692 2019-05-15 MANTACHIE RURAL HEALTH CARE, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing MARJORIE MCKINNEY
Valid signature Filed with authorized/valid electronic signature
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2017 640646692 2018-07-25 MANTACHIE RURAL HEALTH CARE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing MARJORIE MCKINNEY
Valid signature Filed with authorized/valid electronic signature
MANTACHIE RURAL HEALTH CARE, INC., 401(K) PLAN 2016 640646692 2017-07-28 MANTACHIE RURAL HEALTH CARE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6622824226
Plan sponsor’s address 5681 HWY 363, MANTACHIE, MS, 38855

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing MARJORIE MCKINNEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Collins, Patsy T Agent 5681 Highway 363;P O Box 40, Mantachie, MS 38855

Incorporator

Name Role Address
ALAN J RUBIN Incorporator 21 CLAYWOOD, TUPELO, MS
JULIE SHACKLEFORD Incorporator HIGHWAY 363, MANTACHIE, MS
LINDA CHIDESTER Incorporator 5500 HWY 363, P O BOX 40, MANTACHIE, MS 38855

Filings

Type Status Filed Date Description
Amendment Form Filed 2013-11-20 Amendment
Amendment Form Filed 2010-10-11 Amendment
Amendment Form Filed 2007-10-15 Amendment
See File Filed 1993-05-20 See File
Name Reservation Form Filed 1979-07-25 Name Reservation

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
CF77486507 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2010-03-18 2010-03-18 DIRECT COMMUNITY FACILITY LOANS
Recipient MANTACHIE RURAL HEALTH CARE INC.
Recipient Name Raw MANTACHIE RURAL HEALTH CARE INC.
Recipient UEI JSHKFLCGLEL5
Recipient DUNS 878671536
Recipient Address 5500 HIGHWAY 363, MANTACHIE, ITAWAMBA, MISSISSIPPI, 38855-7197, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 6536.00
Face Value of Direct Loan 499000.00
Link View Page
C81CS13673 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 MANTACHIE RURAL HEALTH CARE INC.
Recipient Name Raw MANTACHIE RURAL HEALTH CARE, INC
Recipient UEI JSHKFLCGLEL5
Recipient DUNS 878671536
Recipient Address 5500 HIGHWAY 363, MANTACHIE, ITAWAMBA, MISSISSIPPI, 38855-7197, UNITED STATES
Obligated Amount 339215.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11858 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 MANTACHIE RURAL HEALTH CARE INC.
Recipient Name Raw MANTACHIE RURAL HEALTH CARE, INC
Recipient UEI JSHKFLCGLEL5
Recipient DUNS 878671536
Recipient Address 5500 HIGHWAY 363, MANTACHIE, ITAWAMBA, MISSISSIPPI, 38855-7197, UNITED STATES
Obligated Amount 134648.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00096 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) 2002-06-01 2014-11-30 HEALTH CENTER CLUSTER
Recipient MANTACHIE RURAL HEALTH CARE INC.
Recipient Name Raw MANTACHIE RURAL HEALTH CARE, INC
Recipient UEI JSHKFLCGLEL5
Recipient DUNS 878671536
Recipient Address 5500 HIGHWAY 363, MANTACHIE, ITAWAMBA, MISSISSIPPI, 38855-7197, UNITED STATES
Obligated Amount 7849631.00
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
64-0646692 Corporation Unconditional Exemption PO BOX 40, MANTACHIE, MS, 38855-0040 1993-06
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 1,000,000 to 4,999,999
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 Dec
Asset Amount 4704129
Income Amount 8294366
Form 990 Revenue Amount 8294366
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 MANTACHIE RURAL HEALTH CARE INC
EIN 64-0646692
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name MANTACHIE RURAL HEALTH CARE INC
EIN 64-0646692
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name MANTACHIE RURAL HEALTH CARE INC
EIN 64-0646692
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name MANTACHIE RURAL HEALTH CARE INC
EIN 64-0646692
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name MANTACHIE RURAL HEALTH CARE INC
EIN 64-0646692
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name MANTACHIE RURAL HEALTH CARE INC
EIN 64-0646692
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name MANTACHIE RURAL HEALTH CARE INC
EIN 64-0646692
Tax Period 201612
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6668397809 2020-06-02 0470 PPP 5681 HIGHWAY 363, MANTACHIE, MS, 38855
Loan Status Date 2022-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 317062
Loan Approval Amount (current) 317062
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MANTACHIE, ITAWAMBA, MS, 38855-0001
Project Congressional District MS-01
Number of Employees 30
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 321014.42
Forgiveness Paid Date 2021-09-02

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LINDA CHIDESTER

FAMILY HEALTH OF NORTH MISSISSIPPI

Related by address

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Date of last update: 18 Apr 2025

Sources: Mississippi Secretary of State

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