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  5. HAYES CREEK WATER ASSOCIATION, INC.

HAYES CREEK WATER ASSOCIATION, INC.

Company Details

Name: HAYES CREEK WATER ASSOCIATION, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 27 Jul 1972 (53 years ago)
Business ID: 410420
ZIP code: 38967
County: Montgomery
State of Incorporation: MISSISSIPPI
Principal Office Address: 703 Summit StWinona, MS 38967

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2016 640680425 2017-04-10 HAYES CREEK WATER ASSOCIATION 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506

Signature of
Role Plan administrator
Date 2017-04-10
Name of individual signing SAM PITTMAN
Valid signature Filed with authorized/valid electronic signature
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2015 640680425 2016-02-29 HAYES CREEK WATER ASSOCIATION 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2014 640680425 2015-10-01 HAYES CREEK WATER ASSOCIATION 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing SAM PITTMAN
Valid signature Filed with authorized/valid electronic signature
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2013 640680425 2014-07-28 HAYES CREEK WATER ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing SAM PITTMAN
Valid signature Filed with authorized/valid electronic signature
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2012 640680425 2013-05-14 HAYES CREEK WATER ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506

Signature of
Role Plan administrator
Date 2013-05-14
Name of individual signing SAM PITTMAN
Valid signature Filed with authorized/valid electronic signature
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2011 640680425 2012-03-19 HAYES CREEK WATER ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506

Signature of
Role Plan administrator
Date 2012-03-19
Name of individual signing SAM PITTMAN
Valid signature Filed with authorized/valid electronic signature
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2010 640680425 2011-03-21 HAYES CREEK WATER ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506

Signature of
Role Plan administrator
Date 2011-03-21
Name of individual signing SAM PITTMAN
Valid signature Filed with authorized/valid electronic signature
HAYES CREEK WATER ASSOCIATION 401(K) PLAN 2009 640680425 2010-09-03 HAYES CREEK WATER ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 6622833506
Plan sponsor’s address 703 SUMMIT STREET, WINONA, MS, 38967

Plan administrator’s name and address
Administrator’s EIN 640680425
Plan administrator’s name HAYES CREEK WATER ASSOCIATION
Plan administrator’s address 703 SUMMIT STREET, WINONA, MS, 38967
Administrator’s telephone number 6622833506

Signature of
Role Plan administrator
Date 2010-09-03
Name of individual signing SAM PITTMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Bennett, James R Agent 703 Summit St, Winona, MS 38967

Incorporator

Name Role Address
A H ALLEN Incorporator RFD, LODI ROAD, WINONA, MS
ALMA REE B WARE Incorporator RFD, LODI ROAD, WINONA, MS
JOHN L BASKIN Incorporator RFD, LODI ROAD, WINONA, MS

Director

Name Role Address
James R Bennett Director 2046 Hwy 404, Duck Hill, MS 38925
Jack Blakily Director 1442 Red Hill Rd, Duck Hill, MS 38925
A. B. Fowler Director 2266 Red Hill Rd, Duck Hill, MS 38925

President

Name Role Address
James R Bennett President 2046 Hwy 404, Duck Hill, MS 38925

Vice President

Name Role Address
Jack Blakily Vice President 1442 Red Hill Rd, Duck Hill, MS 38925

Other

Name Role Address
A. B. Fowler Other 2266 Red Hill Rd, Duck Hill, MS 38925

Filings

Type Status Filed Date Description
Formation Form Filed 2011-03-29 Formation
Name Reservation Form Filed 1972-07-27 Name Reservation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
64-0680425 Corporation Unconditional Exemption 703 SUMMIT ST, WINONA, MS, 38967-2003 1988-05
In Care of Name -
Group Exemption Number 0000
Subsection Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Mutual Cooperative Telephone Co., Organization Like Those on Three Preceding Lines
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 not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2024-06
Asset 1,000,000 to 4,999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 2827057
Income Amount 751480
Form 990 Revenue Amount 751480
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 202306
Filing Type E
Return Type 990O
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 202206
Filing Type E
Return Type 990O
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 202106
Filing Type E
Return Type 990O
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 202006
Filing Type E
Return Type 990O
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 201906
Filing Type E
Return Type 990O
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 201906
Filing Type P
Return Type 990R
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 201806
Filing Type E
Return Type 990O
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 201806
Filing Type P
Return Type 990R
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 201706
Filing Type E
Return Type 990O
File View File
Organization Name HAYES CREEK WATER ASSOCIATION INC
EIN 64-0680425
Tax Period 201606
Filing Type E
Return Type 990O
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4068088803 2021-04-15 0470 PPP 703 Summit St, Winona, MS, 38967-2003
Loan Status Date 2021-10-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 23124.95
Loan Approval Amount (current) 23124.95
Undisbursed Amount 0
Franchise Name -
Lender Location ID 40074
Servicing Lender Name Bank of Winona
Servicing Lender Address 312 N Applegate St, WINONA, MS, 38967-2126
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Winona, MONTGOMERY, MS, 38967-2003
Project Congressional District MS-02
Number of Employees 4
NAICS code 221310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 40074
Originating Lender Name Bank of Winona
Originating Lender Address WINONA, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 23225.16
Forgiveness Paid Date 2021-09-23

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Date of last update: 18 Apr 2025

Sources: Mississippi Secretary of State

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