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GOOD SAMARITAN HEALTH SERVICES, INC.

Company Details

Name: GOOD SAMARITAN HEALTH SERVICES, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 21 Oct 1991 (34 years ago)
Business ID: 583462
ZIP code: 38802
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: PO Box 1821TUPELO, MS 38802

Agent

Name Role Address
W REED HILLEN Agent 322 JEFFERSON ST, TUPELO, MS 38801

Incorporator

Name Role Address
W REED HILLENM Incorporator 322 JEFFERSON ST, TUPELO, MS 38801

Filings

Type Status Filed Date Description
See File Filed 1992-03-11 See File
Name Reservation Form Filed 1991-10-21 Name Reservation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
58-1986683 Corporation Unconditional Exemption PO BOX 1821, TUPELO, MS, 38802-1821 1992-04
In Care of Name % JOHN ROBINSON
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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
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 Dec
Asset Amount 1484692
Income Amount 647138
Form 990 Revenue Amount 647138
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 GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH SERVICES INC
EIN 58-1986683
Tax Period 201609
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
1424108800 2021-04-10 0470 PPS 420 Magazine St, Tupelo, MS, 38804-4734
Loan Status Date 2021-11-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40072
Loan Approval Amount (current) 40072
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tupelo, LEE, MS, 38804-4734
Project Congressional District MS-01
Number of Employees 6
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 40208.91
Forgiveness Paid Date 2021-10-25
3435927100 2020-04-11 0470 PPP 420 MAGAZINE ST, TUPELO, MS, 38804-4734
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40000
Loan Approval Amount (current) 40000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 40010
Servicing Lender Name Renasant Bank
Servicing Lender Address 209 Troy St, TUPELO, MS, 38804-4827
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TUPELO, LEE, MS, 38804-4734
Project Congressional District MS-01
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 40010
Originating Lender Name Renasant Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 40453.33
Forgiveness Paid Date 2021-06-17

Date of last update: 14 Mar 2025

Sources: Mississippi Secretary of State