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  5. DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.

DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.

Company Details

Name: DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 26 Apr 1993 (32 years ago)
Business ID: 596896
ZIP code: 39095
County: Holmes
State of Incorporation: MISSISSIPPI
Principal Office Address: 17280 Highway 17 SouthLEXINGTON, MS 39095

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 2020 640829371 2021-10-06 DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 621399
Sponsor’s telephone number 6628341857
Plan sponsor’s address 17280 HIGHWAY 17, LEXINGTON, MS, 390956614

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing LAKITA EDWARDS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 2019 640829371 2020-08-05 DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 621399
Sponsor’s telephone number 6628341857
Plan sponsor’s address 17280 HIGHWAY 17, LEXINGTON, MS, 390956614

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing JENISHA PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Clyde Rozell Chapman Agent 17280 Highway 17 South, Lexington, MS 39095

Incorporator

Name Role Address
BENNIE L RAYFORD Incorporator RR 2 BOX 386, LEXINGTON, MS 39095

Director

Name Role Address
Clyde Rozell Chapman Director P O Box 479, Lexington, MS 39095

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2021-03-29 Status Report For DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Non-Profit Status Report Filed 2016-02-02 Status Report For DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Amendment Form Filed 2014-04-14 Amendment
Amendment Form Filed 1999-01-07 Amendment
Name Reservation Form Filed 1993-04-26 Name Reservation

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C81CS14270 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 DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Recipient Name Raw DR ARENIA C MALLORY COMMUNITY HEALTH CENTER,
Recipient UEI L68LV4JH76X5
Recipient DUNS 868874587
Recipient Address PO BOX 479, LEXINGTON, HOLMES, MISSISSIPPI, 39095, UNITED STATES
Obligated Amount 1008135.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12015 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 DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Recipient Name Raw DR ARENIA C MALLORY COMMUNITY HEALTH CENTER,
Recipient UEI L68LV4JH76X5
Recipient DUNS 868874587
Recipient Address PO BOX 479, LEXINGTON, HOLMES, MISSISSIPPI, 39095, UNITED STATES
Obligated Amount 367766.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00580 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) 2002-07-01 2011-03-31 HEALTH CENTER CLUSTER
Recipient DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Recipient Name Raw DR ARENIA C MALLORY COMMUNITY HEALTH CENTER,
Recipient UEI L68LV4JH76X5
Recipient DUNS 868874587
Recipient Address PO BOX 479, LEXINGTON, HOLMES, MISSISSIPPI, 39095, UNITED STATES
Obligated Amount 22957108.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7004987103 2020-04-14 0470 PPP 17280 Highway 17 South, LEXINGTON, MS, 39095-6614
Loan Status Date 2021-01-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 808982
Loan Approval Amount (current) 808982
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address LEXINGTON, HOLMES, MS, 39095-6614
Project Congressional District MS-02
Number of Employees 88
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 814532.52
Forgiveness Paid Date 2020-12-28

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Related by address

No related companies by address

Date of last update: 15 Mar 2025

Sources: Mississippi Secretary of State

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