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WINSTON COUNTY MEDICAL FOUNDATION

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Company Details

Name: WINSTON COUNTY MEDICAL FOUNDATION
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 23 Sep 1993 (32 years ago)
Business ID: 600837
ZIP code: 39339
County: Winston
State of Incorporation: MISSISSIPPI
Principal Office Address: 650 N CHURCH AVELOUISVILLE, MS 39339

Agent

Name Role Address
Michael Nester Agent 17550 East Main Street, Louisville, MS 39339

Incorporator

Name Role Address
GARRY V HUGHES Incorporator HWY 15 BY-PASS, P O DRAWER 30, LOUISVILLE, MS 39339
J FRANK FARLEY JR Incorporator 107 PINE RIDGE DRIVE, P O BOX 809, LOUISVILLE, MS 39339

Chief Executive Officer

Name Role Address
Michael Nester Chief Executive Officer 17550 East Main Street, P.O. Box 962, Louisville, MS 39339

Unique Entity ID

CAGE Code:
7B1A8
UEI Expiration Date:
2016-01-28

Business Information

Doing Business As:
WINSTON COUNTY MEDICAL CENTER
Activation Date:
2015-01-30
Initial Registration Date:
2015-01-28

Commercial and government entity program

CAGE number:
7B1A8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2016-01-28

Contact Information

POC:
PAUL BLACK

National Provider Identifier

NPI Number:
1427189216
Certification Date:
2021-11-30

Authorized Person:

Name:
JAMES MATTHEW WOODWARD
Role:
CONTROLLER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
6627736223

Form 5500 Series

Employer Identification Number (EIN):
646010402
Plan Year:
2009
Number Of Participants:
234
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Amendment Form Filed 2024-03-20 Amendment For WINSTON COUNTY MEDICAL FOUNDATION
Amendment Form Filed 2016-08-18 Amendment For WINSTON COUNTY MEDICAL FOUNDATION
Amendment Form Filed 2012-11-07 Amendment
See File Filed 1994-04-15 See File
Name Reservation Form Filed 1993-09-23 Name Reservation

USAspending Awards / Financial Assistance

Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2463500.00
Total Face Value Of Loan:
2463500.00

Tax Exempt

Employer Identification Number (EIN) :
64-6010402
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)
Ruling Date:
1965-06
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
384
Initial Approval Amount:
$2,463,500
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,463,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,491,282.81
Servicing Lender:
Renasant Bank
Use of Proceeds:
Payroll: $2,463,500

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Date of last update: 18 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website