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WINSTON COUNTY MEDICAL FOUNDATION

Company Details

Name: WINSTON COUNTY MEDICAL FOUNDATION
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 23 Sep 1993 (31 years ago)
Business ID: 600837
ZIP code: 39339
County: Winston
State of Incorporation: MISSISSIPPI
Principal Office Address: 650 N CHURCH AVELOUISVILLE, MS 39339

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WINSTON COUNTY MEDICAL FOUNDATION 2009 646010402 2010-07-23 WINSTON COUNTY MEDICAL FOUNDATION 234
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-12
Business code 622000
Sponsor’s telephone number 6627736211
Plan sponsor’s mailing address P.O. BOX 967, LOUISVILLE, MS, 39339
Plan sponsor’s address 562 E MAIN ST, LOUISVILLE, MS, 39339

Plan administrator’s name and address

Administrator’s EIN 646010402
Plan administrator’s name WINSTON COUNTY MEDICAL FOUNDATION
Plan administrator’s address P.O. BOX 967, LOUISVILLE, MS, 39339
Administrator’s telephone number 6627736211

Number of participants as of the end of the plan year

Active participants 204
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 24
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 216
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 10

Signature of

Role Plan administrator
Date 2010-07-23
Name of individual signing DALE SAULTERS
Valid signature Filed with authorized/valid electronic signature

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

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

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State