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  5. WINSTON COUNTY MEDICAL FOUNDATION

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 (32 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

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
64-6010402 Corporation Unconditional Exemption 17570 E MAIN ST, LOUISVILLE, MS, 39339-2772 1965-06
In Care of Name -
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 5,000,000 to 9,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 8617867
Income Amount 30191902
Form 990 Revenue Amount 30191902
National Taxonomy of Exempt Entities -
Sort Name DBA WINSTON MEDICAL CENTER

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 WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 201512
Filing Type P
Return Type 990
File View File
Organization Name WINSTON COUNTY MEDICAL FOUNDATION
EIN 64-6010402
Tax Period 201512
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
9054607004 2020-04-09 0470 PPP 17550 E MAIN ST, LOUISVILLE, MS, 39339-2772
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) 2463500
Loan Approval Amount (current) 2463500
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, WINSTON, MS, 39339-2772
Project Congressional District MS-03
Number of Employees 384
NAICS code 622110
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 2491282.81
Forgiveness Paid Date 2021-06-09

Related by officers

Michael Nester

Winston Medical Clinic, LLC

GARRY V HUGHES

LOUCON, INC. COUNTRY CLUB MANOR, INC. LOUISVILLE FRAMING CONTRACTORS, INC. H & W CONSTRUCTION, INC. GVH Farms, Inc CONTRACTORS, INC. H & S CONSTRUCTION COMPANY, INC. HOUSING INVESTMENTS, INC. HUGHES DEVELOPMENT CO., INC. CONTRACTORS, INC.

Related by address

650 N CHURCH AVELOUISVILLE, MS 39339

TAYLOR INTERNATIONAL, INC.

Date of last update: 15 Mar 2025

Sources: Mississippi Secretary of State

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