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PINE GROVE ASSOCIATION

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Company Details

Name: PINE GROVE ASSOCIATION
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 04 Feb 1993 (32 years ago)
Business ID: 605001
ZIP code: 39046
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 348 RENFROE RDCANTON, MS 39046

Agent

Name Role Address
Angela Y. Carson Agent 348 Renfroe Road, Canton, MS 39046

Incorporator

Name Role Address
AGGIE CARSON Incorporator 348 RENFROE ROAD, CANTON, MS 39046
RUFUS CARSON Incorporator 348 RENFROW ROAD, CANTON, MS 39046

Chief Executive Officer

Name Role Address
Angela Y. Carson Chief Executive Officer 348 Renfroe Road, Canton, MS 39046

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
GFMHBRQFERM6
CAGE Code:
85YQ3
UEI Expiration Date:
2025-03-28

Business Information

Division Name:
PINE GROVE ASSOCIATION, INC.
Division Number:
PINE GROVE
Activation Date:
2024-04-01
Initial Registration Date:
2018-08-31

National Provider Identifier

NPI Number:
1871316257
Certification Date:
2024-12-03

Authorized Person:

Name:
ANGELA CARSON
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Amendment Form Filed 2023-03-13 Amendment For PINE GROVE ASSOCIATION
Amendment Form Filed 1994-02-24 Amendment
Name Reservation Form Filed 1993-02-04 Name Reservation

Tax Exempt

Employer Identification Number (EIN) :
64-0818734
In Care Of Name:
% ANGELA CARSON
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:
1995-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 22 Apr 2025

Sources: Mississippi Secretary of State