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SUNNYBROOK ESTATES

Company Details

Name: SUNNYBROOK ESTATES
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 22 Mar 1996 (29 years ago)
Business ID: 628039
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 248 Locust LaneMadison, MS 39110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2023 640878278 2024-05-23 SUNNYBROOK ESTATES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 6018564050
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2024-05-23
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-23
Name of individual signing DR. WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2022 640878278 2023-05-25 SUNNYBROOK ESTATES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 6018564050
Plan sponsor’s address 200 SERENITY LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2023-05-25
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2021 640878278 2022-06-23 SUNNYBROOK ESTATES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 6018564050
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2022-06-23
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2020 640878278 2021-07-12 SUNNYBROOK ESTATES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 6018564050
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-12
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2019 640878278 2020-05-26 SUNNYBROOK ESTATES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 6018564050
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2020-05-26
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2018 640878278 2019-06-24 SUNNYBROOK ESTATES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2019-06-24
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2017 640878278 2018-10-12 SUNNYBROOK ESTATES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2016 640878278 2017-06-19 SUNNYBROOK ESTATES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2017-06-19
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
SUNNYBROOK ESTATES 401K PROFIT SHARING PLAN 2015 640878278 2016-07-27 SUNNYBROOK ESTATES 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Plan sponsor’s address 148 LOCUST LANE, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2016-07-27
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing DR WHITE GRAVES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Edwards, Julia Agent 248 Locust Lane, Madison, MS 39110

Director

Name Role Address
WILLIAM T MILES Director 2000 N GLOSTER #111, TUPELO, MS 38801
WHITE GRAVES Director 2610 BIRCHWOOD, MONROE, LA 71201
DALE BRUMFIELD Director P O BOX 1331, COUSHATTA, LA 71019
J MARLIN IVEY Director P O DRAWER 610, KOSCIUSKO, MS 39090
ALONZO D WELCH Director P O BOX 501, MADISON, MS 39130
DARRELL BLAYLOCK Director 130 E WALKER, GREENVILLE, MS 38701

President

Name Role Address
WHITE GRAVES President 2610 BIRCHWOOD, MONROE, LA 71201

Incorporator

Name Role Address
BILL MILES Incorporator 2000 N GLOSTER #111, TUPELO, MS 38801

Vice President

Name Role Address
Steven Coleman Vice President 104 Spindlewood Dr, Madison, MS 39110

Secretary

Name Role Address
Larry E Mixon Secretary 1158 Fercrest Dr, Jackson, MS 39211

Treasurer

Name Role Address
Larry E Mixon Treasurer 1158 Fercrest Dr, Jackson, MS 39211

Filings

Type Status Filed Date Description
Formation Form Filed 2014-03-12 Formation
Name Reservation Form Filed 1996-03-22 Name Reservation
Amendment Form Filed 1996-03-22 Amendment

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
64-0878278 Corporation Unconditional Exemption 200 SERENITY LANE, MADISON, MS, 39110-6934 1997-09
In Care of Name % WILLIAM T MILES
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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2021-12
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 - Not required to file (all other)
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 4435991
Income Amount 1948088
Form 990 Revenue Amount 1948088
National Taxonomy of Exempt Entities Housing & Shelter: Senior Citizens' Housing/Retirement Communities
Sort Name -

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 SUNNYBROOK ESTATES INC
EIN 64-0878278
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SUNNYBROOK ESTATES INC
EIN 64-0878278
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name SUNNYBROOK ESTATES INC
EIN 64-0878278
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SUNNYBROOK ESTATES INC
EIN 64-0878278
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SUNNYBROOK ESTATES INC
EIN 64-0878278
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name SUNNYBROOK ESTATES INC
EIN 64-0878278
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name SUNNYBROOK ESTATES INC
EIN 64-0878278
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
1981087204 2020-04-15 0470 PPP 200 SERENITY LN, MADISON, MS, 39110-6934
Loan Status Date 2021-05-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 101200
Loan Approval Amount (current) 101200
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 U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MADISON, MADISON, MS, 39110-6934
Project Congressional District MS-03
Number of Employees 14
NAICS code 623312
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 Male Owned
Veteran Unanswered
Forgiveness Amount 102175.46
Forgiveness Paid Date 2021-04-22

Date of last update: 07 Feb 2025

Sources: Mississippi Secretary of State