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CREATE FOUNDATION, INC.

Company Details

Name: CREATE FOUNDATION, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 26 Jan 1972 (53 years ago)
Business ID: 630002
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 1655 SOUTH GREEN STREET, P O BOX 909TUPELO, MS 38801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CREATE FOUNDATION, INC. 403(B) PLAN 2023 237248582 2024-10-07 CREATE FOUNDATION, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2023 237248582 2024-10-07 CREATE FOUNDATION, INC. 11
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2022 237248582 2023-08-07 CREATE FOUNDATION, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2021 237248582 2022-07-19 CREATE FOUNDATION, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2020 237248582 2021-08-04 CREATE FOUNDATION, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2019 237248582 2020-09-24 CREATE FOUNDATION, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2018 237248582 2019-06-24 CREATE FOUNDATION, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2017 237248582 2018-07-10 CREATE FOUNDATION, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2016 237248582 2017-07-03 CREATE FOUNDATION, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
CREATE FOUNDATION, INC. 403(B) PLAN 2015 237248582 2016-07-07 CREATE FOUNDATION, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/09/20150709140500P040032092541001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/25/20140625104656P040463039473001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/09/20130909172413P030377791363001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802

Signature of

Role Plan administrator
Date 2013-09-09
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-09
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/05/20120705164009P030004920614001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802

Plan administrator’s name and address

Administrator’s EIN 237248582
Plan administrator’s name CREATE FOUNDATION, INC.
Plan administrator’s address P O BOX 1053, TUPELO, MS, 38802
Administrator’s telephone number 6628448989

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-05
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725084518P030469018144001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802

Plan administrator’s name and address

Administrator’s EIN 237248582
Plan administrator’s name CREATE FOUNDATION, INC.
Plan administrator’s address P O BOX 1053, TUPELO, MS, 38802
Administrator’s telephone number 6628448989

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/11/20101011103708P030020372881001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 6628448989
Plan sponsor’s address P O BOX 1053, TUPELO, MS, 38802

Plan administrator’s name and address

Administrator’s EIN 237248582
Plan administrator’s name CREATE FOUNDATION, INC.
Plan administrator’s address P O BOX 1053, TUPELO, MS, 38802
Administrator’s telephone number 6628448989

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing MICHAEL K CLAYBORNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Clayborne, Michael K Agent 213 West Main Street;P O Box 1053, Tupelo, MS 38804

Incorporator

Name Role Address
ANNA R MCLEAN Incorporator BOX 909, HIGHLAND CIRCLE, TUPELO, MS
HARRY H RUTHERFORD Incorporator BOX 909, 908 GARFIELD, TUPELO, MS 10000
JACK R REED Incorporator LEGION LAKE ROAD, TUPELO, MS

Filings

Type Status Filed Date Description
Amendment Form Filed 2010-07-29 Amendment
Correction Amendment Form Filed 1999-06-09 Correction
See File Filed 1999-05-14 See File
Amendment Form Filed 1996-05-13 Amendment
Undetermined Event Filed 1972-05-10 Undetermined Event
See File Filed 1972-03-23 See File
Name Reservation Form Filed 1972-01-26 Name Reservation

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
H75DP001868 Department of Health and Human Services 93.283 - CENTERS FOR DISEASE CONTROL AND PREVENTION_INVESTIGATIONS AND TECHNICAL ASSISTANCE 2008-09-15 2009-09-14 THE STRENGTHENING HEALTH AND PHYSICAL EDUCATION (SHAPE) PROJECT
Recipient CREATE FOUNDATION
Recipient Name Raw CREATE FOUNDATION, INC
Recipient UEI C18MDRYCAZD5
Recipient DUNS 830042875
Recipient Address 213 WEST MAIN STREET, TUPELO, LEE, MISSISSIPPI, 38804
Obligated Amount 430348.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
CO-15924-R1 Appalachian Regional Commission 23.011 - APPALACHIAN RESEARCH, TECHNICAL ASSISTANCE, AND DEMONSTRATION PROJECTS 2008-07-01 2009-01-31 WORKFORCE TRAINING
Recipient CREATE FOUNDATION INC
Recipient Name Raw CREATE FOUNDATION INC
Recipient DUNS 199516840
Recipient Address 213 W MAIN ST STE 100, 0, TUPELO, LEE, MISSISSIPPI, 38804-3909, UNITED STATES
Obligated Amount 10000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS-15366-C1 Appalachian Regional Commission 23.002 - APPALACHIAN AREA DEVELOPMENT 2008-07-01 2009-06-30 TOURISM DEVELOPMENT
Recipient CREATE FOUNDATION
Recipient Name Raw CREATE FOUNDATION INC
Recipient UEI C18MDRYCAZD5
Recipient DUNS 830042875
Recipient Address P.O. BOX 1053, 0, TUPELO, LEE, MISSISSIPPI, 38802-1053
Obligated Amount 75000.00
Non-Federal Funding 100000.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
CO-15924 Appalachian Regional Commission 23.011 - APPALACHIAN RESEARCH, TECHNICAL ASSISTANCE, AND DEMONSTRATION PROJECTS 2008-07-01 2009-01-31 WORKFORCE TRAINING
Recipient CREATE FOUNDATION
Recipient Name Raw CREATE FOUNDATION INC
Recipient UEI C18MDRYCAZD5
Recipient DUNS 830042875
Recipient Address 213 W MAIN ST STE 100, 0, TUPELO, LEE, MISSISSIPPI, 38804-3909
Obligated Amount 13500.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS-15878 Appalachian Regional Commission 23.002 - APPALACHIAN AREA DEVELOPMENT 2008-02-01 2009-06-01 DROPOUT PREVENTION
Recipient CREATE FOUNDATION
Recipient Name Raw CREATE FOUNDATION INC
Recipient UEI C18MDRYCAZD5
Recipient DUNS 830042875
Recipient Address 213 W MAIN ST STE 100, 0, TUPELO, LEE, MISSISSIPPI, 38804-3909
Obligated Amount 30200.00
Non-Federal Funding 30640.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
23-7248582 Corporation Unconditional Exemption PO BOX 1053, TUPELO, MS, 38802-1053 1972-12
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 2023-12
Asset 50,000,000 to greater
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 167121440
Income Amount 22303176
Form 990 Revenue Amount 22231092
National Taxonomy of Exempt Entities -
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 CREATE FOUNDATION
EIN 23-7248582
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CREATE FOUNDATION
EIN 23-7248582
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CREATE FOUNDATION
EIN 23-7248582
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CREATE FOUNDATION
EIN 23-7248582
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CREATE FOUNDATION
EIN 23-7248582
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CREATE FOUNDATION
EIN 23-7248582
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CREATE FOUNDATION
EIN 23-7248582
Tax Period 201612
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
6818418500 2021-03-04 0470 PPS 213 W Main St, Tupelo, MS, 38804-3941
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 169148.92
Loan Approval Amount (current) 169148.92
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39647
Servicing Lender Name BNA Bank
Servicing Lender Address 133 E Bankhead St, NEW ALBANY, MS, 38652-3933
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tupelo, LEE, MS, 38804-3941
Project Congressional District MS-01
Number of Employees 9
NAICS code 813211
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 39647
Originating Lender Name BNA Bank
Originating Lender Address NEW ALBANY, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 169964.54
Forgiveness Paid Date 2021-08-30
6150927100 2020-04-14 0470 PPP 213 W MAIN ST STE 100, TUPELO, MS, 38804-3909
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 148700
Loan Approval Amount (current) 148700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39647
Servicing Lender Name BNA Bank
Servicing Lender Address 133 E Bankhead St, NEW ALBANY, MS, 38652-3933
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TUPELO, LEE, MS, 38804-3909
Project Congressional District MS-01
Number of Employees 7
NAICS code 813211
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 39647
Originating Lender Name BNA Bank
Originating Lender Address NEW ALBANY, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 150011.82
Forgiveness Paid Date 2021-03-09

Date of last update: 16 Mar 2025

Sources: Mississippi Secretary of State