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THE MISSISSIPPI ASSOCIATION OF SELF-INSURERS, INC.

Company Details

Name: THE MISSISSIPPI ASSOCIATION OF SELF-INSURERS, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 09 Feb 1996 (29 years ago)
Business ID: 633859
ZIP code: 39202
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 825 NORTH PRESIDENT STREETJackson, MS 39202

Incorporator

Name Role Address
JOHN K, GRESHAM Incorporator 1221 EAST UNION STREET, GREENVILLE, MS 38701
H DEAN COTTEN Incorporator 767 NORTH PRESIDENT, JACKSON, MS 39202

Agent

Name Role Address
Wendy Powell Agent 825 North President Street, Jackson, MS 39202

President

Name Role Address
Ricky Saltzman President 282 Commerce Park Drive, Ridgeland, MS 39157

Director

Name Role Address
Michael Callahan Director PO Box 3300, Ridgeland, MS 39158
Steve Smith Director 600 East Amite Street, Jackson, MS 39201
Judy Mooney Director 307 Warwick Place, Ridgeland, MS 39157
Cora Beth Hartfield Director 825 North, Jackson, Mississippi, MS 39202
Glenn Partrick Director 790 Liberty Road, Flowood, MS 39232
Judy Wallace Director 415 South 28th Avenue, Hattiesburg, MS 39401
Maury Hull Director Po Box 349, Bay Springs, MS 39422
Jack Norris Director PO Box 149, Pascagoula, MS 39568
Leigh Ellington Director 650 North Church Avenue, Louisville, MS 39339

Secretary

Name Role Address
Anissa Young Secretary 380 Zurich Drive, Ridgeland, MS 39157

Vice President

Name Role Address
Aaron Sisk Vice President 1020 Highland Colony Parkway, Sute 500, Ridgeland, MS 39157

Filings

Type Status Filed Date Description
Amendment Form Filed 2025-01-08 Amendment For THE MISSISSIPPI ASSOCIATION OF SELF-INSURERS, INC.
Non-Profit Annual Report Filed 2025-01-08 Annual Report For THE MISSISSIPPI ASSOCIATION OF SELF-INSURERS, INC.
Non-Profit Status Report Filed 2007-05-02 Non-Profit Status Report
Non-Profit Status Report Filed 2006-06-15 Non-Profit Status Report
Amendment Form Filed 2006-05-31 Amendment
Amendment Form Filed 1996-09-03 Amendment
Name Reservation Form Filed 1996-02-09 Name Reservation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
64-0872222 Corporation Unconditional Exemption 825 N PRESIDENT ST, JACKSON, MS, 39202-2561 1996-05
In Care of Name -
Group Exemption Number 0000
Subsection Board of Trade, Business League, Chamber of Commerce, Real Estate Board
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 not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2023-06
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 304669
Income Amount 257626
Form 990 Revenue Amount 257626
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name MISSISSIPPI ASSOCIATION OF SELF-
EIN 64-0872222
Tax Period 202206
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI ASSOCIATION OF SELF-
EIN 64-0872222
Tax Period 202106
Filing Type E
Return Type 990EO
File View File
Organization Name MISSISSIPPI ASSOCIATION OF SELF-
EIN 64-0872222
Tax Period 201906
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI ASSOCIATION OF SELF-
EIN 64-0872222
Tax Period 201806
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI ASSOCIATION OF SELF-
EIN 64-0872222
Tax Period 201706
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI ASSOCIATION OF SELF-
EIN 64-0872222
Tax Period 201606
Filing Type E
Return Type 990O
File View File

Date of last update: 16 Mar 2025

Sources: Mississippi Secretary of State