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DIABETES FOUNDATION OF MISSISSIPPI, INC.

Company Details

Name: DIABETES FOUNDATION OF MISSISSIPPI, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 22 Jan 1965 (60 years ago)
Business ID: 652739
State of Incorporation: MISSISSIPPI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIABETES FOUNDATION OF MISSISSIPPI 2020 237262987 2021-08-09 DIABETES FOUNDATION OF MISSISSIPPI 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Sponsor’s telephone number 6019577878
Plan sponsor’s DBA name DIABETES FOUNDATION OF MISSISSIPPI
Plan sponsor’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 391575225

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-09
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
DIABETES FOUNDATION OF MISSISSIPPI 2019 237262987 2020-06-11 DIABETES FOUNDATION OF MISSISSIPPI 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Sponsor’s telephone number 6019577878
Plan sponsor’s DBA name DIABETES FOUNDATION OF MISSISSIPPI
Plan sponsor’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 237262987
Plan administrator’s name DIABETES FOUNDATION OF MISSISSIPPI
Plan administrator’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 391575225
Administrator’s telephone number 6019577878

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
DIABETES FOUNDATION OF MISSISSIPPI 2018 237262987 2019-05-02 DIABETES FOUNDATION OF MISSISSIPPI 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Plan sponsor’s DBA name DIABETES FOUNDATION OF MISSISSIPPI
Plan sponsor’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 391575225

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-02
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
DIABETES FOUNDATION OF MISSISSIPPI 2017 237262987 2019-02-21 DIABETES FOUNDATION OF MISSISSIPPI 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Plan sponsor’s DBA name DIABETES FOUNDATION OF MISSISSIPPI
Plan sponsor’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 391575225

Signature of
Role Plan administrator
Date 2019-02-21
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
DIABETES FOUNDATION OF MISSISSIPPI 2016 237262987 2019-02-20 DIABETES FOUNDATION OF MISSISSIPPI 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Plan sponsor’s DBA name DIABETES FOUNDATION OF MISSISSIPPI
Plan sponsor’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 391575225

Signature of
Role Plan administrator
Date 2019-02-20
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
DIABETES FOUNDATION OF MISSISSIPPI 2015 237262987 2016-05-23 DIABETES FOUNDATION OF MISSISSIPPI 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Sponsor’s telephone number 6019577878
Plan sponsor’s DBA name DIABETES FOUNDATION OF MISSISSIPPI
Plan sponsor’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 391575225

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
TDA DIABETES FOUNDATION OF MISSISSIPPI 2014 237262987 2015-05-19 DIABETES FOUNDATION OF MISSISSIPPI 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Plan sponsor’s DBA name DIABETES FOUNDATION OF MISSISSIPPI
Plan sponsor’s address 800 AVERY BLVD N STE 100, STE 100, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
TDA OF DIABETES FOUNDATION OF MISSISSIPPI 2013 237262987 2014-07-23 DIABETES FOUNDATION OF MISSISSIPPI 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Plan sponsor’s address 800 AVERY BLVD N STE 100, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
TDA OF DIABETES FOUNDATION OF MISSISSIPPI, INC. 2012 237262987 2013-07-26 DIABETES FOUNDATION OF MISSISSIPPI 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Plan sponsor’s address 800 AVERY BLVD. SUITE 100, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
TDA 2011 237262987 2012-05-14 DIABETES FOUNDATION OF MISSISSIPPI 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Sponsor’s telephone number 6019577878
Plan sponsor’s address 800 AVERY BLVD., SUITE 100, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 237262987
Plan administrator’s name DIABETES FOUNDATION OF MISSISSIPPI
Plan administrator’s address 800 AVERY BLVD., SUITE 100, RIDGELAND, MS, 39157
Administrator’s telephone number 6019577878

Signature of
Role Plan administrator
Date 2012-05-14
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/02/20110802154422P030033198455001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2001-12-01
Business code 813000
Sponsor’s telephone number 6019577878
Plan sponsor’s address 800 AVERY BLVD., SUITE 100, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 237262987
Plan administrator’s name DIABETES FOUNDATION OF MISSISSIPPI, INC.
Plan administrator’s address 800 AVERY BLVD., SUITE 100, RIDGELAND, MS, 39157
Administrator’s telephone number 6019577878

Signature of
Role Plan administrator
Date 2011-08-02
Name of individual signing MARY FORTUNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARY D FORTUNE Agent 16 NORTHTOWN DR #100, JACKSON, MS 39211-3058

Incorporator

Name Role Address
ALTON B COBB Incorporator 221 MAYWOOD CIRCLE, JACKSON, MS 39211
G S BARNES Incorporator 618 MAIN ST, COLUMBUS, MS
NORMAN BRUNSTEIN Incorporator 514 EAST WOODROW WILSON, JACKSON, MS

Filings

Type Status Filed Date Description
Amendment Form Filed 1998-02-10 Amendment
See File Filed 1998-01-30 See File
Amendment Form Filed 1997-10-07 Amendment
Amendment Form Filed 1979-11-21 Amendment
Undetermined Event Filed 1965-03-11 Undetermined Event
Name Reservation Form Filed 1965-01-22 Name Reservation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
23-7262987 Corporation Unconditional Exemption 800 AVERY BLVD N STE 100, RIDGELAND, MS, 39157-5225 1992-08
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 Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 1,000,000 to 4,999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 2952790
Income Amount 938906
Form 990 Revenue Amount 693945
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 DIABETES FOUNDATION OF MISSISSIPPI INC
EIN 23-7262987
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name DIABETES FOUNDATION OF MISSISSIPPI INC
EIN 23-7262987
Tax Period 202006
Filing Type P
Return Type 990
File View File
Organization Name DIABETES FOUNDATION OF MISSISSIPPI INC
EIN 23-7262987
Tax Period 201906
Filing Type P
Return Type 990
File View File
Organization Name DIABETES FOUNDATION OF MISSISSIPPI INC
EIN 23-7262987
Tax Period 201806
Filing Type P
Return Type 990
File View File
Organization Name DIABETES FOUNDATION OF MISSISSIPPI INC
EIN 23-7262987
Tax Period 201706
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8835207207 2020-04-28 0470 PPP 800 AVERY BLVD Ste 100, RIDGELAND, MS, 39157-5225
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 78847.05
Loan Approval Amount (current) 78847.05
Undisbursed Amount 0
Franchise Name -
Lender Location ID 28153
Servicing Lender Name Origin Bank
Servicing Lender Address 3921 Elm St, CHOUDRANT, LA, 71227-3082
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address RIDGELAND, MADISON, MS, 39157-5225
Project Congressional District MS-03
Number of Employees 8
NAICS code 813211
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 28153
Originating Lender Name Origin Bank
Originating Lender Address CHOUDRANT, LA
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 79760.48
Forgiveness Paid Date 2021-06-22
2465428400 2021-02-03 0470 PPS 800 Avery Blvd N Ste 100, Ridgeland, MS, 39157-5225
Loan Status Date 2021-12-01
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 78845
Loan Approval Amount (current) 78845
Undisbursed Amount 0
Franchise Name -
Lender Location ID 28153
Servicing Lender Name Origin Bank
Servicing Lender Address 3921 Elm St, CHOUDRANT, LA, 71227-3082
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ridgeland, MADISON, MS, 39157-5225
Project Congressional District MS-03
Number of Employees 5
NAICS code 813211
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 28153
Originating Lender Name Origin Bank
Originating Lender Address CHOUDRANT, LA
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 79418.82
Forgiveness Paid Date 2021-11-01

Related by officers

MARY D FORTUNE

AMERICAN DIABETES ASSOCIATION, MISSISSIPPI AFFILIATE, INC.

ALTON B COBB

AMERICAN DIABETES ASSOCIATION, MISSISSIPPI AFFILIATE, INC. DIABETES ASSOCIATION OF MISSISSIPPI, INC.

G S BARNES

MEDICAL ARTS CENTER, INC. AMERICAN DIABETES ASSOCIATION, MISSISSIPPI AFFILIATE, INC. DIABETES ASSOCIATION OF MISSISSIPPI, INC.

NORMAN BRUNSTEIN

AMERICAN DIABETES ASSOCIATION, MISSISSIPPI AFFILIATE, INC.

Related by address

No related companies by address

Date of last update: 17 Mar 2025

Sources: Mississippi Secretary of State

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