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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

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: 25 Dec 2024

Sources: Mississippi Secretary of State

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