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GREENBRIAR NURSING CENTER, INC.

Company Details

Name: GREENBRIAR NURSING CENTER, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 07 May 2001 (24 years ago)
Business ID: 701739
ZIP code: 39540
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 4347 WEST GAY RD D'Iberville, MS 39540

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENBRIAR NURSING CENTER, INC. 401(K) 2023 640941072 2024-07-08 GREENBRIAR NURSING CENTER, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 2282090680
Plan sponsor’s address 4347 WEST GAY ROAD, DIBERVILLE, MS, 39540

Signature of

Role Plan administrator
Date 2024-07-08
Name of individual signing AVONNA CAIN
Valid signature Filed with authorized/valid electronic signature
GREENBRIAR NURSING CENTER, INC. 401(K) 2022 640941072 2023-07-27 GREENBRIAR NURSING CENTER, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 2282090680
Plan sponsor’s address 4347 WEST GAY ROAD, DIBERVILLE, MS, 39540

Signature of

Role Plan administrator
Date 2023-07-27
Name of individual signing AVONNA CAIN
Valid signature Filed with authorized/valid electronic signature
GREENBRIAR NURSING CENTER, INC. 401(K) 2021 640941072 2022-06-20 GREENBRIAR NURSING CENTER, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 2282090680
Plan sponsor’s address 4347 WEST GAY ROAD, DIBERVILLE, MS, 39540

Signature of

Role Plan administrator
Date 2022-06-20
Name of individual signing AVONNA CAIN
Valid signature Filed with authorized/valid electronic signature
GREENBRIAR NURSING CENTER, INC. 401(K) 2020 640941072 2021-05-27 GREENBRIAR NURSING CENTER, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 2282090680
Plan sponsor’s address 4347 WEST GAY ROAD, DIBERVILLE, MS, 39540

Signature of

Role Plan administrator
Date 2021-05-27
Name of individual signing AVONNA CAIN
Valid signature Filed with authorized/valid electronic signature
GREENBRIAR NURSING CENTER, INC. 401(K) 2019 640941072 2020-05-27 GREENBRIAR NURSING CENTER, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 2282090680
Plan sponsor’s address 4347 WEST GAY ROAD, DIBERVILLE, MS, 39540

Signature of

Role Plan administrator
Date 2020-05-27
Name of individual signing AVONNA CAIN
Valid signature Filed with authorized/valid electronic signature
GREENBRIAR NURSING CENTER, INC. 401(K) 2018 640941072 2019-06-24 GREENBRIAR NURSING CENTER, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 2282090680
Plan sponsor’s address 4347 WEST GAY ROAD, DIBERVILLE, MS, 39540

Signature of

Role Plan administrator
Date 2019-06-24
Name of individual signing AVONNA CAIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Avonna Cain Agent 319 First Street South, P O Box 458, Wiggins, MS 39577

Incorporator

Name Role Address
Conner Cain Incorporator 16391 Robinson Rd, Gulfport, MS 39503

Director

Name Role Address
Avonna Cain Director 4347 W. Gay Road, D'iberville, MS 39540
Christopher C. Cain Director 530 Hall Street, Wiggins, MS 39577
Jennifer C. Cain Director 530 Hall Street, Wiggins, MS 39577

President

Name Role Address
Avonna Cain President 4347 W. Gay Road, D'iberville, MS 39540

Vice President

Name Role Address
Christopher C. Cain Vice President 530 Hall Street, Wiggins, MS 39577

Secretary

Name Role Address
Jennifer C. Cain Secretary 530 Hall Street, Wiggins, MS 39577

Treasurer

Name Role Address
Jennifer C. Cain Treasurer 530 Hall Street, Wiggins, MS 39577

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-24 Annual Report For GREENBRIAR NURSING CENTER, INC.
Annual Report Filed 2023-04-12 Annual Report For GREENBRIAR NURSING CENTER, INC.
Amendment Form Filed 2022-08-17 Amendment For GREENBRIAR NURSING CENTER, INC.
Annual Report Filed 2022-04-06 Annual Report For GREENBRIAR NURSING CENTER, INC.
Annual Report Filed 2021-04-08 Annual Report For GREENBRIAR NURSING CENTER, INC.
Annual Report Filed 2020-04-15 Annual Report For GREENBRIAR NURSING CENTER, INC.
Amendment Form Filed 2019-05-06 Amendment For GREENBRIAR NURSING CENTER, INC.
Annual Report Filed 2019-04-11 Annual Report For GREENBRIAR NURSING CENTER, INC.
Annual Report Filed 2018-04-27 Annual Report For GREENBRIAR NURSING CENTER, INC.
Annual Report Filed 2017-10-13 Annual Report For GREENBRIAR NURSING CENTER, INC.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4036727107 2020-04-12 0470 PPP 4347 GAY RD, DIBERVILLE, MS, 39540
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 814595
Loan Approval Amount (current) 814595
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DIBERVILLE, HARRISON, MS, 39540-0002
Project Congressional District MS-04
Number of Employees 145
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 825419.07
Forgiveness Paid Date 2021-08-20

Date of last update: 19 Mar 2025

Sources: Mississippi Secretary of State