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PURVIS GRANGE FOUNDATION, INC.

Company Details

Name: PURVIS GRANGE FOUNDATION, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 08 Feb 2002 (23 years ago)
Business ID: 712777
State of Incorporation: DELAWARE
Principal Office Address: 101 N JAY STREETMIDDLEBURG, VA 20117

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2018 311809142 2019-05-22 PURVIS GRANGE FOUNDATION, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2017 311809142 2018-10-10 PURVIS GRANGE FOUNDATION, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2016 311809142 2018-10-31 PURVIS GRANGE FOUNDATION, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2018-10-31
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-31
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2016 311809142 2017-10-05 PURVIS GRANGE FOUNDATION, INC. 22
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2015 311809142 2016-05-25 PURVIS GRANGE FOUNDATION, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 14
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2014 311809142 2015-04-20 PURVIS GRANGE FOUNDATION, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2013 311809142 2014-05-06 PURVIS GRANGE FOUNDATION, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 13
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-05-05
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2012 311809142 2013-04-08 PURVIS GRANGE FOUNDATION, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 17
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2011 311809142 2012-10-11 PURVIS GRANGE FOUNDATION, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Plan administrator’s name and address
Administrator’s EIN 311809142
Plan administrator’s name PURVIS GRANGE FOUNDATION, INC.
Plan administrator’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Administrator’s telephone number 6012794415

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2010 311809142 2011-10-17 PURVIS GRANGE FOUNDATION, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Plan administrator’s name and address
Administrator’s EIN 311809142
Plan administrator’s name PURVIS GRANGE FOUNDATION, INC.
Plan administrator’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Administrator’s telephone number 6012794415

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/23/20100723132459P070062384273001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Plan administrator’s name and address
Administrator’s EIN 311809142
Plan administrator’s name PURVIS GRANGE FOUNDATION, INC.
Plan administrator’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Administrator’s telephone number 6012794415

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GILBERT ROSE Agent 6791 EAGLE LAKE SHORE RD, VICKSBURG, MS 39180

Director

Name Role Address
JOHN T GORDON Director 101 N JAY STREET, MIDDLEBURG, VA 20117
GILBERT ROSE Director 6791 EAGLE LAKE SHORES RD, VICKSBURG, MS 39180
MAGALEN O BRYANT Director 101 N JAY STREET, MIDDLEBURG, VA 20117

Secretary

Name Role Address
JOHN T GORDON Secretary 101 N JAY STREET, MIDDLEBURG, VA 20117

Treasurer

Name Role Address
JOHN T GORDON Treasurer 101 N JAY STREET, MIDDLEBURG, VA 20117

President

Name Role Address
MAGALEN O BRYANT President 101 N JAY STREET, MIDDLEBURG, VA 20117

Filings

Type Status Filed Date Description
Name Reservation Form Filed 2002-02-08 Name Reservation

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD W9127Q12P0109 2012-06-15 2012-08-02 2012-08-02
Unique Award Key CONT_AWD_W9127Q12P0109_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title TARA WILDLIFE YOUTH CAMP
NAICS Code 721214: RECREATIONAL AND VACATION CAMPS (EXCEPT CAMPGROUNDS)
Product and Service Codes G003: SOCIAL- RECREATIONAL

Recipient Details
Recipient PURVIS GRANGE FOUNDATION, INC.
UEI ZQXGF4YAJRE3
Legacy DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, 391839404, UNITED STATES
PO AWARD W9127Q11P0074 2011-05-25 2011-08-06 2011-08-06
Unique Award Key CONT_AWD_W9127Q11P0074_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title KIDS SUMMER CAMP TARA WILDLIFE
NAICS Code 713990: ALL OTHER AMUSEMENT AND RECREATION INDUSTRIES
Product and Service Codes G003: RECREATIONAL SERVICES

Recipient Details
Recipient PURVIS GRANGE FOUNDATION, INC.
UEI ZQXGF4YAJRE3
Legacy DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, 391839404, UNITED STATES
PO AWARD AGWS10015 2010-08-31 2010-08-31 2010-08-31
Unique Award Key CONT_AWD_AGWS10015_12K3_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Description
Title 2010 MISSISSIPPI STATE MEETING SPACE
NAICS Code 721110: HOTELS (EXCEPT CASINO HOTELS) AND MOTELS
Product and Service Codes V231: LODGING - HOTEL/MOTEL

Recipient Details
Recipient PURVIS GRANGE FOUNDATION, INC.
UEI ZQXGF4YAJRE3
Legacy DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, 391839404, UNITED STATES
PURCHASE ORDER AWARD W9127Q10P0171 2010-06-18 2010-08-19 2010-08-19
Unique Award Key CONT_AWD_W9127Q10P0171_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 40000.00
Current Award Amount 40000.00
Potential Award Amount 40000.00

Description
Title MILITARY CAMP 2 JUNE 13-18, 2010
NAICS Code 114210: HUNTING AND TRAPPING
Product and Service Codes 3590: MISC SERVICE & TRADE EQ

Recipient Details
Recipient PURVIS GRANGE FOUNDATION, INC.
UEI ZQXGF4YAJRE3
Legacy DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 391839404, UNITED STATES
PO AWARD AG6395P090968 2009-07-21 2009-08-13 2009-08-13
Unique Award Key CONT_AWD_AG6395P090968_12K3_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Description
Title TARA WILDLIFE PRESERVE FACILITIES (INCLUDES ALL LODGING, ALL MEALS & SNACKS, CONFERENCE ROOMS, SHOOTING & DRIVING RANGES) AUGUST 10-13, 2009 AT PURVIS, MS
Product and Service Codes X112: LEASE-RENT OF CONF SPACE & FAC

Recipient Details
Recipient PURVIS GRANGE FOUNDATION, INC.
UEI ZQXGF4YAJRE3
Legacy DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, 391839404, UNITED STATES
PO AWARD AG6395P081186 2008-05-23 2008-08-28 2008-08-29
Unique Award Key CONT_AWD_AG6395P081186_12K3_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Description
Title 2008 STATE MEETING AUGUST 25-28, 2008, PURVIS GRANGE DBA TARA WILDIFE
Product and Service Codes X112: LEASE-RENT OF CONF SPACE & FAC

Recipient Details
Recipient PURVIS GRANGE FOUNDATION, INC.
UEI ZQXGF4YAJRE3
Legacy DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, 391839404, UNITED STATES
PO AWARD AG6395P071960 2007-10-22 2007-08-24 2007-08-24
Unique Award Key CONT_AWD_AG6395P071960_12K3_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Description
Title TARA WILDLIFE/2007 STATE MEETING
Product and Service Codes 9999: MISCELLANEOUS ITEMS

Recipient Details
Recipient PURVIS GRANGE FOUNDATION, INC.
UEI ZQXGF4YAJRE3
Legacy DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, 391839404, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
9832983 Department of Agriculture 10.055 - DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM 2010-10-10 2010-10-10 DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM: TO PROVIDE INCOME SUPPORT TO ELIGIBLE PRODUCERS OF COVERED COMMODITIES.
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 1932.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9838836 Department of Agriculture 10.055 - DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM 2010-10-10 2010-10-10 DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM: TO PROVIDE INCOME SUPPORT TO ELIGIBLE PRODUCERS OF COVERED COMMODITIES.
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 22543.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9835553 Department of Agriculture 10.069 - CONSERVATION RESERVE PROGRAM 2010-10-05 2010-10-05 CONSERV RESV PRGM; TO PROTECT THE NATION'S LONG-TERM CAPABILITY TO PROD FOOD REDUCE SOIL EROSION IMPROVE WATER QUALITY & CREATE WILDLIFE HABITAT
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 26037.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9832137 Department of Agriculture 10.069 - CONSERVATION RESERVE PROGRAM 2010-10-05 2010-10-05 CONSERV RESV PRGM; TO PROTECT THE NATION'S LONG-TERM CAPABILITY TO PROD FOOD REDUCE SOIL EROSION IMPROVE WATER QUALITY & CREATE WILDLIFE HABITAT
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 3063.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9836658 Department of Agriculture 10.069 - CONSERVATION RESERVE PROGRAM 2010-10-05 2010-10-05 CONSERV RESV PRGM; TO PROTECT THE NATION'S LONG-TERM CAPABILITY TO PROD FOOD REDUCE SOIL EROSION IMPROVE WATER QUALITY & CREATE WILDLIFE HABITAT
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 1248.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9840064 Department of Agriculture 10.069 - CONSERVATION RESERVE PROGRAM 2010-10-05 2010-10-05 CONSERV RESV PRGM; TO PROTECT THE NATION'S LONG-TERM CAPABILITY TO PROD FOOD REDUCE SOIL EROSION IMPROVE WATER QUALITY & CREATE WILDLIFE HABITAT
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 6010.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9838119 Department of Agriculture 10.069 - CONSERVATION RESERVE PROGRAM 2010-10-05 2010-10-05 CONSERV RESV PRGM; TO PROTECT THE NATION'S LONG-TERM CAPABILITY TO PROD FOOD REDUCE SOIL EROSION IMPROVE WATER QUALITY & CREATE WILDLIFE HABITAT
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 782.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
0000000000581871 Department of Agriculture 10.912 - ENVIRONMENTAL QUALITY INCENTIVES PROGRAM 2010-07-30 2014-09-30 ENVIRONMENTAL QUALITY INCENTIVE PROGRAM
Recipient PURVIS GRANGE FOUNDATION
Recipient Name Raw PURVIS GRANGE FOUNDATION
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 40556.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9613099 Department of Agriculture 10.055 - DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM 2010-06-02 2010-06-02 DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM: TO PROVIDE INCOME SUPPORT TO ELIGIBLE PRODUCERS OF COVERED COMMODITIES.
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 6357.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
9379849 Department of Agriculture 10.055 - DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM 2010-03-10 2010-03-10 DIRECT AND COUNTER-CYCLICAL PAYMENTS PROGRAM: TO PROVIDE INCOME SUPPORT TO ELIGIBLE PRODUCERS OF COVERED COMMODITIES.
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 61.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 3000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 17557.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 14045.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 2966.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 541.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 732.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 3063.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 15266.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient PURVIS GRANGE FOUNDATION, INC.
Recipient Name Raw PURVIS GRANGE FOUNDATION INC DBA TARA WILDLIF
Recipient UEI ZQXGF4YAJRE3
Recipient DUNS 140392726
Recipient Address 6791 EAGLE LAKE SHORE RD, VICKSBURG, WARREN, MISSISSIPPI, 39183-9404, UNITED STATES
Obligated Amount 27257.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
340862424 0419400 2015-08-13 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2015-08-13
Emphasis L: LEAD, P: LEAD
Case Closed 2015-12-11

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 C01 I
Issuance Date 2015-10-19
Abatement Due Date 2015-10-27
Current Penalty 720.0
Initial Penalty 1200.0
Final Order 2015-10-26
Nr Instances 1
Nr Exposed 4
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(c)(1)(i): The employer having employee(s) with occupational exposure did not establish a written Exposure Control Plan designed to eliminate or minimize employee exposure: (a) Facility - On or about August 13, 2015 the employer had not developed and implemented an exposure control plan for those employees designated to render first aid.
Citation ID 01002A
Citaton Type Serious
Standard Cited 19101200 E01
Issuance Date 2015-10-19
Abatement Due Date 2015-10-27
Current Penalty 720.0
Initial Penalty 1200.0
Final Order 2015-10-26
Nr Instances 1
Nr Exposed 4
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1200(e)(1): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met: (a) Facility -On or about August 13, 2015 the employer had not developed and implemented a hazard communication program governing the usage of various chemicals such as gasoline, propane, etc.
Citation ID 01002B
Citaton Type Serious
Standard Cited 19101200 F06 II
Issuance Date 2015-10-19
Abatement Due Date 2015-10-27
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2015-10-26
Nr Instances 1
Nr Exposed 4
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1200(f)(6)(ii): Except as provided in 29 CFR 1910.1200(f)(7) and 29 CFR 1910.1200(f)(8), the employer did not ensure that each container of hazardous chemicals in the workplace was labeled, tagged or marked with the product identifier and words, pictures, symbols, or combination thereof, which provide at least general information regarding the hazards of the chemicals and which, in conjunction with the other information immediately available to employees under the hazard communication program, would provide employees with the specific information regarding the physical and health hazards of the hazardous chemical: (a) Facility - On or about August 13, 2015 a propane tank was not labeled.
Citation ID 02001
Citaton Type Other
Standard Cited 19040029 B03
Issuance Date 2015-10-19
Abatement Due Date 2015-10-23
Current Penalty 240.0
Initial Penalty 400.0
Final Order 2015-10-26
Nr Instances 1
Nr Exposed 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1904.29(b)(3): Each recordable injury or illness was not entered on the OSHA 300 Log and on an incident report (OSHA Form 301 or equivalent) within seven (7) calendar days of receiving information that a recordable injury or illness had occured. (a) Facility - On or about August 13, 2015 a workplace injury that occurred on 8/4/15 was not recorded on the OSHA 300 log.

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
31-1809142 Corporation Unconditional Exemption 6791 EAGLE LAKE SHORE RD, VICKSBURG, MS, 39183-9404 2001-12
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 Private operating foundation (other)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 - Not required to file (all other)
PF Filing Requirement 990-PF return
Accounting Period Dec
Asset Amount 20446173
Income Amount 3676584
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities Philanthropy, Voluntarism and Grantmaking Foundations: Private Operating Foundations
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 private operating foundation. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name PURVIS GRANGE FOUNDATION INC
EIN 31-1809142
Tax Period 202212
Filing Type E
Return Type 990PF
File View File
Organization Name PURVIS GRANGE FOUNDATION INC
EIN 31-1809142
Tax Period 202112
Filing Type E
Return Type 990PF
File View File
Organization Name PURVIS GRANGE FOUNDATION INC
EIN 31-1809142
Tax Period 202012
Filing Type E
Return Type 990PF
File View File
Organization Name PURVIS GRANGE FOUNDATION INC
EIN 31-1809142
Tax Period 201812
Filing Type E
Return Type 990PF
File View File
Organization Name PURVIS GRANGE FOUNDATION INC
EIN 31-1809142
Tax Period 201712
Filing Type E
Return Type 990PF
File View File
Organization Name PURVIS GRANGE FOUNDATION INC
EIN 31-1809142
Tax Period 201612
Filing Type E
Return Type 990PF
File View File
Organization Name PURVIS GRANGE FOUNDATION INC
EIN 31-1809142
Tax Period 201512
Filing Type E
Return Type 990PF
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8015867004 2020-04-08 0470 PPP 6791 EAGLE LAKE SHORE RD, VICKSBURG, MS, 39183-9404
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 119000
Loan Approval Amount (current) 119000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address VICKSBURG, WARREN, MS, 39183-9404
Project Congressional District MS-02
Number of Employees 9
NAICS code 813312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 119856.14
Forgiveness Paid Date 2021-01-06

Related by officers

GILBERT ROSE

TARA WILDLIFE MANAGEMENT AND SERVICES, INC. TARA WILDLIFE, INC.

JOHN T GORDON

LOCHNAU MADISON DEVELOPMENT, INC.

MAGALEN O BRYANT

TARA WILDLIFE MANAGEMENT AND SERVICES, INC. PURVIS GRANGE CORPORATION

Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: Mississippi Secretary of State

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