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  5. BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.

BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.

Company Details

Name: BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 16 Jun 1965 (60 years ago)
Business ID: 724208
ZIP code: 38732
County: Bolivar
State of Incorporation: MISSISSIPPI
Principal Office Address: 810 E. Sunflower Road , Suite 120Cleveland, MS 38732

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOLIVAR COUNTY COMMUNITY ACTION AGENCY 2014 640434535 2015-08-31 BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. 218
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-09-01
Business code 624410
Sponsor’s telephone number 6628461491
Plan sponsor’s mailing address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732
Plan sponsor’s address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732

Number of participants as of the end of the plan year
Active participants 215

Signature of
Role Plan administrator
Date 2015-08-07
Name of individual signing KIMBERLY NOLAN
Valid signature Filed with authorized/valid electronic signature
BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. LIFE INSURANCE PLAN 2014 640434535 2015-08-31 BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. 0
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-09-01
Business code 624410
Sponsor’s telephone number 6628461491
Plan sponsor’s mailing address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732
Plan sponsor’s address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732

Number of participants as of the end of the plan year
Active participants 218

Signature of
Role Plan administrator
Date 2015-08-07
Name of individual signing KIMBERLY NOLAN
Valid signature Filed with authorized/valid electronic signature
BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. LIFE INSURANCE PLAN 2013 640434535 2015-09-10 BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. 196
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-09-01
Business code 624410
Sponsor’s telephone number 6628461491
Plan sponsor’s mailing address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732
Plan sponsor’s address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732

Number of participants as of the end of the plan year
Active participants 174

Signature of
Role Plan administrator
Date 2015-09-10
Name of individual signing KIMBERLY NOLAN
Valid signature Filed with authorized/valid electronic signature
BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. LIFE INSURANCE PLAN 2012 640434535 2015-09-10 BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. 203
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-09-01
Business code 624410
Sponsor’s telephone number 6628461491
Plan sponsor’s mailing address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732
Plan sponsor’s address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732

Number of participants as of the end of the plan year
Active participants 196

Signature of
Role Plan administrator
Date 2015-09-10
Name of individual signing KIMBERLY NOLAN
Valid signature Filed with authorized/valid electronic signature
BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. LIFE 2011 640434535 2015-09-10 BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC. 215
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-09-01
Business code 624410
Sponsor’s telephone number 6628461491
Plan sponsor’s mailing address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732
Plan sponsor’s address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732

Plan administrator’s name and address
Administrator’s EIN 640434535
Plan administrator’s name BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Plan administrator’s address 810 E SUNFLOWER RD, SUITE 120, CLEVELAND, MS, 38732
Administrator’s telephone number 6628461491

Number of participants as of the end of the plan year
Active participants 203

Signature of
Role Plan administrator
Date 2015-09-10
Name of individual signing KIMBERLY NOLAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Elnora Littleton Agent 810 E Sunflower Road, Ste 120, Cleveland, MS 38732

Incorporator

Name Role Address
LOTTIE MAE NICHOLS Incorporator R, ROSEDALE, MS
R T SEARCY Incorporator C, CLEVELAND, MS
SAM D LONG Incorporator S, SHELBY, MS

President

Name Role Address
Nathan Towers President P. O. Box 158, Pace, MS 38764

Vice President

Name Role Address
Marshall Conico Vice President 1609 Bellavista Road, Cleveland, MS 38732

Secretary

Name Role Address
Chaka Smith Esq Secretary 218 North Street, Cleveland, MS 38732

Member

Name Role Address
Bertha Cummings Member 112 Belvedere Street, Cleveland, MS 38732
Hugh Smith MD Member 511 Robinson Drive, Cleveland, MS 38732
Deloris Brown Member P. O. Box 275, Shaw, MS 38773
Rita Marshall Member P. O. Box 94, Beulah, MS 38726
Kelvin Williams Member P. O. Box 539, Cleveland, MS 38732
David Kelly Member 404 West South Street, Mound Bayou, MS 38762
Tolernisa Butler Member 407 First Street, Shelby, MS 38774
Randy Bolden Member 302 Ronaldmen Road, Cleveland, MS 38732
Ashley Melvin Member 306 Maple Street, Mound Bayou, MS 38762

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2022-06-03 Status Report For BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Non-Profit Status Report Filed 2022-05-13 Status Report For BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Non-Profit Status Report Filed 2021-08-19 Status Report For BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Amendment Form Filed 2014-03-25 Amendment
Amendment Form Filed 2005-09-19 Amendment
See File Filed 2002-10-21 See File
Amendment Form Filed 2002-10-21 Amendment
See File Filed 1967-07-05 See File
See File Filed 1966-06-06 See File
See File Filed 1965-12-06 See File

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3933451956187991 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2011-08-24 2011-08-24 DIRECT COMMUNITY FACILITY LOANS
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMM
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address STE. 120, EASTGATE CTR., 810 E. SUNFLOWER RD., CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-2800, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 66380.00
Face Value of Direct Loan 1160489.00
Link View Page
MS0008B4G010801 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-08-11 No data HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS0007B4G011003 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-04-11 No data HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180, UNITED STATES
Obligated Amount 473286.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS0008B4G011003 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-04-11 No data HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180, UNITED STATES
Obligated Amount 176006.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS0007B4G010801 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2010-12-13 No data HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS26B70-1005 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2010-05-27 No data HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS26B70-1002 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2010-05-27 No data HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
04SE3057 Department of Health and Human Services 93.708 - ARRA - HEAD START 2009-07-01 2010-09-30 HEAD START 2009 ARRA / COLA / QUALITY IMPROVEMENT FUNDING
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PROGRAM, INC
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address 810 EAST SUNFLOWER RD, #120, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732, UNITED STATES
Obligated Amount 459865.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS0007B4G010801 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2008-10-01 2009-08-31 HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180
Obligated Amount 473287.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
MS0008B4G010801 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2008-10-01 2009-08-31 HOMELESS ASSISTANCE
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180
Obligated Amount 176201.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180
Obligated Amount -1.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PROGRAM, INC
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address 810 EAST SUNFLOWER RD, #120, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732
Obligated Amount 44414990.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180
Obligated Amount 469831.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180
Obligated Amount 175000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient BOLIVAR COUNTY COMMUNITY ACTION AGENCY, INC.
Recipient Name Raw BOLIVAR COUNTY COMMUNITY ACTION PRO
Recipient UEI JCMPN7LY3G41
Recipient DUNS 136560278
Recipient Address PO BOX 180, CLEVELAND, BOLIVAR, MISSISSIPPI, 38732-0180
Obligated Amount -334412.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

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Date of last update: 20 Mar 2025

Sources: Mississippi Secretary of State

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