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Bi-State Health Services, Inc.

Company Details

Name: Bi-State Health Services, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 11 Jan 2008 (17 years ago)
Business ID: 925256
ZIP code: 39667
County: Walthall
State of Incorporation: MISSISSIPPI
Principal Office Address: 101 Hospital Drive, P.O. Box 172Tylertown, MS 39667

Agent

Name Role Address
Alice F Richmond Agent 97 Magee Drive, P.O. Box 172, Tylertown, MS 39667

Incorporator

Name Role Address
James T. Cox Incorporator 224 Sweetbriar Lane, Madison, MS 39110

Director

Name Role Address
Clayton Bullock Director 74 Highway 48 West, Tylertown, MS 39667
Zackery Fortenberry Director 333 Highway 98 West, Tylertown, MS 39667

Vice President

Name Role Address
Clayton Bullock Vice President 74 Highway 48 West, Tylertown, MS 39667

Secretary

Name Role Address
Zackery Fortenberry Secretary 333 Highway 98 West, Tylertown, MS 39667

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2021-04-07 Status Report For Bi-State Health Services, Inc.
Non-Profit Status Report Filed 2020-03-25 Status Report For Bi-State Health Services, Inc.
Non-Profit Status Report Filed 2017-03-30 Status Report For Bi-State Health Services, Inc.
Formation Form Filed 2008-01-11 Formation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
26-1737340 Corporation Unconditional Exemption PO BOX 172, TYLERTOWN, MS, 39667-0172 2008-08
In Care of Name % ALICE RICHMOND
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 2023-12
Asset 0
Income 0
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 0
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
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)

Form 990-N (e-Postcard)

Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2023
Beginning of tax period 2023-01-01
End of tax period 2023-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO BOX 172, TYLERTOWN, MS, 39667, US
Principal Officer's Name Alice F Richmond
Principal Officer's Address PO BOX 172, TYLERTOWN, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2021
Beginning of tax period 2021-01-01
End of tax period 2021-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO BOX 679, TYLERTOWN, MS, 39667, US
Principal Officer's Name ALICE F RICHMOND
Principal Officer's Address PO BOX 679, TYLERTOWN, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2020
Beginning of tax period 2020-01-01
End of tax period 2020-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 101 Hospital Drive, Tylertown, MS, 39667, US
Principal Officer's Name Alice F Richmond
Principal Officer's Address 101 Hospital Drive, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2019
Beginning of tax period 2019-01-01
End of tax period 2019-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Box 679, Tylertown, MS, 39667, US
Principal Officer's Name Alice Richmond
Principal Officer's Address PO Box 172, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2018
Beginning of tax period 2018-01-01
End of tax period 2018-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address P O Box 679, Tylertown, MS, 39667, US
Principal Officer's Name Alice Richmond
Principal Officer's Address P O Box 679, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2017
Beginning of tax period 2017-01-01
End of tax period 2017-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 101 Hospital Drive, Tylertown, MS, 39667, US
Principal Officer's Name Alice Richmond
Principal Officer's Address 101 Hospital Drive, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2016
Beginning of tax period 2016-01-01
End of tax period 2016-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Box 679, Tylertown, MS, 39667, US
Principal Officer's Name Alice F Richmond
Principal Officer's Address PO Box 679, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2015
Beginning of tax period 2015-01-01
End of tax period 2015-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address P O Box 172, Tylertown, MS, 39667, US
Principal Officer's Address P O Box 172, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2014
Beginning of tax period 2014-01-01
End of tax period 2014-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Box 679, Tylertown, MS, 39667, US
Principal Officer's Name Alice Richmond
Principal Officer's Address PO Box 679, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2013
Beginning of tax period 2013-01-01
End of tax period 2013-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Box 32, Tylertown, MS, 39667, US
Principal Officer's Name Alice Richmond
Principal Officer's Address PO Box 172, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2012
Beginning of tax period 2012-01-01
End of tax period 2012-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Box 32, Tylertown, MS, 39667, US
Principal Officer's Name Sherman Smith
Principal Officer's Address 45 Industrial Park Rd, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2011
Beginning of tax period 2011-01-01
End of tax period 2011-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Box 32, Tylertown, MS, 39667, US
Principal Officer's Name Sherman Smith
Principal Officer's Address 45 Industrial Park Rd, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2010
Beginning of tax period 2010-01-01
End of tax period 2010-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Drawer 32, Tylertown, MS, 39667, US
Principal Officer's Name Sherman Smith
Principal Officer's Address PO Drawer 32, Tylertown, MS, 39667, US
Organization Name BI-STATE HEALTH SERVICES INC
EIN 26-1737340
Tax Year 2009
Beginning of tax period 2009-01-01
End of tax period 2009-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Drawer 32, Tylertown, MS, 39667, US
Principal Officer's Name Sherman Smith
Principal Officer's Address PO Drawer 32, Tylertown, MS, 39667, US

Date of last update: 22 Mar 2025

Sources: Mississippi Secretary of State