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  5. URBAN REHAB INC

URBAN REHAB INC

Company Details

Name: URBAN REHAB INC
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 16 Apr 2009 (16 years ago)
Business ID: 948078
ZIP code: 39209
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 5345 Highway 18 WJackson, MS 39209-244

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
URBAN REHAB 401(K) PLAN 2023 264668224 2024-05-13 URBAN REHAB INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
URBAN REHAB 401(K) PLAN 2022 264668224 2023-05-27 URBAN REHAB INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
URBAN REHAB 401(K) PLAN 2021 264668224 2022-07-16 URBAN REHAB INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
URBAN REHAB 401(K) PLAN 2020 264668224 2021-09-30 URBAN REHAB INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6019270188
Plan sponsor’s address 5345 HIGHWAY 18 W, JACKSON, MS, 39209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Philip Massey Agent 109 Heatherlynn Circle, Clinton, MS 39056

Incorporator

Name Role Address
Philip Massey Incorporator 109 Heatherlynn Circle, Clinton, MS 39056

Vice President

Name Role Address
Leon Seals Jr Vice President 304 Monterey Drive, Clinton, MS 39056

Treasurer

Name Role Address
Flynn Wallace Treasurer 1750 Northwood Circle, Jackson, MS 39213

Secretary

Name Role Address
Jackie Fleming Secretary 574 Spryfield Rd, Jackson, MS 39212

Assistant Secretary

Name Role Address
Jun Lyons Assistant Secretary 316 Conti Rd, Jackson, MS 39213
Patricia Cruz Assistant Secretary PO Box 321383, Flowood, MS 39232

Other

Name Role Address
Jun Lyons Other 316 Conti Rd, Jackson, MS 39213

Member

Name Role Address
Rodney Phillips Member 212 Northbrook Circle, Jackson, MS 39212
Samuel West Member 101 Woodway Court, Clinton, MS 39056

Chairman

Name Role Address
Ronald Kyzar Chairman 2 Northwood Pl, Clinton, MS 39056

Director

Name Role Address
H Fariss Crisler III Director 840 E River Place, Jackson, MS 39202

Chief Executive Officer

Name Role Address
Philip Massey Chief Executive Officer 109 Heatherlynn Circle, Clinton, MS 39056

Assistant Treasurer

Name Role Address
Patricia Cruz Assistant Treasurer PO Box 321383, Flowood, MS 39232

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2023-05-06 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2022-05-10 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2020-07-04 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2018-03-14 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2016-04-16 Status Report For URBAN REHAB INC
Non-Profit Status Report Filed 2011-04-15 Non-Profit Status Report
Amendment Form Filed 2010-01-07 Amendment
Formation Form Filed 2009-04-16 Formation

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Philip Massey

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Flynn Wallace

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Rodney Phillips

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H Fariss Crisler III

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Samuel West

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Related by address

No related companies by address

Date of last update: 04 Jan 2025

Sources: Mississippi Secretary of State

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